Kusiyana Kwepakati Kunowanzoshandiswa IV Mishonga Inorapwa
Mishonga yakasiyana-siyana inowanzoshandiswa mumaawa nemazuva mushure mekuvhiyiwa kuti upe marwadzo. Marwadzo anowanzonyanya kunyanya mumaawa makumi manomwe nemaviri mushure mekuvhiyiwa, ayo, asinganzwisisiki, apo apo varwere vanowanzogona kugamuchira kurwadziwa kwakanyanya kunoderedza.
Mishonga yakawanda yekugadzirisa marwadzo inopiwa sepiritsi kana intravenously (kuburikidza ne IV). Iyi mishonga inogona kuva isina-steroidal anti-inflammatory (NSAID) mumhuri imwechete yemishonga se ibuprofen, kana kuti inogona kunge ine opioid-based narcotic mishonga, yakadai se morphine.
Izwi rokuti opioid rinoreva mhedzisiro yemishonga mumiti yepoppy, iyo inonzi opium inotorwa. Unogonawo kunzwa mishonga inorwadza inonzi inonzi analgesics, iyi izwi rinoshandiswa kurondedzera mishonga inoshandiswa pakurwadziwa.
Chikonzero Nei IV Mushonga Mushonga Unoshandiswa
Mumaawa okutanga mushure mekuvhiyiwa, murwere angave achiri pasi pesimba reanesthesia, uye hazvina kuchengetwa kutora mishonga yemuromo kusvikira vasimuka kuti vakwanise kumira vasina kukwira. Kana murwere akasvinura uye akakwana zvakakwana kubvumira kunwa mvura, mushonga wavo unowanzopiwa mupiritsi yepiritsi, kunze kwekuti marwadzo asinganyanyi kurongedzwa nemishonga yemuromo. Kana murwere asingakwanisi kutora mishonga inorwadza sepiritsi, kana kuti vanoda mushonga unoshanda nokukurumidza, mishonga inorwadza IV inogona kupiwa.
Mishonga yakawanda inorwadza inowanikwa semapiritsi kana chirwere mu IV. Zvimwe zviripo mune sirasi, patch kana mishonga inowanikwa pasi peirimi kuti iwane.
Iyo inobatsira zvikuru kumishonga yekunetseka kweAIDS pamusoro pemamwe mhando yemishonga ndeyokuti inowanzotanga kushanda zvakakurumidza zvikuru, kazhinji mumaminitsi nokuti inofamba zvakananga muropa. Kana uchinge wasunungurwa kubva kuchipatara, hazvibatsiri kushandisa mishonga inorwadza yeVV, sezvo vanhu vakawanda vasingadzokeri kumba neine nzvimbo panzvimbo, uye mapiritsi kana imwe mhando yemishonga isina-IV inowanzotaurwa.
Kazhinji IV Kurapa Mishonga
- Toradol (ketorolac): Mishonga iyi iri mumhuri yeNSAID, uye yakashandiswa kurapa kurwadziwa kunononoka, uye ine-anti-inflammatory effects.
- Ofirmev (acetaminophen): Iyi mishonga, iyo NSAID, inonyanya kuve IV Tylenol. Iyo inoshandiswa sefivha inopedza mutengesi iyo inogonawo kubata marwadzo.
- Caldolor (ibuprofen): Iyi mishonga, uyewo NSAID, inonyanya kukosha IV Advil. Inoshandiswa kuderedza marwadzo kusvika pakuenzanisa, kuvhiringidza uye ine unyanzvi hwekudzivirira fivhiri.
- Morphine: Kurwadziwa kunonyadzisa kunomutsa, morphine inoshandiswa kuderedza kuenzanisa kunorwadza kwakanyanya. Morphine inowanzoshandiswa pakurwadziwa kukuru uye kwenguva yakareba kurwadziwa kusingaperi.
- Dilaudid (hydromorphone): Dambudziko rekushungurudza rinosunungura, Dilaudid rine simba uye rinoshandiswa kurapa kurwadziwa kwakanyanya mushure mekuvhiyiwa.
- Fentanyl: Iyi mishonga inogadzira opioid, zvinoreva kuti munhu akagadzirwa uye haana kuitwa kubva kumiti yepoppy sezvimwe mishonga inonyangadza. Inoshandiswa kudzora kurwadziwa kwakanyanya mushure mekuvhiyiwa.
- Dhemerol: Mishonga iyi, anpioid analgesic, haisisiri kushandiswa kakawanda sezvaiitwa kare. Dhemerol haikwanise kudzora marwadzo uye zvinowanzoita kuti tive nemafungiro emvura uye delerium kupfuura mamwe maitiro emishonga inorwadza. Iko pane dzimwe nguva inoshandiswa kubva kune-label (kunze kwekushandisa kushandiswa) kubatsira kubatsira kudedera kunorwara kune varwere vari kuputika, nemhaka yefivha kana kudiwa kwe hypothermia sechirapa, asi haisi kushandiswa nguva dzose mukudzora marwadzo ekuvhiya.
Ngozi dzePecription Inorwa Mishonga
- Sedative Effects: Izvi zvinokonzerwa nehunyoro (inonzwa kurara) kune zvakanyanya (kwete kufema). Nemhaka yehutano hwekudengenyeka, mishonga iyi haifaniri kutorwa pakushanda motokari. Tora mishonga inorwadza sezvinorayirwa kunzvenga kusanyengedzera kuderedza.
- Kuvhiringidzika : Vose narcotics, pasinei nokuti vanopiwa sepiritsi kana jekisi, vanozivikanwa kuti vanoita kuvimbiswa. Varwere vakawanda vanotora zvigaro zvinyoro zvinyoro zuva nezuva kuti vadzivirire kuvhiringidzika pavanotora mishonga inorwadza nenyota.
- Dhiyabhorosi: Inappropriate uye / kana kushandiswa kwenguva refu kwezvinonyadzisira zvinogona kutungamirira kumishonga yemagariro nepfungwa. Zvinorwadza zvinorwadza dambudziko rekushungurudza hazvifaniri kutorwa zvakare kupfuura zvakakosha.
- Nausea / Kukonzera: Vamwe vanhu havabvumiri rudzi urwu rwemishonga zvakanaka. Kune vamwe, kusati-kurapa nemishonga inorwisa-nausea yakadai saZofran kana Phenergan inogona kudzivirira kana kuderedza zviratidzo izvi.
- Itching: Chirwere chepachiviriro chekurwadziwa chinonyatsozivikanwa kuti chinokonzera. Kune vamwe, kuchinja kune marwadzo akasiyana-siyana anorwadza kuchapa ruzivo, vamwe vanoda mishonga inonyatsozivikanwa kuderedza kuchema sezvakaita Benadryl kana kuti chiremba Vistaril.