Munyori: Gregory Harris
Zuva Rekusika: 16 Kubvumbi 2021
Gadziridza Zuva: 21 Chikumi 2024
Anonim
NCLEX Question Review - Desmopressin
Vhidhiyo: NCLEX Question Review - Desmopressin

Zvemukati

Desmopressin nasal inogona kukonzera zvakakomba uye pamwe kutyisidzira hupenyu hyponatremia (yakaderera mwero wesodium muropa rako). Udza chiremba wako kana iwe wakambove kana uine yakaderera sosiidhi muropa rako, une nyota yakawanda yenguva, inwa yakawanda mvura, kana kana iwe uine chirwere cheasina kukodzera antidiuretic hormone (SIADH; mamiriro umo muviri unoburitsa yakawandisa yechimwe chinhu chepanyama chinokonzeresa kuti muviri uchengete mvura), kana chirwere cheitsvo. Uyezve udza chiremba wako kana uine hutachiona, fivha, kana mudumbu kana chirwere chemuura nekurutsa kana manyoka. Udza chiremba wako kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchirapa .

Udza chiremba wako kana uri kutora loop diuretic ("mapiritsi emvura") senge bumetanide, furosemide (Lasix), kana torsemide; steroid inhaled senge beclomethasone (Beconase, QNasl, Qvar), budesonide (Pulmicort, Rhinocort, Uceris), fluticasone (Advair, Flonase, Flovent), kana mometasone (Asmanex, Nasonex); kana steroid yemumuromo yakadai se dexamethasone, methylprednisolone (Medrol), kana prednisone (Rayos). Chiremba wako anogona kukuudza kuti usashandise desmopressin nasal kana iwe uri kushandisa kana kutora imwe yemishonga iyi.


Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira bvunzo kuti atarise yako sodium masosi pamberi uye panguva yekurapa kwako kuti utarise mhinduro yemuviri wako kune desmopressin nasal.

Taura nachiremba wako nezve njodzi (s) dzekushandisa desmopressin nasal.

Desmopressin nasal (DDAVP®) inoshandiswa kudzora zviratidzo zveimwe mhando yechirwere cheshuga insipidus ('mvura chirwere cheshuga'; mamiriro umo muviri unoburitsa huwandu hwakawanda kwazvo weti). Desmopressinnasal (DDAVP®) inoshandiswa zvakare kudzora nyota yakawandisa uye kupfuudzwa kwehuwandu hwakawanda kwazvo weti iyo inogona kuitika mushure mekukuvara kwemusoro kana mushure memamwe marudzi ekuvhiya. Desmopressin nasal (Noctiva®) inoshandiswa kudzora kuwanda kwehusiku kuita weti kune vanhu vakuru vanomutsa kanokwana ka2 pahusiku kuti vaite weti. Desmopressin nasal (Inofungidzira®) inoshandiswa kumisa mamwe marudzi ekubuda ropa mukati mevanhu vane hemophilia (mamiriro umo ropa risingaputike zvakajairika) uye chirwere che von von Willebrand (chirwere chekubuda ropa) nemamwe mazinga eropa. Desmopressin nasal iri mukirasi yemishonga inonzi antidiuretic mahormone. Inoshanda nekutsiva vasopressin, hormone inowanzo gadzirwa mumuviri kubatsira kuyera huwandu hwemvura nemunyu.


Desmopressin nasal inouya semvura inoiswa mukati memhino kuburikidza necyhinal tube (yakatetepa epurasitiki chubhu inoiswa mumhino kupa mushonga), uye semushonga wemhino. Inowanzo shandiswa kamwe chete kana katatu pazuva. Kana desmopressin nasal (Inofungidzira®) inoshandiswa kurapa hemophilia uye von von Willebrand's chirwere, 1 kusvika 2 spray (s) inopihwa zuva nezuva. Kana Stimate® inoshandiswa usati wavhiyiwa, inowanzo kupihwa maawa maviri nzira isati yaitwa. Kana desmopressin nasal (Noctiva®) inoshandiswa kurapa weti nguva zhinji husiku, imwe pfapfaidzo inowanzo kupihwa mune yekuruboshwe kana kurudyi mhino maminetsi makumi matatu usati warara. Shandisa desmopressin nasal panguva dzakatenderedza nguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Shandisa nasal desmopressin chaizvo sezvakarairwa. Usashandise zvishoma kana zvishoma kana kuishandisa kakawanda kupfuura zvakatemwa nachiremba wako.

Desmopressin nasal spray (Noctiva) inowanikwa mumasimba maviri akasiyana. Izvi zvigadzirwa hazvigone kutsiva mumwe nemumwe. Nguva imwe neimwe paunonyorwa mushonga wako, ita shuwa kuti wagamuchira chigadzirwa chaicho. Kana iwe uchifunga kuti wakagamuchira simba risiri iro, taura nachiremba wako uye wemishonga ipapo ipapo.


Chiremba wako anogona kukutangisa pane yakaderera dosi ye desmopressin nasal uye gadzirisa yako dosi zvichienderana nemamiriro ako. Tevera mazano aya zvakanyatsonaka.

Kana iwe uchizenge uri kushandisa yemhino pfapfaidzo, iwe unofanirwa kutarisa ruzivo rwemugadziri kuti uone kuti mangani mapiritsi ane bhodhoro rako rine. Chengetedza uwandu hwezvipfapfaidzo zvaunoshandisa, kusasanganisira iyo yekutanga mapiritsi. Rasa bhodhoro mushure mekushandisa iyo yakataurwa nhamba yezvipfapfaidzo, kunyangwe ichine imwe mishonga, nekuti mamwe mapiritsi anogona kunge asina huwandu hwakazara hwemushonga. Usaedze kuendesa mushonga wakasara kune rimwe bhodhoro.

Usati washandisa desmopressin nasal kekutanga, verenga yakanyorwa mirairo inouya nemushonga. Ive neshuwa kuti iwe unonzwisisa maitiro ekugadzirira bhodhoro usati washandisa kwekutanga uye mashandisiro ekushandisa pfapfaidzo kana rhinal chubhu. Kumbira chiremba wako kana wemishonga kana iwe uine chero mibvunzo nezvekuti ungashandise sei mushonga uyu.

Mushonga uyu dzimwe nguva unonyorerwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati washandisa desmopressin nasal,

  • udza chiremba wako uye wemishonga kana iwe uri weergoria kune desmopressin, chero mimwe mishonga, kana chero chinhu chinosanganiswa mu desmopressin nasal spray. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Ive neshuwa yekutaura mishonga yakanyorwa mune CHINOKOSHA CHENYENZO chikamu uye chero cheanotevera: asipurini uye mamwe asiri -steroidal anti-anogumbura zvinodhaka (NSAIDs) senge ibuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn); carbamazepine (Equetro, Tegretol, Teril); chlorpromazine; mimwe mishonga inoshandiswa mumhino; lamotrigine (Lamictal); narcotic (opiate) mishonga yekurwadziwa; inosarudza serotonin reuptake inhibitors (SSRIs) senge citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine, paroxetine (Paxil), uye sertraline (Zoloft); thiazide diuretics ('mapiritsi emvura') akadai sehydrochlorothiazide (Microzide, zvigadzirwa zvakawanda zvinosanganiswa), indapamide, uye metolazone (Zaroxolyn); kana tricyclic antidepressants ('mood elevators') senge amitriptyline, desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), kana trimipramine (Surmontil). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • udza chiremba wako kana iwe wakambokundikana nemoyo, yakakwira BP, kana chirwere chemwoyo. Chiremba wako angangokuudza kuti usashandise desmopressin nasal.
  • udza chiremba wako kana iwe kana wakambove nekuchengetwa kwehurini kana cystic fibrosis (chirwere chinoberekwa chinokonzera matambudziko nekufema, kugaya, uye kubereka). Uyezve udza chiremba wako kana iwe uchangobva kuvhiyiwa musoro kana kumeso, uye kana uine rakaputirwa kana kumhanyisa mhino, vanga kana kuzvimba kwemukati memhino, kana atrophic rhinitis (mamiriro umo mheto yemhino inoderera uye mukati memhino inozadzwa nemakakaoma). Fonera chiremba wako kana iwe ukagadzira yakakomberedzwa kana inomhanya mhino chero nguva panguva yekurapa kwako.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri iwe uchishandisa desmopressin, fonera chiremba wako.

Chiremba wako anogona kukuudza kuti udzikise huwandu hwemvura yaunonwa, kunyanya manheru, panguva yekurapa kwako ne desmopressin. Tevera zvirevo zvechiremba wako zvakanyatsonaka kuti udzivise zvakakomba mhedzisiro

Kana iwe uri kushandisa desmopressin nasal (DDAVP®) kana (Stimate®) uye ukarasikirwa neiyo dose, shandisa iyo yakarasika dhizai nekukurumidza kana uchinge uchayeuka izvozvo. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usashandise dhivhosi mbiri kugadzira iyo yakarasika imwe.

Kana iwe uri kushandisa desmopressin nasal (Noctiva®) uye wosuwa dosi, svetuka iro rakarasika uye tora iyo inotevera dosi panguva yako yenguva dzose. Usashandise dhivhosi mbiri kugadzira iyo yakarasika imwe.

Desmopressin nasal inogona kukonzera mhedzisiro. Fonera chiremba wako kana chimwe chezviratidzo zvinotevera chakanyanya kana kuti chisingaendi:

  • kurwadziwa nemudumbu
  • chirungurira
  • kushaya simba
  • kunetseka kurara kana kuramba wakarara
  • kunzwa kudziya
  • mumhino
  • kurwadziwa nemhino, kusagadzikana, kana kuzara
  • maziso anonamira kana asina kupenya
  • kurwadziwa shure
  • kurwadziwa pahuro, kukosora, kutonhora, kana zvimwe zviratidzo zvehutachiona
  • kufashaira

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, fonera chiremba wako nekukasira:

  • kurutsa
  • kurwadziwa pachipfuva
  • kutsanya kana kurova kurova kwemoyo
  • mapundu
  • mikoko
  • kuvava
  • kunetseka kufema kana kumedza

Desmopressin nasal inogona kukonzera mamwe mhedzisiro. Udza chiremba wako kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona

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).

Chengeta mapiritsi emumhino mumudziyo waakauya mairi, akasungwa akavharwa, uye pasingasvikike nevana.

Chengetedza Zvakasimba® mhino yemvura yakatwasuka pakamuri remukati tembiricha kuti isapfuure 25 ° C; rasa pfapfaidzo yemumhino mwedzi mitanhatu mushure mekuivhura.

Chengetedza DDAVP® nasal spray yakamira pa20 kusvika 25 ° C. Chengetedza DDAVP® rhinal chubhu pa2 kusvika 8 ° C; mabhodhoro akavharwa akatsiga kwemavhiki matatu pa20 kusvika 25 ° C.

Usati wavhura Noctiva® nasal spray, chengeta yakatwasuka pa2 kusvika 8 ° C. Mushure mekuvhura Noctiva®, chengetedza pfapfaidzo yemhino yakamira pa20 kusvika 25 ° C; urase mushure memazuva makumi matanhatu.

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-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 nekusvikwa 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 wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

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:

  • kuvhiringidzika
  • kutsimwaira
  • musoro
  • kunetseka kuita weti
  • kamwe kamwe kuwedzera uremu
  • pfari

Usarega mumwe munhu achishandisa 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.

  • Kutya®
  • DDAVP® Nasal
  • Minirin® Nasal
  • Noctiva® Nasal
  • Stimate® Nasal

Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.

Yekupedzisira Yakagadziridzwa - 05/24/2017

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