Umlobi: Janice Evans
Usuku Lokudalwa: 1 Ujulayi 2021
Ukuvuselela Usuku: 16 Unovemba 2024
Anonim
Pharmacology l Steroids - Prednisone - nursing RN PN (MADE EASY)
Ividiyo: Pharmacology l Steroids - Prednisone - nursing RN PN (MADE EASY)

-Delile

I-Prednisone isetshenziswa yodwa noma neminye imithi yokwelapha izimpawu zamazinga aphansi e-corticosteroid (ukuntuleka kwezinto ezithile ezivame ukukhiqizwa ngumzimba futhi ziyadingeka ekusebenzeni komzimba okujwayelekile). I-Prednisone nayo isetshenziselwa ukwelapha ezinye izimo ezigulini ezinamazinga ajwayelekile e-corticosteroid. Lezi zimo zibandakanya izinhlobo ezithile ze-arthritis; ukusabela okweqile komzimba; i-multiple sclerosis (isifo lapho izinzwa zingasebenzi kahle); i-lupus (isifo lapho umzimba uhlasela izitho zawo eziningi); nezimo ezithile ezithinta amaphaphu, isikhumba, amehlo, igazi lezinso, igilo, isisu namathumbu. I-Prednisone nayo kwesinye isikhathi isetshenziselwa ukwelapha izimpawu zezinhlobo ezithile zomdlavuza. I-Prednisone isekilasini lemithi ebizwa nge-corticosteroids. Kusebenza ukwelapha iziguli ezinamazinga aphansi ama-corticosteroids ngokufaka esikhundleni se-steroids evame ukukhiqizwa ngokwemvelo ngumzimba. Isebenza ukwelapha ezinye izimo ngokunciphisa ukuvuvukala nokubomvu nangokushintsha indlela amasosha omzimba asebenza ngayo.


IPrednisone iza njengethebhulethi, ithebhulethi ekhishwe ukubambezeleka, njengesixazululo (uketshezi), nanjengesixazululo esigxilile sokuyithatha ngomlomo. I-Prednisone ivame ukuthathwa ngokudla kanye kuya kane ngosuku noma kanye ngosuku. Udokotela wakho uzokutshela ukuthi uthathe imithamo (ama) yakho ye-prednisone ngezikhathi ezithile (s) zosuku zonke izinsuku. Isikhathi sakho somthamo siqu sizoncika esimeni sakho nokuthi uphendula kanjani ekwelashweni. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-prednisone njengoba nje kuqondisiwe. Ungayithathi ngaphezulu noma ngaphansi kwayo noma uyithathe kaningi noma isikhathi eside kunokuyalelwa ngudokotela wakho.

Uma uthatha isixazululo esigxilisiwe, sebenzisa i-dropper emakwe ngokukhethekile eza nomuthi ukukala umthamo wakho. Ungaxuba isixazululo esigxilwe nejusi, ezinye iziphuzo ezinamakha, noma ukudla okuthambile njenge-appleauce.

Gwinya yonke ithebhulethi yokukhishwa okulibazisekile; musa ukuhlafuna noma ukuchoboza.


Udokotela wakho angashintsha umthamo wakho we-prednisone kaningi ngesikhathi sokwelashwa kwakho ukuze uqiniseke ukuthi uhlala uthatha umthamo ophansi kakhulu okusebenzelayo. Udokotela wakho futhi angadinga ukushintsha umthamo wakho uma uhlangabezana nokucindezeleka okungavamile emzimbeni wakho njengokuhlinzwa, ukugula, ukutheleleka, noma ukuhlaselwa yisifuba somoya okunzima. Tshela udokotela wakho uma izimpawu zakho ziba ngcono noma ziba zimbi noma uma ugula noma unoshintsho empilweni yakho ngesikhathi sokwelashwa kwakho.

Uma uthatha i-prednisone ukwelapha isifo esihlala isikhathi eside, umuthi ungasiza ukulawula isimo sakho kepha ngeke uselaphe. Qhubeka uthathe i-prednisone noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-prednisone ngaphandle kokukhuluma nodokotela wakho. Uma ngokungazelelwe uyeka ukuthatha i-prednisone, umzimba wakho kungenzeka ungabi nama-steroids emvelo anele ukuze usebenze ngokujwayelekile. Lokhu kungadala izimpawu ezifana nokukhathala ngokweqile, ubuthakathaka, ukunyakaza okuhamba kancane, isisu esicasulayo, ukulahleka kwesisindo, izinguquko kumbala wesikhumba, izilonda emlonyeni, nokulangazelela usawoti. Shayela udokotela wakho uma uhlangabezana nalezi noma ezinye izimpawu ezingavamile ngenkathi uthatha imithamo eyehlayo ye-prednisone noma ngemuva kokuyeka ukuthatha umuthi.


I-Prednisone kwesinye isikhathi isetshenziswa nama-antibiotic ukwelapha uhlobo oluthile lwe-pneumonia ezigulini ezine-immunodeficiency syndrome (i-AIDS). Khuluma nodokotela wakho ngezingozi zokusebenzisa lesi sidakamizwa esimeni sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-prednisone,

  • Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-prednisone, noma imiphi eminye imithi, noma iziphi izithako ezingasebenzi kumathebulethi e-prednisone noma izixazululo. Buza udokotela wakho noma usokhemisi uhlu lwezithako ezingasebenzi.
  • Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela noma engabhaliswanga, amavithamini, kanye nezithako zokudla okunomsoco ozithathayo noma ohlela ukuzithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: amiodarone (Pacerone); ama-anticoagulants (’ama-thinner egazi’) afana ne-warfarin (Coumadin); ezinye izinto zokuvikela ezifana ne-fluconazole (i-Diflucan), i-itraconazole (i-Sporanox), i-ketoconazole (i-Nizoral) ne-voriconazole (i-Vfend); i-aprepitant (i-Emend); i-aspirin; carbamazepine (Carbatrol, Epitol, Tegretol); i-cimetidine (Tagamet); i-clarithromycin (i-Biaxin, e-Prevpak); i-cyclosporine (iNeoral, iSandimmune); i-delavirdine (i-Rescriptor); i-diltiazem (Cardizem, Dilacor, Tiazac, abanye); i-dexamethasone (i-Decadron, i-Dexpak); isisu (‘amaphilisi amanzi’); i-efavirenz (Sustiva); i-fluoxetine (i-Prozac, i-Sarafem); i-fluvoxamine (i-Luvox); i-griseofulvin (i-Fulvicin, i-Grifulvin, i-Gris-PEG); Ama-HIV protease inhibitors afaka i-atazanavir (Reyataz), indinavir (Crixivan), lopinavir (eKaletra), nelfinavir (Viracept), ritonavir (Norvir, eKaletra), kanye ne-saquinavir (Fortovase, Invirase); izindlela zokuvimbela inzalo zamahomoni (amaphilisi okulawula ukubeletha, amabala, izindandatho, okufakelwayo nemijovo); i-lovastatin (Altocor, Mevacor); imithi yesifo sikashukela; nefazodone; i-nevirapine (i-Viramune); i-phenobarbital; i-phenytoin (iDilantin, Phenytek); i-rifabutin (i-Mycobutin), i-rifampin (i-Rifadin, i-Rimactane, e-Rifamate); i-sertraline (iZoloft); troleandomycin (TAO); i-verapamil (Calan, Covera, Isoptin, Verelan); kanye ne-zafirlukast (Accolate) Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
  • utshele udokotela wakho ukuthi yimiphi imikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha, ikakhulukazi i-wort yaseSt.
  • Tshela udokotela wakho uma unesifo semehlo manje noma uke waba nokutheleleka kwamehlo okuzayo nokudlulayo nokuthi ngabe uke waba nezikelemu (uhlobo lwesikelemu olungaphila ngaphakathi emzimbeni); isifo sikashukela; umfutho wegazi ophakeme; izinkinga ezingokomzwelo; ukugula ngengqondo; i-myasthenia gravis (isimo lapho imisipha iba buthaka khona); i-osteoporosis (isimo lapho amathambo eba buthakathaka khona futhi entekenteke futhi engaphuka kalula); ukuquleka; isifo sofuba (TB); izilonda; noma isibindi, izinso, amathumbu, inhliziyo, noma isifo segilo.
  • tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-prednisone, shayela udokotela wakho.
  • uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, noma udinga ukwelashwa okuphuthumayo, tshela udokotela, udokotela wamazinyo, noma abasebenzi bezokwelapha ukuthi uthatha noma usanda kuyeka ukuthatha i-prednisone. Kufanele uphathe ikhadi noma ufake isongo elinalo lwazi uma kwenzeka ungakwazi ukukhuluma esimweni esiphuthumayo sezokwelapha.
  • awunayo imigomo (isibhamu sokuvimbela izifo) ngaphandle kokukhuluma nodokotela wakho.
  • kufanele wazi ukuthi i-prednisone inganciphisa ikhono lakho lokulwa nokutheleleka futhi ingakuvimbela ekubeni nezimpawu uma uthola ukutheleleka. Hlala kude nabantu abagulayo futhi ugeze izandla zakho kaningi ngenkathi uthatha lo muthi. Qiniseka ukuthi ugwema abantu abane-pox noma isimungumungwane. Shayela udokotela wakho ngokushesha uma ucabanga ukuthi kungenzeka wake wasondela kumuntu owayephethwe umkhuhlane wezinkukhu noma isimungumungwane.

Udokotela wakho angakuyala ukuthi ulandele usawoti ophansi, i-potassium ephezulu, noma ukudla okuphezulu kwe-calcium. Udokotela wakho angaphinde anikeze noma ancome isengezo se-calcium noma se-potassium. Landela lezi zinkomba ngokucophelela.

Khuluma nodokotela wakho mayelana nokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi.

Uma uqala ukuthatha i-prednisone, cela udokotela wakho ukuthi enzeni uma ukhohlwa ukuthatha umthamo. Bhala phansi le miyalo ukuze ukwazi ukubheka kuyo ngokuhamba kwesikhathi. Shayela udokotela wakho noma usokhemisi uma uphuthelwa umthamo futhi ungazi ukuthi wenzeni. Ungathathi umthamo ophindwe kabili ukwenzela umthamo ophuthelwe.

I-Prednisone ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

  • ikhanda
  • isiyezi
  • ubunzima bokulala noma ukulala
  • injabulo engafanele
  • ushintsho olukhulu emizweni
  • izinguquko ebuntwini
  • Amehlo aqhamukayo
  • induna
  • isikhumba esincane, esintekenteke
  • amabala abomvu noma ansomi noma imigqa ngaphansi kwesikhumba
  • ukuphulukiswa okuphuzile kokusikeka nokulimala
  • ukukhula kwezinwele
  • izinguquko endleleni okusakazeka ngayo amafutha emzimbeni wonke
  • ukukhathala ngokweqile
  • imisipha ebuthakathaka
  • izikhathi zokuya esikhathini ezingajwayelekile noma ezingekho
  • kwehle isifiso sobulili
  • isilungulela
  • ukujuluka okwandayo

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

  • izinkinga zokubona
  • ubuhlungu beso, ubomvu, noma ukudwengula
  • umphimbo obuhlungu, umkhuhlane, amakhaza, ukukhwehlela, noma ezinye izimpawu zokutheleleka
  • isithuthwane
  • ukudana
  • ukulahlekelwa ukuxhumana neqiniso
  • ukudideka
  • ukuxhuma noma ukuqina kwemisipha
  • ukuxhawula izandla ongeke ukwazi ukuzilawula
  • ukuba ndikindiki, ukushiswa, noma ukuncinza ebusweni, izingalo, imilenze, izinyawo noma izandla
  • isisu esibuhlungu
  • ukuhlanza
  • ubumhlophe
  • ukushaya kwenhliziyo okungajwayelekile
  • ukuzuza kwesisindo ngokungazelelwe
  • ukuphefumula, ikakhulukazi ebusuku
  • ukukhwehlela okomile, nokugenca
  • ukuvuvukala noma ubuhlungu esiswini
  • ukuvuvukala kwamehlo, ubuso, izindebe, ulimi, umphimbo, izingalo, izandla, izinyawo, amaqakala noma imilenze engezansi
  • ukuphefumula kanzima noma ukugwinya
  • ukuqubuka
  • isifuba
  • ukulunywa

IPrednisone inganciphisa ukukhula nentuthuko ezinganeni. Udokotela wengane yakho uzobuka ukukhula kwakhe ngokucophelela. Khuluma nodokotela wengane yakho ngezingozi zokunikeza i-prednisone enganeni yakho.

I-Prednisone ingakhuphula ubungozi bokuthi uzoba ne-osteoporosis.Khuluma nodokotela wakho ngezingozi zokuthatha i-prednisone nangezinto ongazenza ukunciphisa amathuba okuthi uhlaselwe ngamathambo.

Ezinye iziguli ezithathe i-prednisone noma imishanguzo efana nayo zaba nohlobo lomdlavuza obizwa ngeKaposi’s sarcoma. Khuluma nodokotela wakho ngezingozi zokuthatha i-prednisone.

I-Prednisone ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-prednisone.

Uma kukhona ukuhlolwa kwesikhumba okufana nokuhlolwa kokungezwani komzimba noma ukuhlolwa kwesifo sofuba, tshela udokotela noma uchwepheshe ukuthi uthatha i-prednisone.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

  • URayos®
  • UCortan®
  • Deltasone®
  • I-Orasone®
  • IPrednisone Intensol
  • Sterapred®
  • Sterapred® DS

Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.

Kugcine ukubuyekezwa - 03/15/2020

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