Munyori: Virginia Floyd
Zuva Rekusika: 10 Nyamavhuvhu 2021
Gadziridza Zuva: 19 Mbudzi 2024
Anonim
Pharmacology - Risedronate for osteoporosis nursing RN PN NCLEX
Vhidhiyo: Pharmacology - Risedronate for osteoporosis nursing RN PN NCLEX

Zvemukati

Mahwendefa eRisedronate uye kunonoka-kuburitsa (mapiritsi-anoshanda kwenguva refu) anoshandiswa kudzivirira uye kurapa osteoporosis (mamiriro umo mapfupa anoonda uye kupera simba nekutyoka zviri nyore) mumadzimai akaguma kuenda kumwedzi ('' shanduko yehupenyu, '' kupera yekuenda kumwedzi). Mahwendefa eRisedronate anoshandiswawo kurapa osteoporosis muvarume, uye mune varume nevakadzi vari kutora glucocorticoids (rudzi rwecorticosteroid mishonga inogona kukonzera osteoporosis). Mahwendefa eRisedronate anoshandiswa zvakare kurapa chirwere chePaget chepfupa (mamiriro ayo mapfupa akapfava uye asina kusimba uye anogona kunge akaremara, anorwadza, kana kuputswa zviri nyore). Risedronate iri mukirasi yemishonga inonzi bisphosphonates. Inoshanda nekudzivirira kuputsika kwemapfupa uye kuwedzera kuwedzera kwefupa (ukobvu).

Risedronate inouya sehwendefa uye inononoka-kuburitsa piritsi yekutora nemuromo. Mahwendefa ekunonoka-kuburitswa anowanzo kutorwa kamwe pasvondo mangwanani, nekukurumidza mushure mekudya kwekuseni. Mahwendefa acho anowanzo kutorwa musina chinhu kamwe chete pazuva mangwanani, kamwe chete pasvondo mangwanani, kamwe pamwedzi mangwanani, kana kamwe chete pamwedzi kwemangwanani maviri akateedzana zvichienderana nemamiriro ako uye chipimo chemushonga chakatemwa nachiremba wako. Kana iwe uri kutora risedronate kamwe pavhiki, kamwe pamwedzi, kana kamwe chete pamwedzi kwemazuva maviri akateedzana, tora pazuva rimwe chete vhiki imwe neimwe kana mwedzi kana iwo mamwe mazuva maviri akateedzana mwedzi wega wega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora risedronate chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kazhinji kana kwenguva yakareba kupfuura zvakatemwa nachiremba wako.


Risedronate inogona kusashanda mushe uye inogona kukuvadza ezophagus (chubhu inobatanidza muromo nedumbu) kana kukonzera maronda mumuromo kana ikasatorwa maererano nemirairo inotevera. Udza chiremba wako kana iwe usinganzwisise, haufunge kuti uchayeuka, kana kuti haugone kutevedzera iyi mirairo.

  • Iwe unofanirwa kutora risedronate mapiritsi nekukurumidza mushure mekumuka pamubhedha mangwanani uye usati wadya kana kunwa chero chinhu. Iwe unofanirwa kutora risedronate kunonoka-kuburitsa mapiritsi nekukurumidza mushure mekudya kwekuseni. Usambofa wakatora risedronate panguva yekurara kana usati wamuka uye kumuka pamubhedha kwezuva racho.
  • Medza mahwendefa negirazi rizere (mazana matanhatu kusvika masere emamiriyoni emamiriyoni kusvika mazana mana nemakumi mana) emvura isina mvura paunenge ugere kana kuti wakamira. Medza mahwendefa anonoka-kuburitsa aine anosvika mana maunzi (120 mL) emvura isina mvura iwe ugere kana wakamira. Usambofa wakatora risedronate netii, kofi, muto, mamineral mvura, mukaka, zvimwe zvinwiwa zvemukaka, kana chero chinwiwa kunze kwemvura isina mvura.
  • Kumedza mahwendefa uye kunonoka-kuburitsa mapiritsi akazara. Usaparadzanise, kutsenga, kana kuvapwanya. Usayamwa pamahwendefa kana kuabata mumuromo mako chero hurefu hwenguva.
  • Mushure mekutora risedronate, usadya, kunwa, kana kutora chero mimwe mishonga kwemaminitsi makumi matatu. Usarara pasi kweinenge 30 maminetsi mushure mekutora risedronate. Gara wakamira kana kumira wakamira kusvika maminetsi makumi matatu apfuura.

Risedronate inodzora osteoporosis uye chirwere chePaget chepfupa asi hachirape aya mamiriro. Risedronate inobatsira kurapa uye kudzivirira osteoporosis chete chero bedzi ichitorwa nguva dzose. Ramba uchitora risedronate kunyangwe iwe uchinzwa mushe. Usarega kutora risedronate usina kutaura nachiremba wako, asi taura nachiremba wako nguva nenguva nezve kana uchiri kuda kutora risedronate.


Chiremba wako kana wemishonga anokupa iro gwaro reruzivo rwevarwere (reMedicine Gwara) paunotanga kurapwa ne risedronate uye pese paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora risedronate,

  • udza chiremba wako uye wemishonga kana iwe uri weergisi kune risedronate, chero mimwe mishonga, kana chero chinhu chinowanikwa mumapiritsi e risedronate kana anonoka-kuburitsa mapiritsi. Kumbira wemishonga wako kana tarisa Gwaro reMishonga kuti uwane pane zvinyorwa
  • udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: angiogenesis inhibitors senge bevacizumab (Avastin), everolimus (Afinitor, Zortress), pazopanib (Votrient), sorafenib (Nexavar), kana sunitinib (Sutent); asipurini uye mamwe asiri -steroidal anti-anogumbura zvinodhaka (NSAIDs) senge ibuprofen (Advil, Ibu-Tab, Motrin, vamwe) uye naproxen (Aleve, Naprelan, Naprosyn, vamwe); kenza chemotherapy; kana oral steroids senge dexamethasone, methylprednisolone (Medrol), uye prednisone (Rayos). Kana iwe uri kutora anononoka-kuburitsa mapiritsi, iwe unofanirwa zvakare kuudza chiremba wako kana iwe uri kutora H2 blocker senge cimetidine, famotidine (Pepcid), nizatidine (Axid), uye ranitidine (Zantac) kana proton pump inhibitor senge esomeprazole (Nexium, muVimovo), lansoprazole (Prevacid), omeprazole (Prilosec, Zegerid), pantoprazole ), Uye rabeprazole (AcipHex). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • iwe unofanirwa kuziva kuti Actonel naAtelvia vese vane risedronate. Iwe haugone kutora ese ari maviri emishonga iyi panguva imwe chete.
  • kana iwe uri kutora chero mimwe mishonga yemumuromo inosanganisira mavitamini, zvinowedzera, kana maantacids, tora iwo angangoita maminetsi makumi matatu mushure mekutora risedronate.
  • udza chiremba wako kana iwe wakambove uine yakaderera mwero wecalcium muropa rako kana chero matambudziko ane yako esophagus uye kana iwe usingakwanise kugara wakamira kana kumira wakamira kwemaminitsi makumi matatu. Chiremba wako anogona kukuudza kuti haufanire kutora risedronate.
  • udza chiremba wako kana iwe uri kurapwa radiation; kana iwe wakambonetseka kana kumedza; chirungurira; maronda kana zvimwe zvinetso nedumbu rako; kupererwa neropa (mamiriro ayo masero matsvuku eropa asingaunze oxygen yakakwana kunhengo dzese dzemuviri); gomarara; chero mhando yehutachiona, kunyanya mumuromo mako; matambudziko nemuromo wako, mazino, kana matadza; chero mamiriro anomisa ropa rako kubva pakuvhara kazhinji; kana chirwere chemazino kana cheitsvo.
  • udza chiremba wako kana iwe uri nepamuviri kana uchiyamwisa. Uyezve udza chiremba wako kana iwe uronga kuve nepamuviri chero nguva mune ramangwana, nekuti risedronate inogona kuramba iri mumuviri wako kwemakore mushure mekurega kuitora. Fonera chiremba wako kana iwe ukava nepamuviri panguva kana mushure mekurapwa kwako nerisedronate.
  • iwe unofanirwa kuziva kuti risedronate inogona kukonzeresa kurwadziwa kwepfupa, mhasuru, kana kubatana. Unogona kutanga kunzwa kurwadziwa uku mukati memazuva, mwedzi, kana makore mushure mekutanga kutora risedronate. Kunyangwe rudzi urwu rwekurwadziwa rungangotanga mushure mekutora risedronate kwenguva yakati, zvakakosha kuti iwe nachiremba wako muone kuti inogona kukonzerwa nerisedronate. Fonera chiremba wako ipapo kana iwe uchinge uchinzwa kurwadziwa kwakanyanya chero nguva panguva yekurapwa kwako ne risedronate. Chiremba wako anogona kukuudza kuti rega kutora risedronate uye kurwadziwa kwako kunogona kupera mushure mekumira kutora mushonga.
  • iwe unofanirwa kuziva kuti risedronate inogona kukonzera osteonecrosis yeshaya (ONJ, yakakomba mamiriro ejaya pfupa), kunyanya kana iwe ukavhiyiwa mazino kana kurapwa paunenge uchitora mushonga. Chiremba wemazino anofanira kuongorora mazino ako uye aite chero marapirwo anodikanwa, kusanganisira kuchenesa kana kugadzirisa mazino asina kukodzera, usati watanga kutora risedronate. Ive neshuwa yekugeza mazino nekuchenesa muromo wako zvakanaka paunenge uchitora risedronate. Taura nachiremba wako usati wawana chero kurapwa kwemazino iwe paunenge uchinwa mushonga uyu.
  • taura nachiremba wako nezve zvimwe zvinhu zvaunogona kuita kudzivirira osteoporosis kubva mukukura kana kuwedzera. Chiremba wako angangokuudza kuti usapute uye usanwa doro rakawanda uye kuti uteedzere chirongwa chenguva dzose chekutakura huremu.

Iwe unofanirwa kudya chikafu chakawanda chakapfuma mucalcium uye vhitamini D paunenge uchitora risedronate. Chiremba wako anokuudza iwe kuti ndezvipi zvekudya zvakanaka zviwanikwa zveizvi zvinovaka muviri uye kuti mangani masevhisi aunoda zuva rega rega. Kana iwe uchiona zvichinetsa kudya zvakakwana zveizvi zvekudya, udza chiremba wako. Muchiitiko ichocho, chiremba wako anogona kupa kana kukurudzira kuwedzera.


Kana iwe ukarasikirwa neiyo imwe-kamwe-zuva risedronate, usazvitore gare gare muzuva. Darika dosi rakarasika uye tora dhosi imwe mangwanani anotevera senguva dzose.

Kana iwe uchinge uchinge uchinge uchirasikirwa neiyo imwe-kamwe-vhiki risedronate, usazvitore gare gare muzuva. Tora imwe dose mangwanani mushure mokunge warangarira. Wobva wadzokera kunotora dosi imwe chete pasvondo pawakagara wakarongwa zuva.

Kana iwe uchinge warasikirwa neiyo imwe-kamwe-pamwedzi risedronate asi rangarira anopfuura mazuva manomwe pamberi peyako inotevera yakatarwa dosi, tora iyo yakarasika dhizaini mangwanani mushure mekurangarira. Kana iwe uchirangarira isingasviki mazuva manomwe pamberi peyako yakatarwa inotevera dosi, usatora iro rakarasika dosi. Panzvimbo iyoyo, mirira kusvikira mangwanani eiyo inotevera yako yakarongwa dosi uye wozotora risedronate senguva dzose.

Kana iwe ukarasikirwa imwe kana maviri madosi emazuva maviri akateedzana, kamwe-pamwedzi risedronate asi rangarira anopfuura mazuva manomwe pamberi peyako yakatarwa yedosi, unogona kutora madhosi akarasika. Tora dosi rekutanga rakarasika mangwanani mushure mekunge uchirangarira uye kana ukarasikirwa nemadhizaini ese, tora wechipiri wakarasa muyedzo mangwanani mushure mekutora yekutanga. Kana iwe uchirangarira isingasviki mazuva manomwe pamberi peyako yakatarwa inotevera dosi, usatore iyo yakashaikwa dhi (s). Panzvimbo iyoyo, mirira kusvikira mangwanani eiyo inotevera yako yakarongwa dosi uye wozotora risedronate senguva dzose.

Kana iwe uchisuwa doses ye risedronate uye usingazive zvekuita, fonera chiremba wako. Nguva dzose tora risedronate chekutanga chinhu mangwanani. Usambofa wakatora dhivhosi miviri kugadzira iyo yakarasika imwe, uye usatombotora inopfuura imwe dosi muzuva rimwe.

Risedronate inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • kusvotwa
  • burping
  • muromo wakaoma
  • kurwadziwa nemudumbu
  • manyoka
  • kuvimbiswa
  • gasi
  • musoro
  • dzungu
  • kushaya simba
  • makumbo makumbo
  • kurwadziwa shure
  • kazhinji kana kuda kukurumidza kuita weti
  • kunorwadza weti

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukawana chero yeanotevera madivi mhedzisiro, dana chiremba wako nekukurumidza usati watora chero risedronate zvakare:

  • kunetseka kumedza kana kurwadziwa kana uchimedza
  • nyowani kana kuwedzera kuora kwemoyo
  • kurwadziwa pachipfuva
  • kuvava
  • mapundu
  • mikoko
  • mhoni paganda
  • kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi
  • kunetseka kufema
  • hoarseness
  • mhasuru, mhasuru, kana kupwanya
  • chiveve kana kugwinha pamuromo kana mumaoko kana mutsoka
  • kuzvimba, kutsvuka, kana kurwadza maziso
  • kunzwisisika kuchiedza
  • marini anorwadza kana kuzvimba
  • kusununguka kwemeno
  • chiveve kana kunzwa kunorema mushaya
  • kurapa kwakashata kwesaya
  • kugwinha, kurwadziwa kurwadziwa muhudyu, kugomera, kana zvidya

Risedronate inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Kutora bisphosphonate mishonga senge risedronate ye osteoporosis kunogona kuwedzera njodzi yekuti iwe uchatyora chidya chako bone (s). Unogona kunzwa kurwadziwa muhudyu mako, kugomera, kana zvidya kwemavhiki akati wandei kana mwedzi bvupa risati ratsemuka, uye iwe unogona kuona kuti rimwe kana ako maviri mapfupa emapfupa atyoka kunyangwe iwe usina kudonha kana kusangana nekumwe kushungurudzika.Hazvishamise kuti pfupa rehudyu riputse muvanhu vane hutano, asi vanhu vane osteoporosis vanogona kutyora pfupa iri kunyangwe vasingatore risedronate. Taura nachiremba wako nezve njodzi dzekutora risedronate.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org

Kana paine ovhadhozi, ipa akabata girazi rizere remukaka uye fonera nzvimbo yako yekudzora chepfu pa1-800-222-1222. Kana munhu wacho akadonha kana kuti asiri kufema, fonera nhare dzenharaunda munzvimbo dzinosvika 911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

  • chiveve kana kugwinha pamuromo kana mumaoko kana mutsoka
  • mhasuru, mhasuru, kana kumonyoroka
  • pfari

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari.

Usati waita chero bvunzo yerabhoritari kana bvunzo yekufungidzira yemapfupa, udza chiremba wako nevashandi ve murabhoritari kuti uri kutora risedronate

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

  • Actonel®
  • Atelvia
  • Actonel® neCalcium (ine Calcium, Risedronate)
Yakagadziridzwa Yakagadziridzwa - 01/15/2016

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