He aha ka Midazolam Injection: Nā Hoʻohana, Dosage, Nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka Midazolam injection he lāʻau lapaʻau sedative ikaika e pili ana i kahi papa o nā lāʻau i kapa ʻia ʻo benzodiazepines. Hoʻohana kāu kauka i kēia lāʻau lapaʻau e kōkua iā ʻoe e hoʻomaha a manaʻo i ka hiamoe ma mua o nā kaʻina hana lapaʻau, nā ʻoki, a i ʻole ke pono ʻoe i ka sedation mālama nui. E noʻonoʻo iā ia he mea lapaʻau e hōʻoluʻolu mālie i kou ʻōnaehana nerve ke pono ʻoe i ka wā o nā kūlana lapaʻau koʻikoʻi.

He aha ka Midazolam Injection?

ʻO ka Midazolam injection he sedative wikiwiki e hana pololei ana ma o kou kahe koko. He ʻohana like ia o nā lāʻau lapaʻau e like me Valium a i ʻole Xanax, akā ua hoʻolālā ʻia no nā hoʻonohonoho lapaʻau kahi e pono ai ka sedation wikiwiki a mālama ʻia. Hāʻawi nā mea mālama ola iā ia ma o ka laina IV, ka injection i loko o ka ʻiʻo, a i kekahi manawa ma kou ihu i nā kūlana pilikia.

Ua manaʻo ʻia kēia lāʻau lapaʻau he mea ikaika loa i hoʻohālikelike ʻia me nā lāʻau hopohopo waha. ʻOiai nā pila āu e lawe ai ma ka home e hana mālie ma luna o 30-60 mau minuke, hoʻomaka ka midazolam injection e hana i loko o 1-3 mau minuke ke hāʻawi ʻia intravenously. ʻO kēia hana wikiwiki e waiwai nui ai no nā kaʻina hana lapaʻau kahi mea nui ka manawa.

No ke aha e hoʻohana ʻia ai ka Midazolam Injection?

Hoʻohana nā kauka i ka midazolam injection i ka mea nui e kōkua iā ʻoe e manaʻo mālie a hiamoe ma mua o nā kaʻina hana lapaʻau. Hoʻohana maʻamau ia no nā colonoscopies, endoscopies, nā ʻoki niho, a me nā kaʻina hana liʻiliʻi kahi e pono ai ʻoe e hoʻomaha akā ʻaʻole i ʻike ʻole. Hiki iā ʻoe ke loaʻa iā ia i loko o nā lumi pilikia e kōkua i ka mālama ʻana i nā hopu a i ʻole nā hanana hopohopo nui.

I loko o nā ʻāpana mālama nui, kōkua ka midazolam i ka mālama ʻana i nā maʻi ke hoʻohana lākou i nā mīkini hanu a i ʻole e ola ana mai nā maʻi koʻikoʻi. Hoʻohana ʻia nō hoʻi ma ke ʻano he ʻāpana o nā protocols anesthesia no nā ʻoki nui, e hana pū ana me nā lāʻau lapaʻau ʻē aʻe e hōʻoia i ka ʻoluʻolu loa ʻoe i ke kaʻina hana.

Ma waho aʻe o kēia mau hoʻohana maʻamau, aia kekahi mau kūlana kūikawā kahi e lilo ai ka midazolam i mea nui. Hoʻohana nā hui lapaʻau pilikia iā ia e kōkua i ka poʻe e ʻike nei i ka huhū nui, nā hōʻeha panic, a i ʻole nā ​​hōʻailona haʻalele ʻana i ka waiʻona. I nā wahi pediatric, kōkua ia i nā keiki e noho mālie i ka wā o nā kaʻina hana lapaʻau weliweli, e hoʻolilo ana i ka ʻike i mea liʻiliʻi no ke keiki a me ko lākou ʻohana.

Pehea e hana ai ka Midazolam Injection?

Hana ʻo Midazolam ma ka hoʻonui ʻana i nā hopena o kahi kemika maoli i kou lolo i kapa ʻia ʻo GABA. ʻO GABA e like me ka ʻōnaehana paʻa maoli o kou lolo, e kōkua ana e hoʻolohi i ka hana nerve a hana i nā manaʻo o ka mālie a me ka hoʻomaha. Ke hoʻonui ʻo midazolam i nā hopena o GABA, hana ia i kahi kūlana maluhia a me ka hiamoe e hoʻoluʻolu ai i nā kaʻina hana lapaʻau.

Ua manaʻo ʻia kēia lāʻau lapaʻau he ikaika loa i ka honua o nā sedatives. ʻOiai ʻaʻole ia e hoʻolilo iā ʻoe i mea ʻike ʻole e like me ka anesthesia maʻamau, hana ia i ka mea a nā kauka e kapa ai

E hoʻomaka ana kāu hoʻomākaukau i ka pō ma mua o kāu hana. E noi paha kāu kauka iā ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana i kekahi mea no 8-12 mau hola ma mua o kāu manawa. He mea nui kēia manawa hoʻokē ʻai no ka mea hiki i ka midazolam ke hoʻopilikia i nā hana o kou kino, a ʻo ka loaʻa ʻana o ka meaʻai i loko o kou ʻōpū hiki ke alakaʻi i nā pilikia inā luaʻi ʻoe i ka wā e hiamoe ana.

I ka lā o kāu hana, e ʻaʻahu i nā lole ʻoluʻolu a me nā lole ʻaʻahu ʻole a wehe i nā mea nani, nā aniani pili, a i ʻole nā niho hana e like me ke kuhikuhi ʻia. E hōʻoia i ka loaʻa ʻana o kahi kanaka makua kuleana hiki ke hoʻokele iā ʻoe i ka home ma hope, no ka mea, hiki i nā hopena o ka midazolam ke mau i nā hola he nui ma hope o kou manaʻo ʻana he makaʻala.

E hōʻike i kāu hui mālama ola e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, me nā lāʻau lapaʻau a me nā mea hoʻohui. Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka midazolam, a pono paha kāu kauka e hoʻoponopono i ka nui a i ʻole ka manawa o kāu mau lāʻau lapaʻau ʻē aʻe.

Pehea ka lōʻihi e lawe ai au i ka Midazolam Injection?

ʻO ka midazolam injection he lāʻau lapaʻau hoʻokahi manawa i hāʻawi ʻia no kāu hana a i ʻole ke kūlana olakino. ʻAʻole like me nā lāʻau lapaʻau i kēlā me kēia lā āu e lawe ai ma ka home, ʻaʻole kēia he mea āu e hoʻohana hou ai a i ʻole no nā manawa lōʻihi. Hoʻohālikelike ʻia kēlā me kēia mahele ma muli o kāu mau pono kikoʻī, ke kaumaha, ka makahiki, a me ke ʻano o ke kaʻina hana āu e hana nei.

Hoʻomaka maʻamau nā hopena i loko o 1-3 mau minuke inā hāʻawi ʻia intravenously, a i ʻole i loko o 5-15 mau minuke inā hāʻawi ʻia ma ke ʻano he injection muscle. Hiki mai nā hopena kiʻekiʻe ma kahi o 15-30 mau minuke ma hope o ka lawelawe ʻana, a maʻamau ka hopena sedating i 2-6 mau hola, ma muli o ka nui a me kāu pane pilikino.

I nā wahi mālama koʻikoʻi, hiki i nā maʻi ke loaʻa ka midazolam ma o ka IV drip no nā lā a i ʻole nā pule i ko lākou ola ʻana mai nā maʻi koʻikoʻi. Eia naʻe, nānā pono nā kauka i kēia a hoʻemi mālie i ka nui i ka wā e hoʻomaikaʻi ai nā maʻi, e hana mau ana i ka hoʻōki ʻana i ka lāʻau lapaʻau i ka wā e palekana ai ke hana pēlā.

He aha nā hopena ʻaoʻao o ka Midazolam Injection?

ʻO ka hapa nui o nā kānaka e ʻae maikaʻi i ka midazolam injection, akā e like me nā lāʻau lapaʻau ʻē aʻe, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO nā mea maʻamau ka hoʻonui ʻia o ka mea a ka lāʻau lapaʻau i hoʻolālā ʻia e hana ai - e hōʻoluʻolu a hoʻomaha ʻoe.

Eia nā hopena ʻaoʻao e ʻike nui ai ʻoe, me ka noʻonoʻo ʻana he maʻalahi a he manawa pōkole kēia mau mea:

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• Ka hiamoe e hiki ke mau i kekahi mau hola ma hope o kāu kaʻina hana
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• Ka huikau manawa a i ʻole ka manaʻo

  ʻAʻole kūpono ka midazolam injection no nā mea a pau, a e nānā pono kāu kauka i kāu moʻolelo olakino ma mua o ka hoʻoholo ʻana inā kūpono ia iā ʻoe. ʻO ka mea nui loa, ʻaʻole pono e hoʻohana ʻia inā he pilikia hanu koʻikoʻi a i ʻole ka moe apnea, no ka mea, hiki i ka midazolam ke hoʻolohi hou i kou hanu.

  ʻAʻole pono ʻoe e loaʻa i ka midazolam inā he maʻi ʻoe i nā benzodiazepines a i ʻole kekahi mea o ka injection. Pono ka poʻe me ka maʻi ate koʻikoʻi i ka noʻonoʻo kūikawā no ka mea e hana ana ko lākou kino i ka lāʻau lapaʻau me ka lohi loa, hiki ke alakaʻi i nā hopena lōʻihi loa.

  Eia nā kūlana ʻē aʻe kahi i kūpono ʻole ai ka midazolam iā ʻoe:

  • Glaucoma kihi-iki (he ʻano maʻi maka)
  • Ka emi ʻana o ka hanu koʻikoʻi a i ʻole nā pilikia hanu
  • Hāpai, ʻoi aku hoʻi i ka trimester mua
  • Hānai ʻana i ka waiū (hiki i ka lāʻau lapaʻau ke hele i loko o ka waiū umauma)
  • Myasthenia gravis (he maʻi nāwaliwali ʻiʻo)
  • Nā pilikia puʻuwai koʻikoʻi a i ʻole ke koko haʻahaʻa loa

  He mea nui nō hoʻi ka makahiki. Pono nā maʻi ʻelemakule a me nā keiki ʻōpio loa i nā noʻonoʻo ʻana i ka dosage kūikawā no ka mea ʻoi aku ka naʻau i nā hopena o ka lāʻau lapaʻau. E hoʻoponopono kāu kauka i ka mahele me ka mālama pono e pili ana i kou makahiki, ke kaumaha, a me ke olakino holoʻokoʻa.

  Inā he moʻolelo kou o ka hoʻohana ʻana i nā mea ʻino, ʻoi aku hoʻi me ka waiʻona a i ʻole benzodiazepines, e hōʻoia i ka ʻike o kāu kauka i kēia. ʻOiai ʻaʻole ia e hoʻokaʻawale iā ʻoe mai ka loaʻa ʻana o ka midazolam, pono ia i ka nānā kūikawā a me nā hoʻolālā dosage like ʻole.

  Nā inoa inoa Midazolam

  Loaʻa ka midazolam injection ma lalo o nā inoa inoa like ʻole, ʻoiai he nui nā halemai a me nā keʻena lapaʻau e hoʻohana i ka mana generic. ʻO ka inoa inoa maʻamau ma ʻAmelika Hui Pū ʻIa ʻo Versed, hiki iā ʻoe ke ʻike ma kāu mau moʻolelo olakino a i ʻole e lohe i kāu hui mālama ola e haʻi.

  ʻO nā inoa inoa ʻē aʻe e komo pū ana me Dormicum (hoʻohana ʻia ma kekahi mau mākeke honua) a me nā ʻano hana maʻamau like ʻole e hele wale ana ma ka inoa "midazolam injection." Ua like ka lāʻau lapaʻau ponoʻī me ka inoa inoa - ʻo ka mea nui ka nui a me ka manaʻo i koho ai kāu kauka no kou kūlana.

  E mālama maʻamau kāu keʻena mālama ola i ka mana i loaʻa iā lākou i ka mea hilinaʻi a me ka maikaʻi. Pono nā mana a pau e hoʻokō i nā kūlana FDA koʻikoʻi like no ka palekana a me ka pono, no laila hiki iā ʻoe ke manaʻoʻiʻo me ka nānā ʻole i ka inoa inoa āu e loaʻa ai.

Nā Koho ʻē aʻe o Midazolam Injection

ʻOiai ʻo midazolam kekahi o nā mea hoʻomaha kaulana loa no nā kaʻina hana lapaʻau, aia kekahi mau koho ʻē aʻe e noʻonoʻo ai kāu kauka ma muli o kāu mau pono a me ka mōʻaukala olakino. Loaʻa i kēlā me kēia koho ʻē aʻe kāna mau pono a me nā manaʻo.

ʻO Propofol paha ka mea maʻamau, ʻoi aku hoʻi no nā kaʻina hana e koi ana i ka hoʻomaha hohonu. Hana wikiwiki ia ma mua o midazolam a pau koke, e lilo ana i mea kūpono no nā kaʻina hana outpatient kahi e pono ai ʻoe e ola wikiwiki. Eia naʻe, pono ia i ka nānā ʻana a hoʻohana maʻamau ʻia e nā anesthesiologists.

No ka hoʻomaha māmā, hiki i kāu kauka ke koho i ka lorazepam (Ativan) a i ʻole diazepam (Valium). Hana like kēia mau lāʻau lapaʻau me midazolam akā loaʻa nā hopena lōʻihi. Hoʻohana pinepine ʻia lākou i ka wā e pono ai ka hoʻomaha mau a i ʻole no nā maʻi e pōmaikaʻi mai ka hoʻomaha hopohopo lōʻihi.

ʻO Ketamine kekahi koho ʻē aʻe e loaʻa ana i ka kaulana no kekahi mau kaʻina hana. ʻAʻole like me midazolam, hāʻawi ʻo ketamine i ka hoʻomaha a me ka hōʻoluʻolu ʻeha, e lilo ana i mea pono no nā kaʻina hana ʻeha. Eia naʻe, hiki iā ia ke hana i nā hopena ʻaoʻao like ʻole, me nā moeʻuhane ola a i ʻole ka huikau manawa.

No nā maʻi pediatric, hoʻohana nā kauka i nā koho ʻē aʻe e like me ka chloral hydrate no nā keiki ʻōpio loa, a i ʻole ka nitrous oxide (ke kinoea ʻakaʻaka) no nā hana niho. Hiki i kēia mau koho ke ʻoluʻolu no nā keiki e makaʻu ana i nā injections.

ʻOi aku ka maikaʻi o ka Midazolam Injection ma mua o Lorazepam?

ʻAʻole pili ka hoʻohālikelike ʻana i ka midazolam injection me lorazepam (Ativan) i ka maikaʻi o kekahi ma mua o kekahi - pili ia i ka lāʻau lapaʻau kūpono no kou kūlana kikoʻī. He benzodiazepines lāua ʻelua e hana like, akā he mau ʻano manawa a me ka lōʻihi like ʻole e ʻoi aku ai kekahi no nā kumu like ʻole.

ʻO ka pōmaikaʻi nui o Midazolam ʻo kona wikiwiki a me ka hiki ke wānana. Hoʻomaka ia e hana i loko o nā minuke a he lōʻihi pōkole o ka hana, maʻamau 2-6 mau hola. ʻO kēia ka mea kūpono no nā kaʻina hana outpatient kahi e pono ai ʻoe e ola wikiwiki a hele i ka home i ka lā like. Hāʻawi kāna hoʻomaka wikiwiki i nā kauka i ka mana pololei ma luna o ka manawa o ka sedation.

ʻO Lorazepam, ma kekahi ʻaoʻao, he lōʻihi o ka hana, e mau ana 6-12 mau hola a ʻoi aku paha. ʻOi aku ka maikaʻi o kēia no nā kūlana e pono ai ka sedation mau a i ʻole ka hoʻomaha ʻana i ka hopohopo, e like me ka wā o ka noho ʻana i ka haukapila lōʻihi a i ʻole no nā maʻi me nā maʻi hopohopo koʻikoʻi. Loaʻa nō hoʻi ia i nā ʻano injection a me ka waha, e hāʻawi ana i nā kauka i ka maʻalahi.

No nā kaʻina hana lapaʻau, makemake nui ʻia ka midazolam ma muli o kona hoʻomaka wikiwiki a me ka lōʻihi pōkole. No ka mālama ʻana i ka hopohopo e hana nei a i ʻole nā ​​kūlana e koi ana i ka sedation lōʻihi, ʻo lorazepam paha ke koho maikaʻi loa. E noʻonoʻo kāu kauka i nā mea e like me ka lōʻihi o kāu kaʻina hana, kāu mōʻaukala olakino, a me ka wikiwiki o kou pono e ola i ka wā e hana ai i kēia hoʻoholo.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Midazolam Injection

Q1. Palekana ka Midazolam Injection no nā maʻi puʻuwai?

Hiki ke palekana ka midazolam injection no nā maʻi puʻuwai, akā pono ka noʻonoʻo kūikawā a me ka nānā ʻana. Hiki i ka lāʻau lapaʻau ke hoʻohaʻahaʻa i ke koko a me ka helu o ka puʻuwai, kahi mea e hopohopo ai i ka poʻe me kekahi mau maʻi puʻuwai. E hana pū kāu cardiologist a me ka hui lapaʻau e hana ana i kāu kaʻina hana e hoʻoholo inā kūpono ka midazolam iā ʻoe.

Inā he maʻi puʻuwai paʻa kou, hoʻohana pinepine ʻia ka midazolam me ka nānā pono ʻana. Eia naʻe, inā he maʻi puʻuwai koʻikoʻi kou, haʻahaʻa loa ke koko, a i ʻole nā ​​puʻuwai puʻuwai hou, hiki i kāu kauka ke koho i nā ʻano hana hoʻomaha ʻē aʻe a i ʻole e hoʻololi nui i ka dosage. ʻO ke kī, he kamaʻilio ʻoiaʻiʻo e pili ana i kou maʻi puʻuwai a me nā lāʻau lapaʻau o kēia manawa.

Q2. He aha kaʻu e hana ai inā hoʻohana hewa au i ka nui o ka Midazolam?

ʻAʻole ʻoe e mālama ana i ka midazolam injection iā ʻoe iho - hāʻawi mau ʻia e nā poʻe loea mālama ola i hoʻomaʻamaʻa ʻia e helu pono a nānā i ka dosing. Eia naʻe, inā manaʻo ʻoe ua loaʻa iā ʻoe ka nui a i ʻole e ʻike nei i nā hopena ʻaoʻao koʻikoʻi, he pilikia olakino kēia e pono ai ka nānā koke.

ʻO nā hōʻailona o ka overdose midazolam e pili ana i ka hiamoe nui kahi e hiki ʻole ai iā ʻoe ke ala, ka pilikia o ka hanu ʻana, nā lehelehe uliuli a i ʻole nā ​​maiʻu, a i ʻole ka helu o ka puʻuwai lohi loa. Loaʻa i nā mea mālama ola ke antidote i kapa ʻia ʻo flumazenil hiki ke hoʻohuli koke i nā hopena o ka midazolam inā pono. ʻO kēia ke kumu e hana mau ai nā kaʻina hana lapaʻau e hoʻohana ana i ka midazolam i nā wahi me nā lako pilikia a me nā limahana i hoʻomaʻamaʻa ʻia.

Q3. He aha kaʻu e hana ai inā hala au i kahi mahele o Midazolam?

ʻAʻole pili kēia nīnau i ka midazolam injection no ka mea ʻaʻole ia he lāʻau lapaʻau āu e lawe ai ma kahi papa manawa maʻamau. Hāʻawi ʻia kēlā me kēia mahele no kahi kaʻina hana lapaʻau a i ʻole kahi kūlana koʻikoʻi. Inā ua hoʻonohonoho ʻia ʻoe no kahi kaʻina hana e koi ana i ka midazolam a pono e hoʻonohonoho hou, e hoʻokaʻaʻike wale i kāu mea mālama ola e hoʻonohonoho i kahi manawa hou.

Inā ʻoe i loko o kahi wahi mālama koʻikoʻi e loaʻa ana i ka hoʻokomo ʻana o ka midazolam mau, mālama kāu hui lapaʻau i nā hoʻoholo dosing a pau. Mālama mau lākou i kou kūlana a hoʻoponopono i ka lāʻau lapaʻau e like me ka mea e pono ai - ʻaʻohe hanana "missed dose" e hopohopo ai.

Q4. I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Midazolam Injection?

Hoʻōki maʻamau ka midazolam injection iā ia iho i ka wā e hana ai kou kino i ka lāʻau lapaʻau ma hope o kāu kaʻina hana. No nā kūlana hoʻokahi-dose e like me nā kaʻina hana outpatient, pau maoli ka lāʻau lapaʻau ma luna o 2-6 mau hola me ka ʻole o ka hana e pono ai mai iā ʻoe. ʻO kāu hana, ʻo ia ke hoʻomaha a e ʻae i kou kino e ola.

I nā wahi mālama koʻikoʻi kahi e loaʻa ai i nā maʻi nā infusions midazolam mau, hoʻemi mālie nā kauka i ka dose i ka wā e hoʻomaikaʻi ai nā maʻi. ʻO kēia kaʻina hana, i kapa ʻia ʻo weaning, e pale i nā hōʻailona haʻalele a hōʻoia i ka ʻoluʻolu o nā maʻi i ka wā e ola ai lākou. Mālama ka hui lapaʻau i nā hoʻoholo a pau e pili ana i ka manawa a me ke ʻano e hooki ai i ka lāʻau lapaʻau e pili ana i kāu holomua a me ke kūlana.

Q5. Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o ka Midazolam Injection?

ʻAʻole, ʻaʻole hiki iā ʻoe ke kalaiwa ma hope o ka loaʻa ʻana o ka midazolam injection. ʻO kēia kekahi o nā lula palekana koʻikoʻi e pili ana i kēia lāʻau lapaʻau. ʻOiai ke manaʻo nei ʻoe he makaʻala a manaʻo ʻoe ua ola, hiki nō i ka lāʻau lapaʻau ke hoʻopilikia i kou manawa pane, ka hoʻokolokolo, a me ka hoʻonohonoho ʻana a hiki i 24 mau hola ma hope o kāu kaʻina hana.

Pono ʻoe e hoʻonohonoho i kahi kanaka makua kuleana e kalaiwa iā ʻoe i ka home a noho pū me ʻoe no kekahi mau hola ma hope o kāu kaʻina hana. ʻAʻole he manaʻo wale nō kēia - he koi palekana ia e hoʻokō ai nā keʻena lapaʻau a pau. E hoʻolālā i mua ma ke noi ʻana i kahi lālā o ka ʻohana a i ʻole hoaaloha e kōkua, a i ʻole e noʻonoʻo e hoʻohana i kahi lawelawe holo inā he kanaka kāu e hele pū me ʻoe a kōkua iā ʻoe e hoʻi i ka home me ka palekana.