Munyori: Marcus Baldwin
Zuva Rekusika: 16 Chikumi 2021
Gadziridza Zuva: 4 Mbudzi 2024
Anonim
Ketorolac Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
Vhidhiyo: Ketorolac Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

Zvemukati

Ketorolac inoshandiswa kuzorodza kwenguva pfupi yekurwadziwa zvine mwero uye haifanire kushandiswa kwenguva yakareba kupfuura mazuva mashanu, yekurwadziwa zvishoma, kana kwekurwadziwa kubva kumamiriro asingagumi (kwenguva refu). Iwe unozogamuchira yako ekutanga madosi e ketorolac ne intravenous (kupinda mutsinga) kana intramuscular (kupinda mumhasuru) jekiseni muchipatara kana hofisi yekurapa. Mushure meizvozvo, chiremba wako anogona kusarudza kuenderera mberi nekurapwa nemuromo ketorolac. Iwe unofanirwa kurega kutora mukanwa ketorolac pazuva rechishanu mushure mekunge wagamuchira yako yekutanga ketorolac jekiseni. Taura nachiremba wako kana uchiri kurwadziwa mushure memazuva mashanu kana kana kurwadziwa kwako kusingadzorwe nemushonga uyu. Ketorolac inogona kukonzera zvakakomba mhedzisiro, kunyanya kana ikatorwa zvisizvo.Tora ketorolac chaizvo sezvakarairwa. Usatore zvimwe zvacho kana kuitora kakawanda kupfuura zvakatemwa nachiremba wako.

Vanhu vanotora nonsteroidal anti-inflammatory drug (NSAIDs) (kunze kweaspirin) senge ketorolac 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 ketorolac kana iwe uchangobva kuve nechirwere chemwoyo, kunze kwekunge waudzwa kuti uite kudaro nachiremba wako. Udza chiremba wako kana iwe kana mumwe munhu mumhuri yako ane kana akambove nechirwere chemwoyo, chirwere chemwoyo, kana sitiroko kana 'ministerroke;' kana uchisvuta; uye kana wakambove necholesterol yakakwira, BP, kubuda ropa kana kugwamba, 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 uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti uri kutora ketorolac. Kana iwe uchinge uri kuita coronary artery bypass graft (CABG; rudzi rwekuvhiyiwa kwemoyo), haufanire kutora ketorolac iko pamberi kana kurudyi mushure mekuvhiyiwa.

NSAID dzakadai se ketorolac 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. Njodzi inogona kuve yakakwira kune vanhu vanotora maNSAID kwenguva yakareba, vakura zera, vane hutano husina kunaka, kana kunwa doro rakawanda vachitora ketorolac. Udza chiremba wako kana ukanwa chero wemishonga inotevera: anticoagulants ('blood thinners') senge warfarin (Coumadin, Jantoven); aspirin; 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). Usatore maaspirin kana mamwe maNSAID akadai sebuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn) paunenge uchitora ketorolac. Uyezve udza chiremba wako kana wakambove nemaronda kana kubuda ropa mudumbu kana mumatumbu. Kana ukasangana nechimwe chezviratidzo zvinotevera, rega kutora ketorolac uye fonera chiremba wako: kurwadziwa nemudumbu, chirungurira, kurutsa kune ropa kana kutaridzika senzvimbo yekofi, ropa riri muchitsiko, kana zvituru zvitema uye zvekugara.


Ketorolac inogona kukonzera itsvo kutadza. Udza chiremba wako kana uine chirwere cheitsvo kana chiropa, kana wakarutsa zvakanyanya kana kuita manyoka kana uchifunga kuti unogona kupera mvura mumuviri, uye kana uri kutora enzyme inoshandura angiotensin (ACE) yakadai sa benazepril (Lotensin, muLotrel), Enalapril ); kana diuretics ('mapiritsi emvura'). Kana ukasangana nechimwe chezviratidzo zvinotevera, rega kutora ketorolac uye fonera chiremba wako: kuzvimba kwemaoko, maoko, tsoka, makumbo, kana makumbo ezasi; kusanzwisisika kurema kuwedzera; kuvhiringidzika; kana kufenda.

Vamwe vanhu vane zvakanyanya kukanganiswa kweakorokori. Udza chiremba wako kana uri weergoria kune ketorolac, aspirin kana dzimwe NSAID dzakadai seibuprofen (Advil, Motrin) kana naproxen (Aleve, Naprosyn), kana chero mimwe mishonga. Uyezve udza chiremba wako kana iwe wakambove neasthma, kunyanya kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchimhanyisa mhino kana mhino mapapu (kuzvimba kwemukati wemhino). Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, rega kutora ketorolac uye fonera chiremba wako ipapo ipapo: mapundu; mikoko; kuvava; kuzvimba kwemaziso, kumeso, pahuro, rurimi, maoko, maoko, makumbo, kana makumbo ezasi; kunetseka kufema kana kumedza; kana kushatirwa.


Usamwisa mwana paunenge uchitora ketorolac.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anozotarisa zviratidzo zvako zvakanyatsonaka uye angango kuraira kumwe kuyedzwa kuti utarise mhinduro yemuviri wako kune ketorolac. 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 gwaro reruzivo rwevarwere (reMedicine Gwara) paunotanga kurapwa neketorolac uye nguva yega yega 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) kuti utore Gwaro reMishonga.

Ketorolac inoshandiswa kugadzirisa marwadzo akaomarara zvakanyanya, kazhinji mushure mekuvhiyiwa. Ketorolac iri mukirasi yemishonga inonzi NSAIDs. Inoshanda nekumisa kugadzirwa kwemuviri kwechinhu chinokonzeresa kurwadziwa, kupisa muviri, uye kuzvimba.

Ketorolac inouya sehwendefa kutora nemuromo. Inowanzo kutorwa ese mana kusvika maawa matanhatu pane imwe purogiramu kana seinodiwa pakurwadziwa. Kana iwe uri kutora ketorolac pane purogiramu, tora iyo panguva dzakatenderedza nguva dzakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise.

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

Usati watora ketorolac,

  • udza chiremba wako kana uri kutora pentoxifylline (Pentoxil) kana probenecid (Probalan, muCol-Probenecid). Chiremba wako angangokuudza kuti usatore ketorolac kana uri kutora imwe kana yakawanda yemishonga iyi.
  • 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 yeanotevera: antidepressants; angiotensin inoshandura enzyme (ACE) inhibitors senge benazepril (Lotensin, muLotrel), captopril, enalapril (Vasotec, muVaseretic), fosinopril, lisinopril (muZestoretic), moexipril (Univasc), perindoprin (Aceon, (Accupril, 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 (muEexforge HCT); beta blockers senge atenolol (Tenormin, muTenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, muDutoprol), nadolol (Corgard, muCorzide), uye propranolol (Hemangeol, Inderal, InnoPran); mishonga yekushushikana kana chirwere chepfungwa; mishonga yekubatwa kwakadai sa carbamazepine (Epitol, Tegretol, Teril, vamwe) kana phenytoin (Dilantin, Phenytek); methotrexate (Otrexup, Rasuvo, Trexall); kunyaradza; mapiritsi ekurara; uye zvinodzivirira. Chiremba wako angangoda kushandura kuyerwa kwemishonga yako kana kukutarisisa zvakanyatso chenjera mhedzisiro.
  • udza chiremba wako kana iwe wakambove kana nemamiriro ezvinhu ataurwa muchikamu CHINOKOSHA CHENYENZO kana kukundikana kwemoyo kana kuzvimba kwemaoko, tsoka, makumbo, kana makumbo ezasi.
  • udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri; kana kuyamwisa. Ketorolac inogona kukuvadza fetus uye inokonzeresa matambudziko nekutakura kana ikatorwa kwemavhiki makumi maviri kana gare gare panguva yepamuviri. Usatore ketorolac uchitenderedza kana mushure memasvondo makumi maviri ekubata, kunze kwekunge waudzwa kudaro nachiremba wako. Kana iwe ukava nepamuviri uchitora ketorolac, fonera chiremba wako.
  • taura nachiremba wako nezve njodzi uye zvakanakira kutora ketorolac kana iwe uine makore makumi matanhatu nemashanu ekuberekwa kana kupfuura. Vakwegura vakuru havafanirwe kutora ketorolac nekuti haina kuchengetedzeka semimwe mishonga inogona kushandiswa kurapa mamiriro akafanana.
  • iwe unofanirwa kuziva kuti uyu mushonga unogona kukuita iwe kukotsira kana kuita dzungu. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
  • taura nachiremba wako nezve kushandiswa kwakachengeteka kwedoro uchitora mushonga uyu. Doro rinogona kuita kuti mhedzisiro yemaketorolac iwedzere.

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

Kana chiremba wako akakuudza kuti utore ketorolac nguva dzose, 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.

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

  • musoro
  • dzungu
  • kutsimwaira
  • manyoka
  • kuvimbiswa
  • gasi
  • maronda mumuromo
  • vangadikitira

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvinotevera, kana izvo zvataurwa muchikamu CHINOKOSHA CHENYENZO, fonera chiremba wako nekukasira. Usatore chero ketorolac kusvikira wataura nachiremba wako.

  • kupindwa nechando
  • mhoni
  • zvisina tsananguro kuwedzera uremu
  • kutadza kufema kana kunetseka kufema
  • kuzvimba mudumbu, makumbo, tsoka, kana makumbo
  • yero yeganda kana maziso
  • kuneta zvakanyanya
  • kubuda ropa zvisina kujairika kana kupwanya
  • kushaya simba
  • kusvotwa
  • kurasikirwa nenzara
  • kurwadziwa kumusoro kwepamusoro chikamu chedumbu
  • furu-kunge zviratidzo
  • ganda rakachenuruka
  • kukurumidza kurova kwemoyo
  • makore, mavara, kana weti ine ropa
  • kurwadziwa shure
  • weti yakaoma kana inorwadza

Ketorolac 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
  • kurwadziwa nemudumbu
  • reropa, nhema, kana zvigaro zvekugara
  • rutsa rune ropa kana rwunoita kunge kofi nzvimbo
  • kutsimwaira
  • kunonoka kufema kana kukurumidza, kufema kwakadzika
  • coma (kurasikirwa kwekuziva kwenguva yakati)

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.

  • Toradol®

Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.

Yekupedzisira Yakagadziridzwa - 03/15/2021

Positi Dzakakurumbira

Chii chinonzi Kudzivirira Kusungirirwa?

Chii chinonzi Kudzivirira Kusungirirwa?

Zvinonyat o kuzivikanwa kuti hukama hunogadzirwa nemwana mumakore ekutanga ehupenyu hwavo hune imba rakadzama pahupenyu hwavo hwakareba. Kana vacheche vaine mukana wevanodziya, vanoteerera vanochenget...
Maitiro Ekutarisana Nekutya Kwechiremba wemazino

Maitiro Ekutarisana Nekutya Kwechiremba wemazino

Hutano hwemuromo hunowanzo kutorwa eimwe yezvinhu zvakako ha zvehutano hwedu hwe e. Nekudaro, pamwe ekupararira kuri kutya kwachiremba wemazino. Uku kutya kwakajairika kunogona kubva kune akati wandei...