He aha ka Diltiazem (Ala Intravenous): Nā Hoʻohana, Dosage, Nā hopena ʻaoʻao a me nā mea hou aku

ʻO Diltiazem intravenous (IV) he lāʻau lapaʻau naʻau i hāʻawi pololei ʻia i loko o kou vein ma o kahi paipu lahilahi i kapa ʻia he laina IV. Hana wikiwiki kēia ʻano diltiazem e hoʻolohi i kou puʻuwai a kōkua i ka mālama ʻana i kekahi mau pilikia o ka puʻuwai i ka wā e pono ai lākou i ka nānā koke.

Hoʻohana nā mea mālama ola i ka IV diltiazem i nā wahi haukapila ke pono ʻoe i ka mana wikiwiki o ka puʻuwai. He mea kōkua nui ia i ka wā pilikia olakino a i ʻole ke hana wikiwiki ʻole nā lāʻau lapaʻau waha no kou maʻi.

He aha ka Diltiazem?

No ka hui o nā lāʻau lapaʻau i kapa ʻia ʻo calcium channel blockers ʻo Diltiazem. Hana kēia mau lāʻau lapaʻau ma ka pale ʻana i ka calcium mai ke komo ʻana i kekahi mau cell i kou puʻuwai a me nā kīʻaha koko, e kōkua ana i kou puʻuwai e paʻi mālie a maʻamau.

ʻO ke ʻano intravenous ka mana wai o kēia lāʻau lapaʻau e hele pololei i loko o kou kahe koko. Hiki i kēia ke hoʻomaka e hana i loko o nā minuke, ʻaʻole like me nā pills e lōʻihi ka manawa e komo ai ma o kāu ʻōnaehana digestive.

E noʻonoʻo i nā calcium channel blockers e like me nā mea hoʻoponopono kaʻa mālie no kou puʻuwai. Kōkua lākou i ka mālama ʻana i nā hōʻailona uila e hana ai kou puʻuwai, e hōʻoia ana ʻaʻole ia e heihei wikiwiki loa i ka wā ʻaʻole pono.

No ke aha e hoʻohana ʻia ai ka Diltiazem?

Hoʻohana nui ʻia ka IV diltiazem e mālama i ka atrial fibrillation a me ka atrial flutter - ʻelua ʻano o ka puʻuwai wikiwiki ʻole, e hoʻomaka ana i nā keʻena luna o kou puʻuwai. Ke paʻi wikiwiki kou puʻuwai, ʻaʻole hiki iā ia ke pauma i ke koko i ke koena o kou kino.

Hiki i kāu kauka ke hoʻohana i kēia lāʻau lapaʻau e mālama i kou puʻuwai i ka wā o kekahi mau kaʻina hana lapaʻau a i ʻole nā ʻoki. He mea kōkua nui ia ke loaʻa iā ʻoe kahi hanana puʻuwai e pono ai ka nānā koke a ʻaʻole hiki ke kali i nā lāʻau lapaʻau waha e hana.

I kekahi mau hihia, hoʻohana nā mea mālama ola i ka IV diltiazem no ka supraventricular tachycardia (SVT), he ʻano ʻē aʻe o ka puʻuwai wikiwiki. Hoʻokumu kēia maʻi i ka hoʻomaka koke ʻana o kou puʻuwai e paʻi wikiwiki loa, pinepine ma luna o 150 paʻi i kēlā me kēia minuke.

Pehea e Hana ai ʻo Diltiazem?

Ua manaʻo ʻia ʻo Diltiazem he lāʻau lapaʻau puʻuwai ikaika, e hana ana ma ka pale ʻana i nā kahawai calcium i loko o kou ʻiʻo puʻuwai a me nā paia o nā kīʻaha koko. Ke hiki ʻole ke komo maʻalahi ka calcium i loko o kēia mau cell, ʻaʻole e ʻaelike kou puʻuwai me ka ikaika a paʻi mālie.

Hoʻopā pololei ka lāʻau lapaʻau i ke ala uila i loko o kou puʻuwai i kapa ʻia ʻo ka AV node, e hana ana e like me ka mea kiaʻi ma waena o nā keʻena luna a me lalo. Ma ka hoʻolohi ʻana i nā hōʻailona ma kēia ala, kōkua ʻo diltiazem i ka pale ʻana i kou puʻuwai mai ka paʻi wikiwiki loa.

I loko o 2-5 mau minuke o ka loaʻa ʻana o IV diltiazem, e hoʻomaka ana ʻoe e ʻike i ka lohi ʻana o kou puʻuwai. ʻO ka hopena piha e hana maʻamau i loko o 15 mau minuke, a hiki i nā pōmaikaʻi ke mau no 1-3 mau hola e pili ana i kāu pane pilikino.

Pehea e Lawe ai au i ka Diltiazem?

ʻAʻole ʻoe e

He mea maʻamau ka diltiazem IV i ka lāʻau lapaʻau pōkole i hoʻohana ʻia i nā pilikia olakino a i ʻole nā hana. Loaʻa i ka hapa nui o nā kānaka hoʻokahi a ʻelua paha mau lāʻau e mālama i ko lākou puʻuwai i ka wā o kahi hanana koʻikoʻi.

Inā hoʻomau nā pilikia o kāu puʻuwai, e hoʻololi paha kāu kauka iā ʻoe i ka diltiazem waha a i ʻole kekahi lāʻau lōʻihi no ka puʻuwai ke paʻa ke kūlana. He mea like ka ʻano IV me ka lāʻau alahaka - kōkua ia i ka mālama ʻana i kou puʻuwai i ka wā e hoʻomohala ai kāu hui lapaʻau i kahi hoʻolālā lōʻihi.

E hoʻoholo kāu mea mālama ola i ka lōʻihi o kou pono i ka lāʻau lapaʻau ma muli o ke ʻano o ka pane ʻana o kou puʻuwai a me ke kumu o kou pilikia.

He aha nā hopena ʻaoʻao o Diltiazem?

Hoʻomanawanui ka hapa nui o nā kānaka i ka diltiazem IV, akā e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO nā mea maʻamau āu e ʻike ai e pili ana i ka loli ʻana o kou puʻuwai a me ke koko.

Eia nā hopena ʻaoʻao āu e ʻike ai, me ka noʻonoʻo ʻana e nānā pono kāu hui lapaʻau i kēia mau mea:

• Ke koko haʻahaʻa (hypotension), e hiki ai iā ʻoe ke ʻoluʻolu a i ʻole ka māmā
• He puʻuwai e lilo ana i lohi loa (bradycardia)
• ʻO ka ʻoluʻolu a i ʻole ke kaomi ʻana o ka umauma
• Nausea a i ʻole ka manaʻo ʻoluʻolu
• Poʻo
• Hoʻomaʻemaʻe a i ʻole ka mahana i kou maka a me kou ʻāʻī

Hoʻoponopono pinepine kēia mau hopena ʻaoʻao maʻamau i ka wā e hoʻoponopono ai kou kino i ka lāʻau lapaʻau. ʻIke kāu hui mālama ola pehea e mālama ai iā lākou inā lilo lākou i mea hoʻonāukiuki.

ʻOiai he mea maʻamau, hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao koʻikoʻi e pono ai ka lāʻau lapaʻau koke:

• Ka emi nui ʻana o ke koko e hoʻopilikia ana i ka nāwaliwali
• Ka helu puʻuwai e lilo ana i mea lohi loa (ma lalo o 50 paʻi i kēlā me kēia minuke)
• Paʻa puʻuwai (nā pilikia me nā hōʻailona uila i kou puʻuwai)
• Nā hopena maʻi maʻi nui me ka pilikia o ka hanu ʻana a i ʻole ka pehu ʻana
• Hoʻonui ʻia nā hōʻailona o ka hāʻule ʻana o ka puʻuwai e like me ka pōkole o ka hanu ʻana

E hoʻomanaʻo, ke loaʻa nei iā ʻoe kēia lāʻau lapaʻau i loko o kahi wahi lapaʻau kahi e hiki ai i nā poʻe loea i hoʻomaʻamaʻa ʻia ke pane koke i nā hōʻailona e hopohopo ai.

ʻO wai ka mea pono ʻole e lawe iā Diltiazem?

He nui nā maʻi lapaʻau e hoʻolilo i ka IV diltiazem i mea palekana ʻole a i ʻole e koi i nā hana kūikawā. E nānā pono kāu kauka i kāu mōʻaukala lapaʻau ma mua o ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe.

ʻAʻole pono ʻoe e loaʻa iā IV diltiazem inā loaʻa iā ʻoe kekahi o kēia mau maʻi:

• Paʻa puʻuwai nui (nā pilikia me ka ʻōnaehana uila o kou puʻuwai)
• Ka helu puʻuwai lohi loa (ma lalo o 50 paʻi i kēlā me kēia minuke) me ka ʻole o ka pacemaker
• Ke koko haʻahaʻa nui
• Hāʻule puʻuwai nui a i ʻole ka haʻalulu cardiogenic
• ʻIke ʻia ka maʻi i ka diltiazem a i ʻole nā lāʻau lapaʻau like

E hoʻohana kāu kauka i ka akahele keu inā loaʻa iā ʻoe ka hāʻule ʻana o ka puʻuwai, nā pilikia o ka puʻupaʻa, a i ʻole ka maʻi ate, no ka mea, hiki i kēia mau maʻi ke hoʻopilikia i ke ʻano o kou kino e hana ai i ka lāʻau lapaʻau.

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, e ana kāu mea mālama ola i nā pōmaikaʻi e kūʻē i nā pilikia hiki ke loaʻa ma mua o ka hoʻohana ʻana iā IV diltiazem. ʻOiai ʻaʻole ʻike ʻia e hana i nā kīnā hānau, hele ia i loko o ka waiū umauma i nā mea liʻiliʻi.

Nā inoa inoa o Diltiazem

Loaʻa pinepine ka ʻano intravenous o diltiazem ma lalo o ka inoa inoa Cardizem IV. Eia naʻe, hoʻohana ka nui o nā haukapila a me nā keʻena lapaʻau i ka mana generic, aia ka mea hana like a hana like.

Hiki nō iā ʻoe ke lohe i nā mea mālama ola e ʻōlelo ana iā ia he "IV dilt" a i ʻole "diltiazem drip" i ke kūkākūkā ʻana i kāu lapaʻau. ʻAʻole mea nui ka inoa inoa kikoʻī e like me ka hōʻoia ʻana e loaʻa iā ʻoe ka lāʻau kūpono no kou maʻi.

Nā Koho ʻē aʻe no Diltiazem

Hiki ke hoʻohana ʻia kekahi mau lāʻau ʻē aʻe ma kahi o IV diltiazem e kāohi i nā puʻuwai wikiwiki. E koho kāu kauka i ke koho maikaʻi loa e pili ana i kāu ʻano pilikia puʻuwai a me ke olakino holoʻokoʻa.

ʻO nā koho maʻamau e komo pū ana me metoprolol IV, he beta-blocker e hoʻolohi pū ana i ka puʻuwai akā hana ma o kahi ʻano ʻokoʻa. ʻO Adenosine kekahi koho no kekahi mau ʻano puʻuwai wikiwiki, akā hana wikiwiki a pōkole.

No kekahi poʻe, hiki ke noʻonoʻo ʻia ka cardioversion uila (he haʻalulu uila i kāohi ʻia e hoʻoponopono hou i ka puʻuwai) ma kahi o nā lāʻau lapaʻau. E wehewehe kāu hui lapaʻau i ke kumu i koho ai lākou iā diltiazem ma mua o nā koho ʻē aʻe no kou kūlana.

ʻOi aku ka maikaʻi o Diltiazem ma mua o Metoprolol?

He kūpono ʻo Diltiazem a me metoprolol no ka mālama ʻana i nā puʻuwai wikiwiki, akā hana lākou i nā ʻano like ʻole a loaʻa nā pōmaikaʻi ʻokoʻa. Makemake pinepine ʻia ʻo Diltiazem no ka fibrillation atrial no ka mea maikaʻi loa ia i ka hoʻolohi ʻana i nā hōʻailona ma waena o nā keʻena luna a me lalo o kou puʻuwai.

He koho maikaʻi paha ʻo Metoprolol inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole i loaʻa i ka puʻuwai, no ka mea, loaʻa i nā beta-blockers e like me metoprolol nā hopena pale hou aʻe i ka ʻiʻo puʻuwai. Eia naʻe, ʻoi aku ka mālie o diltiazem i kou hanu ʻana inā loaʻa iā ʻoe ka hānō māmā a i ʻole nā pilikia o ka māmā.

Ke noʻonoʻo nei kāu kauka i kāu kiʻi lapaʻau piha i ke koho ʻana ma waena o kēia mau lāʻau. He palekana a kūpono lāua ʻelua ke hoʻohana pono ʻia, no laila e hilinaʻi i ka mea i koho ʻia e kāu hui lapaʻau i ke koho maikaʻi loa no kāu mau pono.

Nā Nīnau i Nīnau pinepine ʻia e pili ana iā Diltiazem

He palekana ʻo Diltiazem no ka poʻe me ka maʻi puʻuwai?

Pono e noʻonoʻo pono ʻia ka diltiazem IV i ka poʻe me ka puʻuwai. ʻOiai hiki ke hoʻohana palekana ʻia i nā hihia he nui, hiki iā ia ke hoʻonui i nā hōʻailona o ka puʻuwai no ka mea hiki iā ia ke hoʻemi i ka ikaika o ka puʻuwai.

E loiloi kāu kauka i kāu hana puʻuwai a me nā hōʻailona o kēia manawa ma mua o ka hoʻoholo ʻana inā kūpono ka diltiazem. Inā he puʻuwai maʻalahi a paʻa ʻoe, palekana paha ke hoʻohana me ka nānā pono ʻana. Eia naʻe, inā he mau hōʻailona puʻuwai ikaika kāu, hiki i kāu kauka ke koho i kahi lāʻau lapaʻau ʻē aʻe.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Diltiazem?

No ka mea, hāʻawi ʻia ka diltiazem IV e nā poʻe loea olakino i kahi hoʻonohonoho olakino, he mea maʻamau loa nā overdoses ulia pōpilikia. Eia naʻe, inā loaʻa iā ʻoe ka nui, hiki iā ʻoe ke ʻike i ke koko haʻahaʻa loa, ka puʻuwai lohi loa, a i ʻole ka ʻūlū.

Nānā pono kāu hui lapaʻau iā ʻoe i ka wā o ka mālama ʻana a hiki ke ʻike koke a mālama i nā hōʻailona o ka lāʻau lapaʻau nui. Hiki iā lākou ke hāʻawi iā ʻoe i nā wai IV, nā lāʻau lapaʻau e kākoʻo i kou koko, a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe e kūʻē i nā hopena nui.

He aha kaʻu e hana ai inā hala iaʻu kahi mahele o ka Diltiazem?

ʻAʻole pili kēia nīnau i ka diltiazem IV no ka mea e hāʻawi ʻia e like me ka mea e pono ai i nā hoʻonohonoho olakino ma mua o ka papa manawa maʻamau. Hoʻoholo nā mea lawelawe olakino i ka manawa a me ka nui e hāʻawi ʻia ma muli o kou puʻuwai a me nā hōʻailona o kēia manawa.

Inā ma hope e kauoha ʻia ʻoe i ka diltiazem waha e lawe ma ka home, e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka mea e hana ai inā hala ʻoe i kahi mahele o kēlā mau pila.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Diltiazem?

ʻO ka hoʻoholo e hooki i ka diltiazem IV e pili ana i ka pane ʻana o kou puʻuwai i ka lāʻau lapaʻau a me ke kumu i hoʻokumu ai i kou puʻuwai wikiwiki. Loaʻa ka hapa nui o nā kānaka i hoʻokahi a ʻelua paha mahele e kāohi i kahi hanana nui.

E nānā kāu kauka i ke ʻano o kou puʻuwai a hiki ke hoʻololi iā ʻoe i nā lāʻau lapaʻau waha inā pono ʻoe i ka lāʻau lapaʻau e hoʻomau ana. Mai hooki a hoʻololi paha i nā lāʻau lapaʻau puʻuwai iā ʻoe iho - e hahai mau i ke alakaʻi a kāu mea mālama ola e pili ana i ka wā a me ke ʻano e hooki ai i ka lāʻau lapaʻau.

Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o IV Diltiazem?

ʻAʻole pono ʻoe e kalaiwa no kekahi mau hola ma hope o ka loaʻa ʻana o IV diltiazem, no ka mea, hiki iā ia ke hoʻoulu i ka ʻūlū, ke koko haʻahaʻa, a me nā hopena ʻē aʻe e palekana ʻole ai ke kalaiwa. ʻO ka hapa nui o ka poʻe e loaʻa ana i kēia lāʻau lapaʻau aia i loko o kahi hoʻonohonoho haukapila.

Ke hoʻokuʻu ʻia ʻoe, e nīnau i kāu kauka i ka wā e palekana ai e hoʻomau i ke kalaiwa. ʻO ka mea maʻamau, pili kēia i ke ʻano o kou manaʻo a inā paha e lawe ana ʻoe i nā lāʻau lapaʻau puʻuwai e hoʻomau ana e pili ana i kou makaʻala a i ʻole ka hoʻonohonoho ʻana.