Kukanganisa kwemishonga, kana zvikanganiso zvinosanganisira mishonga, zvakajairika zvokuti mune zvehutano tine "5 Kodzero" kutibatsira kuti tidzivise. The Five Rights are:
- Nhamba yakakodzera
- Mishonga yakarurama
- Murwere akanaka
- Nzira yakarurama
- Nguva yakakodzera
Kunyanya, musana kana mumwe muongorori wehutano anopa mishonga tinozvibvunza isu, "Ndiyo here iyo mhando yakakodzera yemishonga yakakodzera yakapiwa murwere akanaka nenzira yakarurama panguva yakakodzera?"
Panofanira kuva nechinhu chimwe chakawedzerwa pane zvakanyorwa apo paunopa mishonga mumba: kunyatsochengetedzwa.
Iyi nzira yakabatsira kudzivisa njodzi dzakawanda dzinosanganisira mishonga mune zvipatara nezvimwe zvirongwa zvehutano uye zvinogona kukubatsira kudzivisa njodzi mumba mako . Kana iwe uri mutoro wekupa mishonga kune mumwe munhu wauri kutarisira, "kodzero 5" chinhu chimwe chaunofanirwa kuziva nacho uye kutanga kutarisa nguva yaunowana chirairo kubva kuchiremba.
Nokuti pane zvingava nekusiyana munzira iyo mishonga yemishonga inopiwa uye inogamuchirwa mukuchengetedza kwepamusoro uye hospice , tichaedza kuisa kusiyanisa kana zvichifanira.
Tora Nhamba paDhoter's Office kana Mukoti Wekushanya
Apo chiremba kana mukoti anokuudza kuti utange kupa mishonga mitsva, nyora. Nyora pasi zita remishonga, chirwere chaunenge uchipa, uye chero mirayiridzo yavanokupa pamusoro pokuti ungaitungamirira sei. Somuenzaniso, pandinoshanyira murwere uye ndichivaudza kuti vacharamba vachitaura murphine remhinduro pa5mg maawa mana kana zvichidikanwa sezvinodiwa, ndinovarayira kutora zvinyorwa zvavo kunze kweavo ndichava kunyora kwavari.
Ndinovataurira kuti mishonga inodzwa sei; somuenzaniso, yakanyanyisa mhinduro ye 20mg ye morphine yemamiriyoni imwe emvura. Ini ndichavaudza kuti 5mg ye morphine yakaenzana ne 0.25ml. Ndinounza mufananidzo wewaini uye mushonga dropper neni kuti pharmacy yedu inopa. Ndinovaratidza dorosi uye ndinotora muenzaniso werapi yemishonga.
Ini ndinogona kutora mufananidzo wekadonsi iyo yavanogona kutaurira mberi. Ndinovaudza kuti mishonga inofanira kushandiswa sei, nguva yakawanda sei kuipa, uye kuchengetedza zvinyorwa zvezvavakapa. Tariro, manotsi avo anotarisa chimwe chinhu chakadai:
- Oral Morphine Solution
- 5mg kana 0.25ml kana kuti 1/4 yemudonzvo
- Ipa maawa mana kana zvichidiwa kuti utambudzike
- Nyora pasi zuva, nguva, uye chirwere chinopiwa
Tora zvinyorwa zvako, kunyange kana chiremba kana mukoti akanyora mazano avo kwauri. Iwe unogona kunge uine pfungwa yakanakisisa yemirairo yawakanyora pasi maererano neainyorwa nomumwe munhu. Kunyora manotsi kunobatsirawo kubatanidza ruzivo rwaunenge uchiyeuka.
Tarisa Prescription paFarmacy
Pasinei nokuti iwe unotora mishonga pesafarisi kana inowanikwa mumba mako, chengetedza mishonga usati wagamuchira kuburitsa. Iva nechokwadi kuti ndiyo mishonga imwe chete uye muyero mumwechete, kana kuti kuisa pfungwa, sekunyora kwawakatora. Tarisa kuti zita remurwere pabhodhoro ndiro murwere wako. Uyewo chengeta kuti mirayiridzo yacho yakafanana neyawakanyora pasi. Kana mirayiridzo yacho yakasiyana zvachose, taura nemupiki wako wehutano kuti anotsanangure asati apa chero mishonga.
Chengetedza Mishonga Zvakanaka
Mamwe mishonga ine zvimwe zvakachengetedzwa zvinotarisirwa kuchengetedza kubudirira.
Insulin, mamwe mishonga inorwisa mabhakitiriya emvura, uye mamwe mimwe mishonga inofanirwa kuiswa firiji. Chero chero rudzi rwemishonga muchimiro cheudhipatimendi inoda kuchengetwa munzvimbo inotonhorera kuitira kuti varege kutonhora. Nitroglycerin inofanira kudzivirirwa kubva kunezuva. Nguva dzose chengetedza nemudzimai wemishonga nezvekuchengetedza mirayiridzo yekuchengetedza mishonga yako uye iva nechokwadi chekuvatevera.
Izvo zvakare zvakakosha kuchengeta mishonga yose mumidziyo yavo yepakutanga. Mhosva dzepilisi dzinoita sokuti dzaizova dzakanaka, uye zvichida dziripo, asi kana ukadzizadza zvinogona kuvhiringidza kuti utaure mishonga iri voga.
Inongova yakachengeteka, kana zvishoma zvishoma, kuchengetedza mishonga yose muhombodo dzavo.
Ipai Zvose Zvakanaka
Zvakanaka, iwe zvichida unoti "Duh!" Asi tarisiro iwe hauna kungosiya chikamu ichi. Kunyange zvazvo zvisinganzwisisiki kupa chirongwa chakakodzera chemishonga, nzira yekupa mukana wakakodzera haugone kuva. Somuenzaniso, kana mishonga inoda chiitiko chepasipuni 1, iwe unogona kuedzwa kuti ubudise zviyero zvako zvekuyera kubika kana, zvakanyanya, zvakadaro, mukombe wako unofadza (zvakanaka, unonzi teaspoon, kurudyi?). Ikoko kunogona kuve nekusiyana kwakasiyana-siyana mukusimudzira mapuni, uye kunyange kutarisa zviyero zvekuyera, saka zvakanakisisa kugara uchipa mishonga nechiyero chekuyera iyo mishonga inokupa.
Mapiritsi anogona kunge akaoma. Iwe unogona kuva nechirongwa chinoda 1/2 piritsi yemishonga. Iwe unogona kuedzwa kuti urumire piritsi muhafu asi iwe unenge wakachengeteka zvikuru uchishandisa mapiritsi anoparadzanisa. Izvi zvinogona kutengwa pawadhirosiyo yako kana kuti inogona kugoverwa newe hospice kana imwe sangano rezvehutano. Makondisi emishonga haafaniri kunge akazaruka uye akaparadzaniswa. Nguva dzose.
Ipa Mishonga Nenzira Yakarurama
Kana mishonga inorayirwa kuti ipiwe nemuromo, izvi zvinoreva murwere wako achange achida kuchimedza. Kana kumedza mapiritsi chinetso kumurwere wako, taurira chiremba wako kana mukoti nguva dzose. Unogonawo kumubvunza mushonga wemapurisa kana mushonga wacho unouya mumvura. Iwe haufaniri kumbopwanya mishonga uye kuiisa pane chimwe chinhu, semapuloauce, kunze kwekuti chiremba, mukoti, kana kuti mhizimisi akuudza kuti zvakanaka. Mimwe mishonga inowedzerwa kusunungurwa, zvinoreva kuti inopa chirongwa chemishonga nguva dzose panguva yose. Kuputsa iyi mapiritsi kunobvumira kuti mukana mukuru wemishonga ununurwe zvose kamwechete.
Imwe shoko rezano: Kana mishonga inorayirirwa seyetafura, usaedza kuita kuti murwere wako amedze. A suppository inongopihwa mu rectum. Kana usina chokwadi kuti ungapa sei, bvunza mumwe munhu kuti akuratidze. Icho chinhu chiri nyore kuita:
- Iva nejasi uye gorozi rakagadzirirwa basa racho.
- Iva nejasi rako gorofu.
- Shfekedza suppository pamwe nekugadzirisa uye woisa zvinyoronyoro mu rectum.
- Kana ukasangana nekumanikidza kwakasimba, mira.
- Iwe unofanirwa kuikanda pasi nyore nyore kusvikira "itumwa" ne rectum.
Chengetedza Mushonga WeMishonga
Chiremba wako kana mukoti angakukumbira kuti uchengetedze gwaro repi mishonga inorayirwa pane "sezvinodiwa" (kana kuti "prn"). Izvi zvinogona kuva marwadzo anorwadza , zvinodhaka zvinoshandiswa pakurapa tsvina uye kurutsira , nezvimwewo. Vachada kuti iwe unyore pasi zuva, nguva, mubairo, uye kufunga kuti wakapa mishonga. Izvi zvinovabatsira kuti vaone zviratidzo zvipi zvinokonzera dambudziko remurwere uye kuti mishonga inobatsira sei mukurapa.
Zvinokosha zvakare kuti iwe uchengetedze nhoroondo yemishonga yaunopa nguva dzose. Kutarisira mumwe munhu kunopedza nguva uye kunetseka uye hazvisi zvisinganzwisisiki kuti vachengeti vafungisise kana vakapa mishonga chaiyo ikozvino. Kuchengeta gorogi kunogona kutora mutoro mumwe kubva mutoro wako wakakura.
A log inogonawo kuuya zvakanaka kana kune vakachengetedza vanopfuura umwe kana mumwe munhu achiuya kuzobatsira kwenguva pfupi. Iwe haufaniri kushamisika kana Amai Maria vakatoti vapa mishonga vasati vaenda kuchitoro.
Shandisa purogiramu yezwi, kana iripo, uye ita log inogona kudhindwa kana ichidiwa. Iwe unogonawo kupa zvinyorwa gwaro uye ugoita makopi kune imwe nzvimbo yepakiti yako.
Heano muenzaniso wegwaro remishonga "sezvinodiwa" kana "prn" mishonga:
| Mishonga Log | |||
| Zuva / Nguva | Mishonga | Dose | Chiratidzo Chinotorwa |
| 11/26 9: 00a | Morphine Solution | 5mg / 0.25ml | Pain (4/10) |
| 11/26 2: 00p | Morphine Solution | 5mg / 0.25ml | Pain (3/10) |
| 11/26 8: 00p | Morphine Solution | 5mg / 0.25ml | Pain (4/10) |
Mumuenzaniso uyu, mutarisiri akachengetedza zvinyorwa zvezuva ripi uye nguva iyo mishonga yakapiwa uye yakawanda sei. Iko gwaro rinogona kubatsira vashandi vehutano vanoona huwandu hwemishonga murwere anopiwa uye kubudirira kwayo.
Heino muenzaniso wegwaro remishonga yemishonga inogadziriswa nguva dzose:
| Login Pain | |||
| Musi | Nguva | Mishonga | Inopiwa? |
| Chishanu chechipiri | 8: 00a | Metoprolol | X |
| " | " | Lasix | X |
| " | " | Morphine Tablet | X |
| " | 8: 00p | Morphine Tablet | |
Mumuenzaniso uyu, mutarisiri akacherechedza kuti vakapa mishonga yose yemangwanani. Kana muchengeti mutsva akapinda kuti atore pa 9: 00a, vaigona kuona kuti mishonga yose yemangwanani yakanga yatopiwa uye kuti manheru mishonga yakanga isiri. Chigwaro chakadai chinogona kubatsira kudzivirira maitiro asina kukwana kana kuwedzerwa kwemishonga.
Kutora matanho ari nyore akadai sekutevera "kodzero mbiri" nekuchengetedza matanda akakodzera kunogona kubatsira kuchengetedza kuchengetedzwa kwemu murwere wako kana waunoda. Kupa mishonga zvakanaka kunogona kusimbisa kunyaradzwa uye hupenyu hwehuyu waunotarisira.