Umlobi: Joan Hall
Usuku Lokudalwa: 28 Ufebhuwari 2021
Ukuvuselela Usuku: 26 Usepthemba 2024
Anonim
Statins Pharmacology Nursing NCLEX HMG-CoA Reductase Inhibitors Antilipemic Cholesterol Lowering
Ividiyo: Statins Pharmacology Nursing NCLEX HMG-CoA Reductase Inhibitors Antilipemic Cholesterol Lowering

-Delile

ILovastatin isetshenziswa kanye nokudla, ukwehlisa isisindo, nokuzivocavoca umzimba ukunciphisa ubungozi bokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi nokunciphisa amathuba okuthi kuzodingeka ukuhlinzwa kwenhliziyo kubantu abanesifo senhliziyo noma abasengozini yokuhlaselwa yisifo senhliziyo. ILovastatin nayo isetshenziselwa ukwehlisa inani le-cholesterol (into efana namafutha) nezinye izinto ezinamafutha egazini. ILovastatin isekilasini lemithi ebizwa nge-HMG CoA reductase inhibitors (ama-statins). Isebenza ngokunciphisa ukukhiqizwa kwe-cholesterol emzimbeni ukwehlisa inani le-cholesterol engakha ezindongeni zemithambo futhi ivimbele ukugeleza kwegazi liye enhliziyweni, ebuchosheni nakwezinye izingxenye zomzimba.

Ukuqoqeka kwe-cholesterol namafutha eceleni kwezindonga zemithambo (inqubo eyaziwa ngokuthi i-atherosclerosis) kunciphisa ukugeleza kwegazi, ngakho-ke, ukunikezwa komoya-mpilo enhliziyweni yakho, ebuchosheni nakwezinye izingxenye zomzimba wakho. Ukwehlisa izinga legazi lakho le-cholesterol namafutha nge-lovastatin kungasiza ekuvikeleni isifo senhliziyo, i-angina (ubuhlungu besifuba), imivimbo nokuhlaselwa yinhliziyo.


ILovastatin iza njengethebhulethi nethebhulethi ekhishwe isikhathi eside (esebenza isikhathi eside) ezothathwa ngomlomo. Ithebhulethi ejwayelekile ivame ukuthathwa kanye noma kabili ngosuku ngokudla. Ithebhulethi ekhishwa isikhathi eside ithathwa kanye ngosuku ngesikhathi sokulala. Thatha i-lovastatin cishe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-lovastatin njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi akhululiwe; ungawahlukanisi, ungawahlafune noma uwagxoze.

Udokotela wakho angakuqala ngomthamo ophansi we-lovastatin futhi akhuphule kancane umthamo wakho, hhayi ngaphezu kwesisodwa njalo emavikini amane.

Qhubeka uthathe i-lovastatin noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-lovastatin ngaphandle kokukhuluma nodokotela wakho.

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

Ngaphambi kokuthatha i-lovastatin,

  • Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-lovastatin, noma imuphi omunye umuthi, noma iziphi izithako kumaphilisi e-lovastatin noma amaphilisi akhishwa isikhathi eside. Buza usokhemisi wakho ukuthola uhlu lwezithako.
  • Tshela udokotela wakho uma ngabe uthatha noma imiphi yale mithi elandelayo: izinhlayiya ezifana no-itraconazole (Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil), ne-voriconazole (Vfend); i-boceprevir (i-Victrelis); i-clarithromycin (i-Biaxin); imithi equkethe i-cobicistat (Stribild); i-erythromycin (E.E.S., EryC); nefazodone; ezinye ze-HIV protease inhibitors kufaka phakathi i-atazanavir (Reyataz), darunavir (Prezista), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (eKaletra), nelfinavir (Viracept), ritonavir (Norvir, eKaletra), saquinavir (Invirase) i-tipranavir (i-Aptivus); iTelaprevir (Incivek); kanye ne-telithromycin (Ketek). Udokotela wakho mhlawumbe uzokutshela ukuthi ungayithathi i-lovastatin uma uthatha eyodwa noma ngaphezulu yale mithi.
  • Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: amiodarone (Cordarone, Pacerone); ama-anticoagulants (’ama-thinner egazi’) afana ne-warfarin (Coumadin); i-cimetidine (Tagamet); i-colchicine (ama-Colcrys); i-cyclosporine (iNeoral, iSandimmune); i-danazol (iDanocrine); i-diltiazem (iCardizem, iDilacor, iTiazac); i-dronedarone (iMultaq); eminye imithi yokwehlisa i-cholesterol efana ne-fenofibrate (Tricor), i-gemfibrozil (i-Lopid), ne-niacin (i-nicotinic acid, i-Niacor, i-Niaspan); i-spironolactone (Aldactone); i-ranolazine (Ranexa); kanye ne-verapamil (Calan, Covera, Isoptin, Verelan). Eminye imishanguzo eminingi ingaxhumana ne-lovastatin, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho nalawo angaveli kulolu hlu. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
  • tshela udokotela wakho uma unesifo sesibindi. Udokotela wakho uzo-oda ukuhlolwa kwelabhoratri ukuze abone ukuthi isibindi sakho sisebenza kahle kanjani noma ngabe awucabangi ukuthi unesifo sesibindi. Udokotela wakho uzokutshela ukuthi ungathathi i-lovastatin uma unesifo sesibindi noma uma izivivinyo zibonisa ukuthi ungahle ube nesifo sesibindi.
  • Tshela udokotela wakho uma uphuza iziphuzo ezidakayo ezingaphezu kwezimbili nsuku zonke, uma uneminyaka engama-65 noma ngaphezulu, uma uke waba nesifo sesibindi noma uma uke waquleka, waba nobuhlungu bemisipha noma waba buthakathaka, umfutho ophansi wegazi, isifo sikashukela , noma isifo sezinso.
  • utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Akufanele ukhulelwe ngenkathi uthatha i-lovastatin. Khuluma nodokotela wakho ngezindlela zokulawula ukubeletha ongazisebenzisa ngesikhathi sokwelashwa kwakho. Uma ukhulelwa ngenkathi uthatha i-lovastatin, yeka ukuthatha i-lovastatin bese ushayela udokotela wakho ngokushesha. ILovastatin ingalimaza umbungu.
  • ungancelisi ibele ngenkathi uthatha lo muthi.
  • uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-lovastatin. Uma ungeniswe esibhedlela ngenxa yokulimala kanzima noma ukutheleleka, tshela udokotela okuphatha ukuthi uthatha i-lovastatin.
  • buza udokotela wakho ngokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi uthatha i-lovastatin. Utshwala bungakhuphula ubungozi bemiphumela emibi kakhulu.

Yidla ukudla okunamafutha aphansi, okunamafutha amancane. Qiniseka ukuthi ulandela zonke izincomo zokuzivocavoca nezokudla ezenziwa ngudokotela wakho noma udokotela odlayo. Ungavakashela futhi iwebhusayithi ye-National Cholesterol Education Program (NCEP) ukuthola eminye imininingwane yokudla ku-http: //www.nhlbi.nih.gov/health/public/heart/chol/chol_tlc.pdf.


Gwema ukuphuza ijusi lamagilebhisi ngenkathi uthatha i-lovastatin.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Lovastatin ingadala imiphumela emibi. Tshela udokotela wakho uma lezi zimpawu zinzima noma zingapheli:

  • ukuqunjelwa
  • inkumbulo noma ukukhohlwa
  • ukudideka

Eminye imiphumela emibi ingaba mibi. Izimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, shayela udokotela wakho ngokushesha noma uthole usizo oluphuthumayo lwezokwelapha:

  • ubuhlungu bemisipha, ubumnene, noma ubuthakathaka
  • ukungabi namandla
  • ubuthakathaka
  • imfiva
  • umchamo onombala omnyama
  • ukuphuzi kwesikhumba noma kwamehlo
  • ubuhlungu engxenyeni engenhla kwesokudla yesisu
  • ukukhathala ngokweqile
  • isicanucanu
  • ukopha okungajwayelekile noma ukulinyazwa
  • ukulahlekelwa isifiso sokudla
  • izimpawu ezinjengomkhuhlane
  • ukuqubuka
  • isifuba
  • ukulunywa
  • ukuphefumula kanzima noma ukugwinya
  • ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
  • ukushaqeka

I-Lovastatin 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 angalawula ukuhlolwa kwelabhoratri ngesikhathi sokwelashwa kwakho, ikakhulukazi uma uba nezimpawu zokulimala kwesibindi.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi be-laboratory ukuthi uthatha i-lovastatin.

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.

  • I-Altocor®
  • I-Altoprev®
  • Mevacor®

Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.

Kugcine ukubuyekezwa - 02/15/2021

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