Yu dɔn ɛva gɛt fɔ du ɔpreshɔn? Ɔ pɔsin we yu sabi dɔn de na di intensiv kia yunit (ICU) pan ventilatɔ? If na so i bi, i rili impɔtant fɔ rilaks di mɔsul dɛn na di pɔsin in bɔdi ɔltogɛda ɛn kip dɛn stil. Dis kin ɛp di dɔktɔ dɛn fɔ wok izi wan we dɛn de du ɔpreshɔn ɛn i kin ɛp bak fɔ mek di pɔsin in bɔdi nɔ fɔdɔm wit di mashin we dɛn de na di ventilator. So, tide wi de tok abaut wan medisin we dem de yuz fo dis kain speshal kes. Dɛn kɔl am Cisatracurium .
Fɔ tɔk am simpul wan, wetin na Cisatracurium?
Cisatracurium na wan tin we de mek di skel mɔsul dɛn rilaks . Na drɔg we de rilaks ɔ stɔp di mɔsul dɛm na wi bɔdi fɔ sɔm tɛm we wi de kɔntrol wit kɔnshɛns (fɔ ɛgzampul, di mɔsul dɛm na wi limb dɛm, di mɔsul dɛm na wi nɛk). Dɛn kin gi am to pɔsin we sik ɔ as injɛkshɔn dairekt insay wan vein ɔ as kɔntinyu infushɔn lɛk salin.
Di tu men tin dɛn we dɛn kin yuz fɔ du dis na:
- We dɛn de du di ɔpreshɔn: If di pɔsin in mɔsul dɛn tɛns we dɛn de du big ɔpreshɔn, i kin at fɔ mek di dɔktɔ du in wok fayn fayn wan. Dis mɛrɛsin kin mek di wan ol bɔdi rilaks, ɛn dis kin mek di ɔpreshɔn sef ɛn izi.
- We dɛn kɔnɛkt am to mashin/ventilatɔ fɔ brith: Insay sɔm kayn bad bad tin dɛn, di pɔsin nɔ kin ebul fɔ blo fɔ insɛf. Da tɛm de, dɛn kin mek pɔsin ebul fɔ blo tru wan ventilatɔ. Bɔt sɔntɛnde, di pɔsin in bɔdi kin fɛt di akshɔn we dis mashin de du. Dis mɛrɛsin de ɛp fɔ stɔp am ɛn mek di mashin ebul fɔ gi briz to di lɔng dɛn izi wan.
Di tin we impɔtant pas ɔl na dat dɛn kin gi di pɔsin dis mɛrɛsin afta dɛn dɔn gi am anestetik ɛn mek i nɔ no natin atɔl. Bikɔs dis kin jɔs mek di mɔsul dɛn nɔ ebul fɔ waka, i nɔ kin mek i nɔ no natin. So, i impɔtant fɔ mek di pɔsin nɔ no natin so dat i nɔ go fil ɛni prɔblɛm.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu gi dis mɛrɛsin
Bifo dɛn gi yu Cisatracurium, di anestezist go aks yu ɛn yu famili bɔt yu wɛlbɔdi. I rili impɔtant fɔ tɛl dɛn bɔt ɔl yu mɛrɛsin sik dɛn we yu nɔ go ayd ɛnitin . I impɔtant mɔ fɔ tɛl dɛn bɔt dɛn tin ya:
| Situeshɔn we yu nid fɔ ripɔt | Na jɔs wetin mek? |
|---|---|
| Alɛji to ɔda mɛrɛsin, it, ɔ tin dɛn | If yu bin dɔn gɛt alɛji fɔ cisplatin ɔ ɛni ɔda anɛstɛtik, i kin mek yu layf de pan denja. |
| Kidni ɔ Liva Sik | Dis mɛrɛsin de kɔmɔt na di bɔdi bay di kidni ɛn di liva. If dɛn ɔgan ya wik, di tin dɛn we di mɛrɛsin kin du kin las fɔ lɔng tɛm. |
| Sik dɛm wae de kam pan pɔrsin wae de blo lɛk asma | Sɔntɛnde dis mɛrɛsin kin afɛkt di we aw pɔsin de blo, so i impɔtant fɔ no bɔt dis bifo tɛm. |
| Nyuromɔskul sik dɛn lɛk myasthenia gravis | Pipul wae gɛt dɛn kayn sik ya kin gɛt bɔrku ifɛkt pan dis mɛrɛsin, so dɔktɔ dɛn fɔ tek tɛm mɔ bɔt di doz we dɛn kin gi. |
| Di wata we de na di blɔd nɔ gɛt wata ɔ i nɔ balans di kalsiɔm, potashɔm, ɔ magnɛsiɔm we de na di blɔd | Di chenj na di bɔdi in sɔl ɛn wata lɛvɛl kin afɛkt di we aw dis mɛrɛsin de wok dairekt wan. |
| Bɔn (Big Bɔn) . | Di we aw di bɔdi de ansa dɛn kayn mɛrɛsin ya kin difrɛn pan di wan dɛn we gɛt bɔku bɔku bɔn. |
| Bɛlɛ ɔ we yu de gi pikin in bɛlɛ | I rili impɔtant fɔ tɛl yu dɔktɔ if yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. |
Aw fɔ yuz dis mɛrɛsin ɛn ɔda impɔtant tin dɛn
Dis nɔto mɛrɛsin we yu kin kɛr go na os. Na ɔspitul ɔ klinik nɔmɔ we dɔktɔ ɔ nɔs we dɔn tren kin gi Cisatracurium. So, no risk nɔ de fɔ mis wan doz.
Dɛn kin gi dis mɛrɛsin to smɔl pikin dɛn ɛn ivin bebi dɛn pan sɔm spɛshal kes dɛn. Bɔt dɛn kin du am ɔnda di strikt sɔpɔtishɔn fɔ wan dɔktɔ we de mɛn pikin dɛn, ɛn wit big kia.
Wetin fɔ du if dɛn ad di doz fɔ di mɛrɛsin? (Ovadosage) .
Bikɔs dɛn kin gi dis na ɔspitul, di chans fɔ mek dɛn tek am pasmak kin rili smɔl. Bɔt if sɔntin lɛk dis apin, na imejensi. If dis kayn tin apin, di dɔktɔ dɛn na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) go gi dɛn di tritmɛnt we dɛn nid. If yu gɛt ɛni dawt bɔt dis, yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin
Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk di mɛrɛsin dɛn we dɛn kin gi yu ɛn di wan dɛn we dɛn kin bay na kɔt, di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn animal dɛn, vaytamɛn dɛn, ɛn di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn dɛn sik dɛn. Sɔm mɛrɛsin kin intarakt wit Cisplatin ɛn inkrisayz ɔ ridyus in ifɛkt. Fɔ ɛgzampul:
- Sɔm antibayɔtiks - ɛgz. amikasin, jεntamaysin, tεtrasayklin dεm
- Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad (carbamazepine, phenytoin) .
- Litiɔm we dɛn kɔl
- Ɔda drɔgs dɛn we dɛn kin yuz fɔ anestezi (`isoflurane`, `halothane`)
- Mɛrɛsin we de mek pɔsin nɔ fil fayn (lidocaine) .
- Magnɛsiɔm we dɛn kɔl
Wetin na di sayd ɛfɛkt dɛm we dɛn kin ɛkspɛkt?
Lɛk ɛni mɛrɛsin, cisplatin kin mek pɔsin gɛt sayd ɛfɛkt. Dɔktɔ ɛn nɔs dɛn go de wach yu gud gud wan we yu de tek dis mɛrɛsin. If yu gɛt ɛni prɔblɛm, mek dɛn no wantɛm wantɛm.
| Klasifikɛshɔn fɔ di sayd ɛfɛkt dɛn | |
|---|---|
| Siriɔs sayd ɛfɛkt dɛn we yu fɔ ripɔt to yu dɔktɔ ɔ nɔs wantɛm wantɛm: | |
| Alɛji Riakshɔn dɛn | Skin rash, it, swel na di fes, lip ɔ tong. |
| I nɔ izi fɔ blo | I nɔ kin izi fɔ yu fɔ blo. |
| Di sayn dɛn we de sho se pɔsin in blɔd prɛshɔn dɔn dɔŋ | Diziz , fil layt ed, blu yay. |
| Di sayn dɛn we de sho se di mɔsul dɛn dɔn pwɛl | Dak urine, i nɔ kin izi fɔ pis, i kin taya pasmak, i kin gɛt mɔsul dɛn pen. |
| Ɔda | Di fes we de rɛd, di yay we de it ɔ bɔn, we de mek pɔsin sik. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de: | |
| Mɔsul dɛn kin pen ɔ wikɛd | Afta di anestezi ɛn di mɛrɛsin dɔn, yu kin fil sɔm mɔsul pen ɔ wik. |
Mɛsej we dɛn kin kɛr go na os
- Cisatracurium na spɛshal injɛkshɔn we dɛn kin gi fɔ rilaks di mɔsul dɛn we dɛn de du ɔpreshɔn ɛn di tritmɛnt dɛn we dɛn de du fɔ kia fɔ dɛn bad bad wan.
- Dɛn kin jɔs gi dis na ɔspitul, ɔnda di sɔpɔtishɔn fɔ dɔktɔ dɛn. Dis nɔto mɛrɛsin fɔ kɛr go na os.
- I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin, alɛji, ɛn mɛrɛsin dɛn we yu de tek bifo dɛn du yu ɔpreshɔn.
- Dɛn go de wach yu ɔltɛm we yu de tek dis mɛrɛsin, so if ɛni sayd ɛfɛkt apin, yu go gɛt tritmɛnt wantɛm wantɛm.
- If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, nɔ shek fɔ aks yu dɔktɔ.
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