Ua pono anei ʻoe e hana i ke ʻoki kino? A i ʻole ua pono anei ʻoe e hana i kekahi ʻano hoʻāʻo ma lalo o ka anesthesia? I ia mau hihia, hoʻohana nā kauka i kahi lāʻau lapaʻau kūikawā i kapa ʻia ʻo rocuronium e hoʻomaha loa i nā ʻiʻo o kou kino a e palekana a maʻalahi hoʻi ke kaʻina hana. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi.
He aha ka Rocuronium?
I ka ʻōlelo maʻalahi, he mea hoʻomaha ʻiʻo ka rocuronium. Hāʻawi pinepine ʻia iā ʻoe i ka wā anesthesia ma mua o kahi mea e like me ke ʻoki kino. Hoʻopaʻa ia i nā hōʻailona mai kou mau aʻalolo i kou mau ʻiʻo no kekahi manawa.
E noʻonoʻo, he aha ka mea e hana ʻia inā e ʻoni koke ana kahi ʻiʻo i loko o kou kino i ka wā e hana ana ke kauka i kahi hana akahele loa? He mea weliweli loa paha kēlā. ʻO ka hana nui o kēia lāʻau lapaʻau, ʻo ia ke hoʻōki i kēlā mau neʻe koke a kōkua i ka hui ʻoki kino e hana i kā lākou hana me ke keakea ʻole.
ʻO ka mea nui loa, ʻaʻole kēia lāʻau lapaʻau e hoʻohiamoe iā ʻoe. Hana ia i kēlā me nā lāʻau hoʻomāmā. Hoʻomaha wale ia i nā ʻiʻo.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
Ma mua o ka hāʻawi ʻia ʻana iā ʻoe i ka rocuronium, e nīnau ke kauka anesthesiologist iā ʻoe e pili ana i kou kūlana olakino. He mea nui loa ia e haʻi iā lākou e pili ana i kou mau kūlana olakino āpau me ka hūnā ʻole i kekahi mea .
| Ke kūlana āu e pono ai e hōʻike | No ke aha he mea nui kēlā? |
|---|---|
| Ka maloʻo ʻana | Ke maloʻo ke kino, hiki ke loli ke ʻano o ka hana ʻana o nā lāʻau lapaʻau. |
| Maʻi puʻuwai | Hiki ke hoʻopilikia ʻia ka hana o ka puʻuwai. |
| Maʻi puʻupaʻa a i ʻole ke akepaʻa | ʻO kēia mau ʻōkana ke kuleana no ka wehe ʻana i nā lāʻau lapaʻau mai ke kino. Inā e emi ana kā lākou hana, e lōʻihi paha ka hopena o ka lāʻau. |
| nā maʻi hanu (e like me ka hānō, COPD) | He mea nui kēia ʻike no ka mea ua hoʻopilikia kēia lāʻau i ka ʻōnaehana hanu. |
| ʻO ka maʻi ʻaʻai nui | Ma muli o ka maʻi hoʻonāwaliwali i nā ʻiʻo kēia, hiki ke hoʻonui nui ʻia nā hopena o ka rocuronium. |
| Nā maʻi ʻaleka ʻē aʻe | E hōʻoia e haʻi mai iā mākou inā he mau maʻi ʻaleka kou i ka rocuronium a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Ka hāpai ʻana a i ʻole ka hānai ʻana i ka waiū | He mea nui loa e hoʻomaopopo mai iā mākou inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana. |
Pehea e hiki ai iaʻu ke hāʻawi iā ʻoe i kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe ma ka home. Hāʻawi wale ʻia ʻo Rocuronium ma ke ʻano he inikini i loko o kahi aa e kahi hui lapaʻau ma kahi haukapila a i ʻole ke keʻena lapaʻau. ʻO ka maʻamau, hāʻawi ʻia iā ʻoe e ka mea hoʻomaʻamaʻa anesthetic a i ʻole kahi kahu maʻi i aʻo ʻia.
Hāʻawi ʻia kēia lāʻau lapaʻau i nā kamaliʻi ʻuʻuku, ʻoiai nā pēpē, i kekahi mau hihia kūikawā. Akā, hana ʻia me ke akahele nui a me ka nānā kūikawā.
He aha inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
ʻOiai ua hāʻawi ʻia kēia ma kahi haukapila, ma lalo o ka nānā ʻana a nā kauka, ua haʻahaʻa loa ka manawa kūpono o ka overdose. Eia nō naʻe, inā he kānalua ua hana ʻia kekahi mea e like me kēia, e hana ka hui lapaʻau i nā hana e pono ai. No ka ʻike maʻamau, inā he overdose o kekahi lāʻau lapaʻau, ʻo ka mea mua e hana ai, ʻo ia ke hele i ka Emergency Treatment Unit (ETU) o kahi haukapila a i ʻole e kelepona i ke National Poisons Information Centre ma ka Colombo National Hospital .
Nā lāʻau lapaʻau ʻē aʻe e hiki ke launa pū me Rocuronium
Hiki i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei ke hoʻopilikia i ke ʻano o ka hana ʻana o kēia lāʻau. No laila, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau kūʻai ʻole ʻia, nā huaora, a me nā lāʻau lapaʻau lāʻau.
| ʻAno lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Kekahi mau lāʻau antibiotic | ʻAmikacin, gentamicin, tobramycin, tetracycline, clindamycin, vancomycin, colistin |
| ʻO kekahi mau lāʻau lapaʻau no ka hopu ʻana | carbamazepine, phenytoin |
| Litiuma | - |
| ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e hoʻopau i ka wahi (anesthesia kūloko) | lidocaine |
| Nā mea hoʻohui magnesium | - |
| Procainamide, Quinidine | - |
ʻAʻole i piha kēia papa inoa. He mea nui hoʻi e haʻi i kāu kauka inā ʻoe e puhipaka, inu waiʻona, a hoʻohana paha i nā lāʻau ʻē aʻe.
Pehea e nānā ai i kou kūlana i ka wā e lawe ana i ka lāʻau lapaʻau
I ka wā a ma hope o ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau iā ʻoe, e nānā pono ʻia kou kūlana e ka hui lapaʻau. E nānā mau ʻia kou helu puʻuwai, ke koko, nā pae oxygen, a me ka hanu ʻana me ke kōkua o nā mīkini. No laila, aia ʻoe i loko o kahi wahi palekana loa.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i ka rocuronium ke hana i kekahi mau hopena ʻaoʻao, akā he mea kakaikahi kēia mau mea.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ka hui lapaʻau | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, lehelehe, alelo a i ʻole ka puʻu, paʻakikī ke hanu. |
| Ke kuni nui a me nā hōʻailona ʻē aʻe | Ke kuni nui, ka hou nui, ka hanu wikiwiki a papau paha, ka puʻuwai wikiwiki a ʻano ʻole paha, ka ʻoʻoleʻa o nā ʻiʻo a i ʻole ka haʻalulu. |
| Nā pilikia ma ka wahi injection | ʻEha, pehu, ʻulaʻula, pehu a i ʻole nā ʻeha ma ka ʻili ma kahi o ka inikini. |
| ʻAʻole maʻamau ka pōʻino (akā e haʻi i kāu kauka inā hoʻomau ia) | |
| Nāwaliwali o nā ʻiʻo | Hiki ke hoʻomau ka nāwaliwali iki o nā ʻiʻo ma hope o ka pau ʻana o nā hopena o ka lāʻau lapaʻau. |
| ʻEha kahi i hāʻawi ʻia ai ka inikini | ʻEha iki, ʻulaʻula, a ʻoluʻolu ʻole paha 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 inikini kūikawā ʻo Rocuronium i hāʻawi wale ʻia ma ka haukapila e hoʻomaha i nā ʻiʻo i nā manawa e like me ke ʻoki ʻana.
- Ma mua o ka hāʻawi ʻia ʻana o kēia lāʻau lapaʻau iā ʻoe, he mea nui e haʻi aku i kāu kauka i ka ʻoiaʻiʻo holoʻokoʻa e pili ana i kou mau kūlana olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- ʻAʻole pono ʻoe e hopohopo e pili ana i kou palekana no ka mea e nānā pono ana ke kime lapaʻau iā ʻoe i ka wā e hāʻawi ana i ka lāʻau lapaʻau.
- He mea kākaʻikahi nā hopena ʻaoʻao koʻikoʻi, a ua mākaukau ke kime lapaʻau e hāʻawi koke i ka lāʻau lapaʻau inā loaʻa.
- Inā he mau nīnau hou aku kāu e pili ana i kēia lāʻau lapaʻau, mai kānalua e nīnau i kāu kauka.
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