Munyori: Joan Hall
Zuva Rekusika: 1 Kukadzi 2021
Gadziridza Zuva: 28 Ndira 2025
Anonim
Diltiazem Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
Vhidhiyo: Diltiazem Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

Zvemukati

Diltiazem inoshandiswa kurapa kukwirisa kweropa uye kudzora angina (kurwadziwa pachipfuva). Diltiazem iri mukirasi yemishonga inonzi calcium-chiteshi blockers. Inoshanda nekuzorodza tsinga dzeropa saka moyo haufanire kupomba zvakanyanya. Inowedzerawo kupihwa kweropa neoksijeni kumoyo.

Kuwedzera kweropa BP chiitiko chakajairika, uye chikasarapwa chinogona kukuvadza huropi, moyo, tsinga dzeropa, itsvo, nedzimwe nhengo dzemuviri. Kukuvara kwenhengo idzi kunogona kukonzera chirwere chemoyo, chirwere chemwoyo, kukundikana kwemoyo, sitiroko, itsvo kutadza, kurasikirwa kwemaonero, uye mamwe matambudziko. Kunze kwekutora mishonga, kuita mararamiro ehupenyu kuchabatsira zvakare kudzora yako BP. Shanduko idzi dzinosanganisira kudya chikafu chisina mafuta nemunyu, kuchengetedza huremu hune hutano, kudzidzira maminetsi makumi matatu mazuva mazhinji, kusasvuta, uye kushandisa doro zvine mwero.

Diltiazem inouya sehwendefa, yakawedzera-kuburitsa (yakareba-inoshanda) piritsi, uye yakawedzera-kuburitsa kapuleti kutora nemuromo. Iyo piritsi yenguva dzose inowanzo kutorwa katatu kana kana katatu pazuva. Iyo yakawedzeredzwa-kuburitswa capsule uye piritsi zvinowanzo kutorwa kamwe kana kaviri pazuva. Kumbira wemishonga wako kana uchifanira kutora diltiazem uine kana usina chikafu, nekuti mirairo inogona kusiyana nechinhu chimwe nechimwe. Tora diltiazem panguva dzakatenderedza nguva imwechete mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora diltiazem chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.


Medza macapuleti akasunungurwa-uye mapiritsi akazara; usatsvage kana kuapwanya.

Chiremba wako angangotanga iwe padosi yakaderera ye diltiazem uye zvishoma nezvishoma uwedzere dhizaini yako, kwete kanopfuura kamwe chete mazuva manomwe kusvika gumi nemana kana iwe uri kutora yakawedzera-kuburitsa piritsi kana capsule uye kwete kanopfuura kamwe chete mazuva 1 kusvika maviri kana iwe vari kutora hwendefa yenguva dzose.

Kana ikatorwa nguva dzose, diltiazem inogona kudzora kurwadziwa kwepfupa, asi haimise kurwadziwa kwepfupa kana yatanga. Chiremba wako anogona kukupa iwe mumwe mushonga wekutora 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 uchirapa

Diltiazem inodzora kukwirira kweropa uye kurwadziwa pachipfuva (angina) asi haivarape. Zvinogona kutora kusvika kumavhiki maviri usati wanzwa kubatsirwa kuzere kwedeltiazem. Ramba uchitora diltiazem kunyangwe iwe uchinzwa zvakanaka. Usarega kutora diltiazem usina kutaura nachiremba wako.

Diltiazem zvakare dzimwe nguva inoshandiswa kurapa mamwe marudzi e arrhythmias (asina kujairika moyo mutinhimira). 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 diltiazem,

  • udza chiremba wako uye wemishonga kana iwe uri weergoria kune diltiazem, chero mimwe mishonga, kana chero chinhu chinosanganiswa mu diltiazem. 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 chero yeanotevera: atazanavir (Reyataz); benzodiazepines senge midazolam (Vhesi) uye triazolam (Halcion); beta blockers senge atenolol (Tenormin, muTenoretic), labetalol, metoprolol (Lopressor, Toprol XL, muDutoprol), nadolol (Corgard, muCorzide), uye propranolol (Inderal, Innopran, muInderide); buspirone; carbamazepine (Carbatrol, Epitol, Equetro, Tegretol); cimetidine (Tagamet); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); lovastatin (Altoprev, Mevacor, muna Advicor); quinidine (muNuedexta); uye rifampin (Rifadin, muRifamate, muRifater, Rimactane). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kusangana ne diltiazem, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
  • udza chiremba wako kana iwe wakambove kana uine myocardial infarction (MI); kudzikira kana kuvharika kwegadziriro yako yekugaya kana chero imwe mamiriro ezvinhu anokonzeresa chikafu kufamba nemudumbu wako zvishoma nezvishoma; yakaderera BP; kana moyo, chiropa, kana hosha yeitsvo.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora diltiazem, danaidza chiremba wako.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba wako kana chiremba wemazino kuti urikutora diltiazem.

Kana chiremba wako akaraira yakaderera-munyu kana yakaderera-sodium kudya, tevera aya maratidziro nokungwarira.


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.

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

  • dzungu kana hurema
  • kufashaira
  • musoro
  • kushaya simba
  • kunonoka kurova kwemoyo
  • kurutsa
  • manyoka
  • kuvimbiswa
  • kuzara mumhino
  • kukosora

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza kana kuwana kurapwa kwekukurumidzira:

  • kuzvimba kwechiso, maziso, miromo, rurimi, maoko, maoko, tsoka, makumbo, kana makumbo ezasi
  • kunetseka kufema kana kumedza
  • kufenda
  • mapundu
  • yero yeganda kana maziso
  • kusvotwa
  • kuneta zvakanyanya
  • kubuda ropa zvisina kujairika kana kupwanya
  • kushaya simba
  • kurasikirwa nenzara
  • kurwadziwa kumusoro kwepamusoro chikamu chedumbu
  • furu-kunge zviratidzo
  • kuwedzera muhuwandu kana kuomarara kwekurwadziwa kwepfupa (angina)

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 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

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.

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:

  • inononoka, inokurumidza, kana isina kujairika kurova kwemoyo
  • kufenda
  • kunetseka kufema
  • pfari
  • dzungu
  • kuvhiringidzika
  • kusvotwa
  • kurutsa
  • kuwedzera kudikitira

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Ropa rako rinoda kuongororwa nguva nenguva kuti uone mhinduro yako kune diltiazem.

Chiremba wako anogona kukukumbira kuti utarise kupomba kwako (kurova kwemoyo) zuva nezuva uye anokuudza kuti zvinomhanyisa sei. Kana kupisa kwako kuchinonoka kupfuura zvazvinofanira kuva, danaidza chiremba wako kuti utungamire pakutora diltiazem musi iwoyo. Kumbira chiremba wako kana wemishonga kuti akudzidzise kuti ungatarise sei kupisa kwako.

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.

  • Cardizem®
  • Cardizem® CD
  • Cardizem® LA
  • Cardizem® SR
  • Cartia® XT
  • Dilacor® XR
  • Yakatsva-CD®
  • Diltzac®
  • Taztia® XT
  • Tiamate®
  • Tiazac®
  • Teczem® (iine Diltiazem, Enalapril)

Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.

Yekupedzisira Yakagadziridzwa - 10/15/2017

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