E noʻonoʻo ʻoe e pono ʻoe e hana i kahi ʻoki kino. Hana nā kauka iā ia ma ka hoʻomaʻamaʻa ʻana iā ʻoe, ʻo ia hoʻi, ʻaʻole ʻike iki ʻia. Akā he aha ka mea e hana ai inā ʻūlū koke a ʻūlū paha kou mau ʻiʻo? Hiki i kēlā ke lilo i mea keakea nui i ke ʻoki kino, ʻeā? I kēia lā ke kamaʻilio nei mākou e pili ana i kahi inikini kūikawā e hoʻōki i kēlā mau neʻe koke a kōkua i nā kauka e hana i kā lākou hana me ka palekana a me ka maʻalahi. ʻO ia ka pancuronium.
I ka ʻōlelo maʻalahi, he aha ka Pancuronium?
He mea hoʻomaha ʻiʻo ka Pancuronium. ʻO kāna hana nui, ʻo ia ke hoʻomaha loa i nā ʻiʻo o kou kino a pale iā lākou mai ka neʻe ʻana i ka wā o ke ʻoki kino a i ʻole nā kaʻina hana lapaʻau ʻē aʻe.
E noʻonoʻo ʻoe ua like kou lolo me ke poʻo o kahi ʻoihana. ʻO kou mau ʻiʻo kāu poʻe limahana. Hoʻouna ke poʻo (ka lolo) i nā hōʻailona aʻalolo i nā limahana (nā ʻiʻo) e "ʻaelike" a "neʻe." ʻO ka hana a kēia pancuronium, ʻo ia ke ālai i ke ala e hele ai kēlā mau hōʻailona. A laila, ʻoiai ʻaʻole i loaʻa i nā ʻiʻo nā kauoha mai ka lolo, ua hoʻomaha loa lākou a ʻaʻohe neʻe ʻana. ʻAe kēia i nā kauka e hana i ke ʻoki kino me ke keakea ʻole.
Hoʻohana pinepine ʻia kēia me ka anesthesia. Hoʻohana ʻia hoʻi i kekahi manawa e kōkua i nā poʻe maʻi e pilikia ana i ka hanu ʻana ma o ka hoʻopili ʻana iā lākou i kahi mīkini (ventilator).
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
He mea nui loa kēia. He mea nui e ʻike kāu kauka i kou mōʻaukala olakino piha ma mua o ke kau ʻana i kēia lāʻau lapaʻau iā ʻoe. ʻO kēia no ka mea pono kekahi mau kūlana olakino i ka mālama kūikawā i ka wā e hoʻohana ai i kēia lāʻau.
E nānā i ka papa ma lalo. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, e haʻi pono i kāu kauka e pili ana iā lākou.
| Ke kūlana āu e pono ai e hōʻike | No ke aha mai kēlā? (ʻAʻole maopopo) |
|---|---|
| Dehydration - nele i ka wai i loko o ke kino | Ke loli ke kaulike wai o ke kino, hiki ke loli ke ʻano o ka hana ʻana o nā lāʻau lapaʻau. |
| Maʻi puʻuwai | Hiki i kēia lāʻau lapaʻau ke loaʻa kekahi hopena ma ka helu o ka puʻuwai a me ke koko. |
| Maʻi puʻupaʻa | Inā ʻaʻole hana pono kou mau puʻupaʻa, e lōʻihi ka manawa e haʻalele ai kēia lāʻau i kou kino. No laila, e lōʻihi paha ka hopena o ka lāʻau. |
| Maʻi akepaʻa | ʻO ke akepaʻa kahi e wāwahi ʻia ai ka hapa nui o nā lāʻau lapaʻau i loko o ke kino. Inā he pilikia me ke akepaʻa, e loli paha nā hopena o ka lāʻau lapaʻau. |
| Ka maʻi o ka māmā a i ʻole ka hanu ʻana - e.g. Asthma, COPD | Ma muli o ka hoʻomaha ʻana o kēia lāʻau lapaʻau i nā ʻiʻo hanu, pono e mālama pono ʻia i ka poʻe i loaʻa mua i nā maʻi hanu. |
| ʻO Myasthenia gravis - kahi maʻi e hoʻonāwaliwali ai nā ʻiʻo | Hiki i ka poʻe me kēia maʻi ke hypersensitive i nā mea hoʻomaha ʻiʻo, no laila pono paha lākou i kahi mahele haʻahaʻa loa. |
| Nā maʻi ʻaleka | Inā he maʻi allergy kou i ka pancuronium a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha, e ʻoluʻolu e haʻi mai iā mākou. |
| Inā hāpai ʻoe a i ʻole e hoʻāʻo nei e hāpai | Pono ke kauka e hopohopo e pili ana i nā hopena o ka lāʻau lapaʻau i ka makuahine hāpai a me ke pēpē. |
| Inā he makuahine hānai ʻoe | He mea nui e noʻonoʻo inā hele ka lāʻau lapaʻau i ka pēpē ma o ka waiū umauma. |
Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke hoʻohana ma ka home. Hāʻawi wale ʻia ia ma kahi haukapila a i ʻole ke keʻena lapaʻau e ke kauka a i ʻole nā limahana lapaʻau i aʻo ʻia.
- Hāʻawi ʻia kēia ma ke ʻano he inikini intravenous .
- Hiki ke hoʻohana ʻia ma luna o nā kamaliʻi ʻuʻuku, ʻoiai nā pēpē hānau hou, i nā hihia kūikawā. Akā, pono e hana ʻia me ke akahele nui a ma lalo o ka nānā kūikawā ʻana a ke kauka.
He aha inā wau e lawe i ka overdose?
Ma muli o ka hāʻawi ʻia ʻana o kēia ma ka haukapila, ua haʻahaʻa loa ka manawa e loaʻa ai iā ʻoe kahi overdose. Akahele loa ka hui lapaʻau e pili ana i ia mea. Akā inā hana ʻia kekahi mea e like me kēia a inā he kānalua, e hāʻawi koke lākou i ka lāʻau lapaʻau e pono ai. Inā manaʻo ʻoe ua lawe ʻoe i ia lāʻau lapaʻau ma waho o ka haukapila, pono ʻoe e hele koke i ka ETU , ʻo ia hoʻi ka Emergency Treatment Unit . Hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo a loaʻa ka ʻōlelo aʻoaʻo.
Nā lāʻau lapaʻau ʻē aʻe e launa pū me kēia lāʻau lapaʻau
Inā ʻoe e lawe ana i ka lāʻau lapaʻau no nā kūlana ʻē aʻe, he mea nui loa ia e haʻi i kāu kauka e pili ana i ia mea, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ke ʻano o ka hana a ka pancuronium.
- Kekahi mau lāʻau antibiotic: No ka laʻana, amikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin.
- Nā lāʻau lapaʻau no ka hopu ʻana: e like me ka carbamazepine a me ka phenytoin.
- Lithium: He lāʻau lapaʻau i hoʻohana ʻia no ka maʻi noʻonoʻo.
- Nā lāʻau anesthetic kūloko: e like me ka lidocaine.
- Nā mea hoʻohui magnesium
- Procainamide, Quinidine: Nā lāʻau lapaʻau no ka maʻi puʻuwai.
ʻAʻole piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā lāʻau lapaʻau, nā lāʻau lapaʻau ma luna o ke kauka, nā lāʻau lapaʻau kuʻuna, nā huaora, a inā ʻoe e puhipaka a inu waiʻona paha.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, aia kekahi mau hopena ʻaoʻao. Eia nō naʻe, ʻoiai ʻoe ma lalo o ka nānā piha ʻana o kahi hui lapaʻau i ka wā e lawe ana i kēia lāʻau lapaʻau, ua mākaukau lākou e mālama koke i nā pilikia.
| Nā hopena ʻaoʻao a me ko lākou ʻano | |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ka hui lapaʻau | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Puʻuwai | ʻO ka puʻuwai wikiwiki loa a i ʻole ke ʻano ʻē. |
| Hoʻonui ʻia ke koko | Ka piʻi nui ʻana o ke koko. |
| Mahana kino | Kuni nui, hou nui, hanu wikiwiki, ʻoʻoleʻa o nā ʻiʻo. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine (akā pono e hōʻike i ke kauka inā hoʻomau lākou) | |
| Nāwaliwali o nā ʻiʻo | Ke mau nei kekahi nāwaliwali o nā ʻiʻo ma hope o ka pau ʻana o nā hopena o ka lāʻau. |
| ʻEha ma kahi i hoʻokomo ʻia | ʻEha, ʻulaʻula, a i ʻole kekahi ʻoluʻolu ʻole ma kahi i inikini ʻia. |
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe i ʻōlelo ʻole ʻia ma kēia papa inoa, e ʻoluʻolu e hoʻomaopopo i ka hui lapaʻau e pili ana iā lākou.
Leka Lawe-Home
- He lāʻau lapaʻau ka Pancuronium i hoʻohana ʻia e hoʻomaha loa i nā ʻiʻo i nā manawa e like me ke ʻoki ʻana.
- Hāʻawi ʻia kēia ma ke ʻano he inikini i loko o kahi aa koko ma ka haukapila, ma lalo o ka nānā ʻana a ke kauka. ʻAʻole hiki iā ʻoe ke lawe i ka home.
- He mea nui e haʻi aku i kāu kauka e pili ana i kou mau maʻi āpau (ʻoiai ka maʻi puʻuwai, nā puʻupaʻa, a me ke akepaʻa) a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- ʻOiai e hāʻawi ʻia ana kēia lāʻau lapaʻau iā ʻoe, e nānā mau ʻia ana kou puʻuwai a me ke koko e ka hui lapaʻau, no laila ua palekana ʻoe.
- Inā loaʻa kahi hopena koʻikoʻi, e like me kahi hopena alerika a i ʻole ka puʻuwai wikiwiki, ua mākaukau ke kime lapaʻau e mālama koke iā ia.
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