Ke hele nei ʻoe a i ʻole kekahi āu i ʻike ai i ke ʻoki kino? A i ʻole malia paha ua maʻi nui ʻoe a pono e kau ʻia ma luna o kahi mīkini hanu e kōkua iā ʻoe e hanu. I kēia mau hihia, hoʻohana nā kauka i kahi lāʻau lapaʻau kūikawā e hoʻomaha i kou mau ʻiʻo no kekahi manawa. ʻO Vecuronium kekahi o ia mau lāʻau lapaʻau. ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke kūʻai ma kahi hale kūʻai lāʻau maʻamau, akā he lāʻau lapaʻau kūikawā i hāʻawi wale ʻia ma kahi haukapila. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku.
He aha maoli ka Vecuronium?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ʻo Vecuronium e hoʻomaha ai i nā ʻiʻo iwi i loko o kou kino no kekahi manawa. ʻElua ona kumu nui.
1. I ka wā o ke ʻoki kino: Hoʻomaha nā ʻiʻo o ke kino i mea e maʻalahi ai i nā kauka ʻoki kino ke hana. ʻAe kēia i ke kauka e hana maʻalahi.
2. Me kahi ventilator: Ke hoʻopili ʻia kekahi i kahi ventilator, kōkua kēia lāʻau lapaʻau i ke kino e hana like me ka mīkini, me ka ʻole o ka hakakā.
ʻO ka mea nui loa, ʻaʻole e hoʻomāmā kēia lāʻau iā ʻoe, a ʻaʻole hoʻi e hōʻoluʻolu i ka ʻeha. ʻO ia hoʻi, ʻaʻole ia he anesthesiologist. E hāʻawi ke kauka anesthesiologist iā ʻoe i nā lāʻau lapaʻau ʻokoʻa e hoʻomāmā i kou kino a hōʻoluʻolu i ka ʻeha. Hana wale kēia ma ka hoʻomaha ʻana i kou mau ʻiʻo.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau
Inā hoʻoholo ʻoe e lawe iā Vecuronium, e nīnau aku kāu anesthesiologist iā ʻoe i kekahi mau nīnau. No kou palekana a me kou palekana ponoʻī, he mea nui e haʻi pololei ʻoe i kēia ʻike i kāu kauka me ka hūnā ʻole i kekahi mea .
| Ke kūlana āu e pono ai e hōʻike | No ke aha mai kēlā? (Koʻikoʻi) |
|---|---|
| Nā maʻi ʻē aʻe āu i loaʻa ai | E hōʻoia e haʻi i nā maʻi neuromuscular, ʻoiai hoʻi ka maʻi puʻuwai, ka maʻi puʻupaʻa, ka maʻi akepaʻa, ka maʻi māmā (e like me ka hānō), a i ʻole ka myasthenia gravis. |
| Nā loli i nā pae paʻakai o ke kino | Inā ua haʻi mua ke kauka iā ʻoe ua haʻahaʻa a kiʻekiʻe paha kou nui o ka calcium, magnesium, a i ʻole potassium i ke koko, e haʻi iā lākou. |
| Ka maloʻo a i ʻole ke kuni ʻana | Inā ua maloʻo ke kino a i ʻole he nui nā kuni, e loli paha ke ʻano o ka hana ʻana o ka lāʻau. |
| Nā maʻi ʻaleka | E hōʻoia e haʻi i kekahi mau maʻi ʻaleka i ka vecuronium, bromide, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | He mea nui loa e hoʻomaopopo i kāu kauka inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana. |
Pehea e hāʻawi ʻia ai ʻo Vecuronium i ke kino?
ʻAʻole hiki iā ʻoe ke hoʻohana i kēia lāʻau lapaʻau ma ka home. Ke noho ʻoe i loko o ka haukapila a i ʻole ke keʻena lapaʻau, e hāʻawi aku kekahi kauka a kahu maʻi paha iā ʻoe ma ke ʻano he inikini a i ʻole ma o ka hoʻokomo ʻana i ka saline . No laila, loaʻa iā lākou ka mana pololei ma luna o nā mea āpau, me ka nui o ka lāʻau a me ka wikiwiki o ka hāʻawi ʻana.
Ke hāʻawi nei ʻoe i kēia i nā keiki liʻiliʻi?
ʻAe. I kekahi mau hihia kūikawā, hiki ke hoʻohana ʻia kēia lāʻau lapaʻau ma nā pēpē e like me 7 mau pule. Akā, pono e hana pono ʻia a ma lalo o ka nānā ʻana a ke kauka pediatric.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Hāʻawi ʻia kēia ma kahi haukapila, ma lalo o ka nānā piha ʻana o nā kauka, no laila ua haʻahaʻa loa ka manawa e hiki ai kēlā. Inā he kānalua ua hana ʻia kekahi mea e like me ia, lawe koke nā limahana lapaʻau i nā hana e pono ai. Eia kekahi, aia kahi e hiki ai iā mākou ke kamaʻilio i kēlā me kēia manawa inā loaʻa kekahi pilikia e pili ana i ka lāʻau lapaʻau. ʻO ia ka National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo . I ka wā o kekahi pilikia, he mea pono e hoʻomaopopo i ka Emergency Treatment Unit (ETU) o ka haukapila.
Nā lāʻau ʻē aʻe e hiki ke launa pū me Vecuronium
Inā ʻoe e lawe nei i nā lāʻau lapaʻau ʻē aʻe, he mea nui loa ia e haʻi i kāu kauka e pili ana iā lākou, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Vecuronium.
| ʻAno lāʻau lapaʻau | Nā Laʻana |
|---|---|
| Kekahi mau lāʻau antibiotic | Gentamicin, Kanamycin, Neomycin, Tetracyclines, Polymyxin B, Colistin a me nā mea ʻē aʻe. |
| ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka anesthesia | E like me Enflurane, Isoflurane, Halothane. |
| Nā lāʻau lapaʻau i loaʻa ka magnesium | ʻO ka magnesium, i kekahi manawa i hāʻawi ʻia ma o ka saline. |
| Nā mea hoʻomaha ʻiʻo ʻē aʻe | Nā mea hoʻomaha ʻiʻo ʻē aʻe i hoʻohana ʻia no ke ʻoki ʻana. |
| Kuinidina | He lāʻau lapaʻau no ka puʻuwai puʻuwai kūpono ʻole. |
ʻAʻole i piha kēia papa inoa. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui. Eia kekahi, e haʻi i kāu kauka inā ʻoe e puhipaka a inu waiʻona paha.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki iā Vecuronium ke hana i nā hopena ʻaoʻao. Akā no ka mea aia ʻoe ma ka haukapila, ua mākaukau ka hui lapaʻau e hoʻokele koke i kekahi o kēia mau mea inā loaʻa.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka a kahu maʻi paha. | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana inā ʻaʻole ʻoe ma luna o kahi ventilator. |
| Ke koko haʻahaʻa | Pōniuniu, maka polū, manaʻo e hāʻule ana, luhi loa i ʻike ʻole ʻia. |
| Ka pōʻino o nā ʻiʻo | ʻO ka mimi ʻeleʻele, ka paʻakikī o ka mimi a i ʻole ka loli o ka nui o ka mimi, ka luhi nui, ka ʻeha o nā ʻiʻo, a me ka ʻeha o ke kua. |
| Inā hoʻomau kēia mau hōʻailona a hoʻopilikia paha, e haʻi i kāu kauka. | |
| ʻEha ʻiʻo | ʻEhaʻeha ʻiʻo e mau ana ma hope o ka pau ʻana o nā hopena o ka lāʻau. |
| Nāwaliwali o nā ʻiʻo | Ka nāwaliwali kino kūikawā e mau ana ma hope o ka pau ʻana o nā hopena o ka lāʻau lapaʻau. |
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Vecuronium i hoʻohana ʻia ma nā haukapila wale nō e hoʻomaha i nā ʻiʻo i ka wā o ke ʻoki ʻana a me ka mālama ʻana i ka mīkini hanu.
- Hāʻawi ʻia kēia iā ʻoe e nā kauka i aʻo ʻia a me nā limahana kahu maʻi, ma lalo o ka mākaʻikaʻi mau ʻana.
- Ma mua o kou hāʻawi ʻia ʻana i kēia lāʻau lapaʻau, he mea nui e haʻi aku i kāu kauka e pili ana i kou mau maʻi āpau, nā maʻi allergies, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
- ʻAʻole kēia lāʻau lapaʻau e hoʻopau i ka ʻike a i ʻole ka nalowale o ka ʻeha. Hoʻohana ʻia nā lāʻau lapaʻau ʻē aʻe no kēlā.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau, mai makaʻu e nīnau i kāu kauka.
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