Umlobi: Marcus Baldwin
Usuku Lokudalwa: 19 Ujuni 2021
Ukuvuselela Usuku: 16 Unovemba 2024
Anonim
Diazepam Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
Ividiyo: Diazepam Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

-Delile

I-Diazepam ingakhuphula ubungozi bezinkinga zokuphefumula ezinzima noma ezisongela ukuphila, ukuthambisa, noma ikhoma uma zisetshenziswa kanye nemithi ethile. Tshela udokotela wakho uma uthatha noma uhlela ukuthatha imishanguzo ethile yokukhwehlela efana ne-codeine (e-Triacin-C, e-Tuzistra XR) noma i-hydrocodone (e-Anexsia, e-Norco, e-Zyfrel) noma yezinhlungu ezifana ne-codeine (e-Fiorinal ), fentanyl (Actiq, Duragesic, Subsys, abanye), i-hydromorphone (Dilaudid, Exalgo), meperidine (Demerol), methadone (Dolophine, Methadose), morphine (Astramorph, Duramorph PF, Kadian), oxycodone (e-Oxycet, ePercocet, ku-Roxicet, abanye), ne-tramadol (i-Conzip, i-Ultram, ku-Ultracet). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho futhi uzokuqapha ngokucophelela. Uma uthatha i-diazepam nganoma iyiphi yale mithi futhi uba nezimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma ufune usizo oluphuthumayo lwezokwelapha ngokushesha: isiyezi esingajwayelekile, ikhanda elikhanyayo, ukulala ngokweqile, ukuphefumula okunenkinga noma okunzima, noma ukungaphenduli. Qiniseka ukuthi umnakekeli wakho noma amalungu omndeni wakho ayazi ukuthi yiziphi izimpawu ezingabucayi ukuze bakwazi ukubiza udokotela noma ukunakekelwa kwezimo eziphuthumayo uma ungakwazi ukufuna ukwelashwa uwedwa.


IDiazepam ingaba umkhuba wokwakha. Ungathathi umthamo omkhulu, thatha kaningi, noma isikhathi eside kunalokho okutshelwa ngudokotela wakho. Tshela udokotela wakho uma uke waphuza utshwala obuningi, uma usebenzisa noma usebenzise izidakamizwa zasemgwaqweni, noma usebenzise ngokweqile imithi kadokotela. Ungaphuzi utshwala noma usebenzise izidakamizwa zasemgwaqeni ngenkathi welashwa. Ukuphuza utshwala noma ukusebenzisa izidakamizwa zasemgwaqeni ngenkathi welashwa nge-diazepam futhi kwandisa ingozi yokuthi uzohlangabezana nale miphumela emibi, esongela impilo. Phinda utshele udokotela wakho uma uke waba nokudangala noma uke waba nokugula okuthile kwengqondo.

IDiazepam ingadala ukuncika emzimbeni (isimo lapho kuvela khona izimpawu ezingathandeki zomzimba uma umuthi umiswa ngokungazelelwe noma uthathwe ngemithamo emincane), ikakhulukazi uma uwuthatha izinsuku ezimbalwa uye emavikini ambalwa. Ungayeki ukuthatha le mithi noma uthathe amanani amancane ngaphandle kokukhuluma nodokotela wakho. Ukumisa i-diazepam ngokuzumayo kungasenza sibe sibi kakhulu isimo sakho futhi kubangele nezimpawu zokuhoxa ezingahlala amasonto ambalwa ziye ezinyangeni ezingaphezu kwezingu-12. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho we-diazepam kancane kancane. Shayela udokotela wakho noma uthole ukwelashwa okuphuthumayo uma uhlangabezana nalezi zimpawu ezilandelayo: ukunyakaza okungavamile; kukhala ezindlebeni zakho; ukukhathazeka; izinkinga zememori; ubunzima bokugxila; izinkinga zokulala; ukuquleka; ukuqhaqhazela; ukudikiza kwemisipha; izinguquko empilweni yengqondo; ukucindezeleka; ukuvutha noma ukubhoboza umuzwa ezandleni zakho, ezingalweni, emilenzeni noma ezinyaweni; ukubona noma ukuzwa izinto abanye abangaziboni noma abazizwayo; imicabango yokuzilimaza noma ukuzibulala wena noma abanye; ukukhathazeka ngokweqile; noma ukulahlekelwa ukuxhumana neqiniso.


IDiazepam isetshenziselwa ukudambisa ukukhathazeka nokulawula ukuxokozela okubangelwa ukuhoxiswa kotshwala. Ibuye isetshenziswe kanye neminye imithi yokulawula ukuphazamiseka kwemisipha nokuqina okubangelwa ezinye iziyaluyalu ezifana ne-cerebral palsy (isimo esidala ubunzima bokuhamba nokunyakaza), i-paraplegia (ukungakwazi ukunyakazisa izingxenye zomzimba), i-athetosis (ukuphambana kwemisipha okungavamile ), kanye ne-stiff-man syndrome (isifo esingajwayelekile esinokuqina kwemisipha nokuqina). IDiazepam nayo iyasetshenziswa kanye neminye imithi yokulawula ukuquleka. UDiazepam usesigabeni semithi ebizwa nge-benzodiazepines. Isebenza ngokudambisa ukusebenza ngokweqile ebuchosheni.

IDiazepam iza njengethebhulethi, isixazululo, nanjengomxube (uketshezi) ozothathwa ngomlomo. Imvamisa kuthathwa izikhathi ezi-1 kuye kwezingu-4 ngosuku futhi kungathathwa nokudla noma ngaphandle kokudla. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-diazepam njengoba nje iqondisiwe.


Ukugxila kwe-Diazepam kuza ne-dropper emakwe ngokukhethekile yokulinganisa umthamo. Buza usokhemisi wakho ukuthi akubonise ukuthi usebenzisa kanjani i-dropper. Nciphisa ukugxilwa emanzini, ujusi, noma iziphuzo ezinekhabhoni ngaphambi nje kokukuthatha. Kungabuye kuhlanganiswe ne-appleauce noma i-pudding ngaphambi nje kokuthatha umthamo. Hlanganisa ingxube ngobumnene imizuzwana embalwa. Thatha yonke ingxube ngokushesha; ungayigcini ukuze uyisebenzise esikhathini esizayo.

Uma uthatha i-diazepam kanye neminye imithi yokulawula ukuqubuka, ungayeki ukuthatha i-diazepam ngaphandle kokukhuluma nodokotela wakho, noma ngabe unemiphumela engemihle njengokushintsha okungajwayelekile kokuziphatha noma kwemizwelo. Uma ngokungazelelwe uyeka ukuthatha i-diazepam, ukuquleka kwakho kungahle kube kubi kakhulu. Udokotela wakho mhlawumbe uzokwehlisa umthamo wakho kancane kancane.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-diazepam,

  • Tshela udokotela wakho kanye nosokhemisi uma une-allergies ku-diazepam, alprazolam (Xanax), chlordiazepoxide (Librium, in Librax), clonazepam (Klonopin), clorazepate (Gen-Xene, Tranxene), estazolam, flurazepam, lorazepam (Ativan), oxazep i-temazepam (i-Restoril), i-triazolam (i-Halcion), noma imuphi omunye umuthi, noma iziphi izithako kwimikhiqizo ye-diazepam. Buza usokhemisi wakho ukuthola uhlu lwezithako.
  • Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, nezithako zokudla okunomsoco, okwenzayo.Qiniseka ukuthi usho noma yikuphi kokulandelayo: ama-antihistamines; ama-barbiturates afana ne-phenobarbital (Luminal); i-cimetidine (Tagamet); i-digoxin (i-Lanoxin); i-disulfiram (i-Antabuse); i-fluoxetine (i-Prozac); i-fluvoxamine (i-Luvox); i-isoniazid (iLaniazid, eRifamate, eRifater); ketoconazole; imishanguzo yokukhathazeka, ukudangala, ukugula ngengqondo, ukuquleka, isifo sikaParkinson, isifuba somoya, imikhuhlane, noma ukungezwani nezinto ezithile komzimba; i-metoprolol (iLopressor, iTrolrol XL); i-monoamine oxidase (MAO) inhibitors kufaka phakathi isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ne-tranylcypromine (iParnate); ukuphumula kwemisipha; Imithi ye-phenothiazine yokugula ngengqondo noma isicanucanu efana ne-chlorpromazine, i-fluphenazine, i-prochlorperazine (i-Compro, i-Procomp), ne-promethazine (i-Promethegan); omeprazole (Prilosec); i-probenecid (i-Probalan, ku-Col-Probenecid); i-propranolol (iHemangeol, i-Inderal, i-Innopran); i-ranitidine (iZantac); i-rifampin (iRifadin, iRimactane, eRifamate, eRifater); isidambisi; amaphilisi okulala; i-theophylline (Elixophyllin, Theo 24, Theochron); okokunciphisa umzimba; noma i-valproic acid (Depakene). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
  • Tshela udokotela wakho uma une-myasthenia gravis (ukuphazamiseka kwesistimu yezinzwa okubangela ukuba buthakathaka kwemisipha), i-apnea yokulala (isimo lapho umuntu eyeka khona ukuphefumula kaningi ebusuku), noma isifo samaphaphu noma sesibindi. Futhi, tshela udokotela wakho uma une-angle glaucoma emincane (isimo esibi samehlo esingadala ukulahleka kokubona. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-diazepam. IDiazepam akufanele isetshenziswe ezinganeni ezingaphansi kwezinyanga eziyisithupha ubudala.
  • tshela udokotela wakho uma uke waba ne-glaucoma evulekile (noma ukhuphuke ekucindezelekeni kwangaphakathi kwamehlo okulimaza i-optic nerve); ukudana noma esinye isifo sengqondo; ukuquleka; noma isifo senhliziyo.
  • utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Uma ukhulelwa ngenkathi uthatha i-diazepam, shayela udokotela wakho ngokushesha.
  • tshela udokotela wakho uma uncelisa. Ungancelisi ibele ngenkathi uthatha i-diazepam.
  • khuluma nodokotela wakho ngezingozi nezinzuzo zokuthatha i-diazepam uma uneminyaka engama-65 noma ngaphezulu. Abantu abadala asebekhulile akufanele bavame ukuthatha i-diazepam ngoba ayiphephile njengeminye imithi engasetshenziswa ukwelapha izimo ezifanayo.
  • uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-diazepam.
  • kufanele wazi ukuthi lesi sidakamizwa singakwenza ukozele. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
  • kufanele wazi ukuthi impilo yakho yengqondo ingashintsha ngezindlela ezingalindelekile futhi ungazibulala (ucabange ngokuzilimaza noma ukuzibulala noma ukuhlela noma ukuzama ukukwenza) ngenkathi uthatha i-diazepam ukwelashwa kwesifo sokuwa. Inani elincane labantu abadala nezingane ezineminyaka engu-5 nangaphezulu (cishe umuntu oyedwa kwabangu-500) abathathe ama-anticonvulsants afana ne-diazepam ukwelapha izimo ezahlukahlukene phakathi kwezifundo zokwelashwa baba nokuzibulala ngesikhathi belashwa. Abanye balaba bantu bahlakulela imicabango yokuzibulala nokuziphatha kungakapheli isonto elilodwa beqale ukuthatha umuthi. Kunobungozi bokuthi ungathola ushintsho empilweni yakho yengqondo uma uthatha umuthi we-anticonvulsant ofana ne-diazepam, kepha kungahle kube nengozi yokuthi uzohlangabezana nezinguquko empilweni yakho yengqondo uma isimo sakho singelashwa. Wena nodokotela wakho nizonquma ukuthi izingozi zokuthatha umuthi we-anticonvulsant zinkulu yini kunezingozi zokungawuthathi umuthi. Wena, umndeni wakho, noma umnakekeli wakho kufanele ushayele udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: ukwethuka; ukuphazamiseka noma ukungahlaliseki; ukucasuka okusha noma okuya kuba kubi, ukukhathazeka, noma ukucindezeleka; ukwenza izinkanuko eziyingozi; ubunzima bokulala noma ukulala; ulaka, intukuthelo, noma ukuziphatha okunodlame; i-mania (i-frenzied, imood ejabule ngokungavamile); ukukhuluma noma ukucabanga ngokufuna ukuzilimaza noma ukuqeda impilo yakho; ukuhoxa kubangani nomndeni; ukukhathazeka ngokufa nokufa; ukuphana ngezinto eziyigugu; noma olunye uguquko olungajwayelekile ekuziphatheni noma emoyeni. Qiniseka ukuthi umndeni wakho noma umnakekeli wakho uyazi ukuthi yiziphi izimpawu ezingaba zimbi kakhulu ukuze bakwazi ukubiza udokotela uma ungakwazi ukuzifunela ukwelashwa wedwa.

Uma uthatha imithamo eminingana ngosuku bese uphuthelwa umthamo, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa okuvamile. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

IDiazepam ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

  • ukozela
  • isiyezi
  • ukukhathala
  • ubuthakathaka bemisipha
  • ikhanda
  • umlomo owomile
  • isicanucanu
  • ukuqunjelwa
  • ukudideka
  • ubunzima bokuchama
  • ukuchama kaningi
  • izinguquko ku-sex drive noma ikhono

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu noma lezo ezibalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

  • ukulahlekelwa ukulawula ukunyakaza komzimba
  • ukuzamazama okungalawuleki kwengxenye yomzimba
  • inkulumo engahambi kahle
  • ukuphefumula kancane nokushaya kwenhliziyo

IDiazepam 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.

Izimpawu zokudlula ngokweqile zingafaka:

  • ukozela
  • ukudideka
  • ukukhathala
  • ukuphefumula kancane nokushaya kwenhliziyo
  • ukulahlekelwa ukwazi

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

Uma uthatha i-diazepam kanye neminye imithi yokulawula ukuqubuka futhi wandise imvamisa noma ubunzima bayo, shayela udokotela wakho. Umthamo wakho we-diazepam noma eminye imithi ungadinga ukulungiswa. Uma usebenzisa i-diazepam ngokubamba, phatha umazisi (i-Medic Alert) esho ukuthi unesifo sokuwa nokuthi uphuza i-diazepam neminye imishanguzo.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. I-Diazepam yinto elawulwayo. Okubhalwe phansi kungagcwaliswa izikhathi ezimbalwa kuphela; buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa imishanguzo yakho.

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.

  • IDiazepam Intensol®
  • I-Valium®
  • Valrelease®

Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.

Kugcine ukubuyekezwa - 05/15/2021

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