Munyori: Janice Evans
Zuva Rekusika: 28 Chikunguru 2021
Gadziridza Zuva: 21 Chikumi 2024
Anonim
Indomethacin Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
Vhidhiyo: Indomethacin Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

Zvemukati

Vanhu vanotora nonsteroidal anti-inflammatory drug (NSAIDs) (kunze kweaspirin) senge indomethacin vanogona kuve nenjodzi yakakwira yekuve nekurwadziwa kwemoyo kana sitiroko kupfuura vanhu vasingatore mishonga iyi. Izvi zviitiko zvinogona kuitika pasina yambiro uye zvinogona kukonzera rufu. Iyi njodzi inogona kuve yakakwira kune vanhu vanotora maNSAID kwenguva yakareba. Usatore NSAID senge indomethacin kana iwe uchangobva kuve nechirwere chemwoyo, kunze kwekunge waudzwa kudaro nachiremba wako. Udza chiremba wako kana iwe kana chero munhu mumhuri yako ane kana akambove nechirwere chemwoyo, chirwere chemwoyo, kana sitiroko, kana uchisvuta, uye kana uine kana wakambove necholesterol yakakwira, BP, kana chirwere cheshuga. Tora rubatsiro rwechimbichimbi kurapwa kana iwe ukawana chero cheanotevera zviratidzo: kurwadziwa kwepfupa, kufema kufema, kushaya simba mune chimwe chikamu kana divi remuviri, kana kutaura kwakashata.

Kana iwe uchinge uri kuita coronary artery bypass graft (CABG; rudzi rwekuvhiyiwa kwemoyo), haufanire kutora indomethacin kumberi kana kurudyi mushure mekuvhiyiwa.


NSAID dzakadai se indomethacin dzinogona kukonzera maronda, kubuda ropa, kana maburi mudumbu kana ura. Aya matambudziko anogona kukura chero nguva panguva yekurapa, anogona kuitika pasina yambiro zviratidzo, uye anogona kukonzera kufa. Iyo njodzi inogona kuve yakakwira kune vanhu vanotora maNSAID kwenguva yakareba, vakura zera, vane hutano husina kunaka, kana kunwa yakawanda doro paunenge uchitora indomethacin. Udza chiremba wako kana ukanwa chero wemishonga inotevera: anticoagulants ('blood thinners') senge warfarin (Coumadin, Jantoven); aspirin; dzimwe NSAID dzakadai se diflunisal (Dolobid), ibuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn); muromo steroid senge dexamethasone, methylprednisolone (Medrol), uye prednisone (Rayos); inosarudza serotonin reuptake inhibitors (SSRIs) senge citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, muSymbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), uye sertraline (Zoloft); kana serotonin norepinephrine reuptake inhibitors (SNRIs) senge desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), uye venlafaxine (Effexor XR). Uyezve udza chiremba wako kana iwe kana wakambove nemaronda kana kubuda ropa mudumbu kana matumbo kana kumwe kubuda ropa kusagadzikana. Kana ukasangana nechimwe chezviratidzo zvinotevera, rega kutora indomethacin uye udane chiremba wako: kurwadziwa nemudumbu, chirungurira, kurutsa kune ropa kana kutaridzika senzvimbo yekofi, ropa riri muchitsiko, kana zvituru zvitema uye zvekugara.


Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anozotarisa zviratidzo zvako zvakanyatsonaka uye angango kuraira kumwe kuyedzwa kuti utarise mhinduro yemuviri wako kune indomethacin. Ive neshuwa yekuudza chiremba wako kuti urikunzwa sei kuitira kuti chiremba wako agone kunyora yakaringana mishonga yekurapa mamiriro ako nenjodzi yakaderera yemhedzisiro yakaipa.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (reMedicine Gwara) paunotanga kurapwa neindomethacin 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) kana webhusaiti yemugadziri kuti utore Gwaro reMishonga.

Indomethacin inoshandiswa kudzikamisa marwadzo epakati nepakati, hunyoro, kuzvimba, uye kuomarara kunokonzerwa neosteoarthritis (arthritis inokonzerwa nekuputsika kwejira remajoini), rheumatoid arthritis (arthritis inokonzerwa nekuzvimba kwemukati memapfundo), uye ankylosing spondylitis (arthritis iyo inokanganisa zvakanyanya musana). Indomethacin inoshandiswawo kurapa marwadzo mufudzi rinokonzerwa ne bursitis (kuzvimba kwesaga rakazara nemvura mujozi repafudzi) uye tendinitis (kuzvimba kwetishu inobatanidza mhasuru kusvika pfupa). Indomethacin pakarepo-kuburitsa makapuleti, kuturika (mvura) uye makomposheni anoshandiswa zvakare kurapa zvakanyanya gouty arthritis (kurwiswa kwekutambudzika kwakanyanya kwemajoini uye kuzvimba kunokonzerwa nekuvakwa kwezvimwe zvinhu mumajoini). Indomethacin iri mukirasi yemishonga inonzi NSAIDs. Inoshanda nekumisa kugadzirwa kwemuviri kwechinhu chinokonzeresa kurwadziwa, kupisa muviri, uye kuzvimba.


Indomethacin inouya se capsule, yakawedzera-kuburitsa (yakareba-inoshanda) kapsule, uye kusimiswa kutora nemuromo uye se suppository yekushandisa rectally. Indomethacin capsules uye mvura kazhinji zvinotorwa kaviri kana kana pazuva. Indomethacin suppositories kazhinji anoshandiswa maviri kana mana nguva zuva nezuva. Yakawedzerwa-kusunungura macapuleti anowanzo kutorwa kamwe kana kaviri pazuva. Indomethacin capsules, akawedzera-kuburitsa makapisi, uye kumisa kunofanira kutorwa nechikafu, nekukurumidza mushure mekudya, kana neantacids. Tora indomethacin panguva dzakatenderedza nguva dzakafanana mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora indomethacin chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza macapuleti akasunungurwa-akazara; usatsemure, kutsenga, kana kuvapwanya.

Zunza kusimiswa musati mushandisa imwe neimwe kusanganisa mishonga zvakaenzana.

Chiremba wako anogona kuchinja muyero wemishonga yako panguva yekurapa kwako. Mune zvimwe zviitiko, chiremba wako anogona kutanga iwe pane yakaderera dosi ye indomethacin uye zvishoma nezvishoma kuwedzera yako dosi, kwete kazhinji kazhinji kamwe chete pasvondo. Mune zvimwe zviitiko, chiremba wako anogona kutanga iwe paavhareji muyero we indomethacin uye udzikise muyero wako kana zviratidzo zvako zvadzorwa. Tevedza aya madhiri nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo.

Kuti ushandise indomethacin suppositories, tevera nhanho idzi:

  1. Bvisa iyo inoputira.
  2. Dhidza muromo weti suppository mumvura.
  3. Rara pasi kuruboshwe kwako uye simudza ibvi rako rerudyi kuchipfuva chako. (Munhu wekuruboshwe-ruoko anofanira kurara kurudyi nekusimudza ibvi reruboshwe.)
  4. Uchishandisa munwe wako, isa iyo suppository inenge 1 inch (2.5 masentimita) mukati me rectum. Bata panzvimbo yacho kwenguva pfupi.
  5. Simuka mushure memaminitsi gumi nemashanu. Shamba maoko ako zvakanaka uye tangazve ako akajairwa zviitiko.
  6. Iwe unofanirwa kuyedza kuchengeta iyo suppository munzvimbo uye kudzivirira kuva nehuwondo kufamba kweawa rimwe mushure mekuisa iyo yekuwedzera.

Indomethacin zvakare dzimwe nguva inoshandiswa kubvisa fivhiri, kurwadziwa, uye kuzvimba kunokonzerwa nemhando dzakawanda dzezvinhu kana kukuvara, kudzikisa huwandu hwecalcium muropa, uye kurapa imwe mhando yeropa shoma. Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu kune ako mamiriro.

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

Usati watora indomethacin,

  • udza chiremba wako uye wemishonga kana uri weergoria kune indomethacin, asipurini kana dzimwe NSAID dzakadai saibuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn), chero mimwe mishonga, kana chero chinhu chisingashande zvinoshandiswa mune indomethacin capsules, kumiswa, kuwedzerwa kusunungurwa capsules, kana suppositories. Kumbira wemishonga wako kuti uwane runyorwa rwezvinhu zvisina basa.
  • 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 mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu uye chero cheanotevera: angiotensin-inoshandura enzyme (ACE) inhibitors senge benazepril (Lotensin, muLotrel), captopril, enalapril (Vasotec, muVaseretic), fosinopril, lisinopril ( muZestoretic), moexipril (Univasc, muUniretic), perindopril (Aceon, muPrestalia), quinapril (Accupril, muAccuretic, muQuinaretic), ramipril (Altace), uye trandolapril (Mavik, muTarka); angiotensin receptor blockers senge candesartan (Atacand, muAtacand HCT), eprosartan (Teveten), irbesartan (Avapro, muAvalide), losartan (Cozaar. muHyzaar), olmesartan (Benicar, muAzor, muBenicar HCT, muTribenzor), telmisartan (Micardis, muMicardis HCT, muTwynsta), uye valsartan (muDiovan HCT, muEexforge); beta blockers senge atenolol (Tenormin, muTenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, muDutoprol), nadolol (Corgard, muCorzide), uye propranolol (Hemangeol, Inderal, Innopran); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); diuretics ('mapiritsi emvura') senge triamterene (Dyrenium, muDyazide); lithium (Lithobid); methotrexate (Otrexup, Rasuvo, Trexall); phenytoin (Dilantin, Phenytek); uye probenecid (Probalan, muCol-Probenecid). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • udza chiremba wako kana wakamboita asthma, kunyanya kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchimhanyisa mhino kana mapundu emumhino (kuzvimba kwemukati memhino); kutadza kwemoyo; pfari; Chirwere cheParkinson; kushushikana kana chirwere chepfungwa; kana chiropa kana chirwere cheitsvo. Kana iwe uchizenge uchishandisa indomethacin suppositories, udzawo chiremba wako kana iwe wakambove kana wakambove neproctitis (kuzvimba kwerectum) kana kuti kana uine kana kuti uchangobva kuve neropa reropa.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri; kana kuyamwisa. Indomethacin inogona kukuvadza fetus uye inokonzeresa matambudziko nekutakura kana ikatorwa kwemavhiki makumi maviri kana gare gare panguva yepamuviri. Usatore indomethacin uchitenderedza kana mushure memasvondo makumi maviri ekubata, kunze kwekunge waudzwa kudaro nachiremba wako. Kana iwe ukava nepamuviri uchitora indomethacin, fonera chiremba wako.
  • taura nachiremba wako nezve njodzi uye zvakanakira kutora indomethacin kana iwe uine makore makumi matanhatu nemashanu ekuberekwa kana kupfuura. Vakwegura vakuru havafanirwe kutora indomethacin nekuti haina kuchengeteka semimwe mishonga inogona kushandiswa kurapa mamiriro akafanana.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti uri kutora indomethacin.
  • iwe unofanirwa kuziva kuti uyu mushonga unogona kukuita iwe kukotsira. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
  • taura nachiremba wako nezvekushandisa kwakachengeteka kwedoro panguva yekurapwa kwako ne indomethacin. Doro rinogona kuita kuti mhedzisiro ye indomethacin iwedzere.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

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

  • musoro
  • dzungu
  • kurutsa
  • manyoka
  • kuvimbiswa
  • kutsamwa kwe rectum
  • kungogara uchinzwa kudiwa kwekuburitsa ura
  • kurira munzeve

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvataurwa muchikamu CHINOKOSHA CHENYENZO, dana chiremba wako nekukasira. Usatorezve indomethacin kusvikira wataura nachiremba wako.

  • zvisina tsananguro kuwedzera uremu
  • kutadza kufema kana kunetseka kufema
  • kuzvimba mudumbu, makumbo, tsoka, kana makumbo
  • kupindwa nechando
  • mhoni
  • mapundu
  • kuvava
  • mikoko
  • kuzvimba kwemaziso, kumeso, rurimi, miromo, huro, kana maoko
  • kunetseka kufema kana kumedza
  • hoarseness
  • ganda rakachenuruka
  • kukurumidza kurova kwemoyo
  • kuneta zvakanyanya
  • kubuda ropa zvisina kujairika kana kupwanya
  • kushaya simba
  • kusvotwa
  • kurasikirwa nenzara
  • kurwadziwa kumusoro kwepamusoro chikamu chedumbu
  • furu-kunge zviratidzo
  • yero yeganda kana maziso
  • makore, mavara, kana weti ine ropa
  • kurwadziwa shure
  • weti yakaoma kana inorwadza
  • kusaona zvakanaka kana mamwe matambudziko nekuona

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

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).

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

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.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

  • kusvotwa
  • kurutsa
  • musoro
  • dzungu
  • kuvhiringidzika
  • kuneta zvakanyanya
  • kunzwa kwekuva chiveve, kubaya, kupisa, kana kukambaira paganda
  • pfari

Usati waita chero bvunzo yerabhoritari, udza chiremba wako nevashandi veirabhoritari kuti uri kutora indomethacin

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.

  • Indocin®
  • Tivorbex®
Yekupedzisira Yakagadziridzwa - 03/15/2021

Zvinyorwa Zvakakurumbira

Stevens-Johnson Syndrome: Chii icho, Zviratidzo uye Zvinokonzera

Stevens-Johnson Syndrome: Chii icho, Zviratidzo uye Zvinokonzera

teven -John on yndrome idambudziko ri ingawanzo a i rakakomba reganda rinokonzere a maronda akat vuka pamuviri we e uye nedzimwe handuko, enge kunet eka mukufema nefivhiri, izvo zvinogona kukangani a...
Kurapa kwe trigeminal neuralgia kuri sei

Kurapa kwe trigeminal neuralgia kuri sei

Trigeminal neuralgia chirwere chet inga chinoonekwa neku agadzikana kweiyo trigeminal nerve, inova iyo t inga inoiti a kutakura ruzivo rwakakomba kubva kume o kuenda kuuropi, pamu oro pekudzora mha ur...