He aha ʻo Midazolam: Nā Hoʻohana, Nā Ana, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

He lāʻau lapaʻau ʻo Midazolam i kuhikuhi ʻia e pili ana i kahi papa o nā lāʻau i kapa ʻia he benzodiazepines, e hana ana ma ka hoʻomaha ʻana i kou lolo a me ka ʻōnaehana nerve. Ua ʻike maikaʻi paha ʻoe iā ia ma ke ʻano he sedative e hoʻohana ai nā kauka e kōkua iā ʻoe e hoʻomaha ma mua o nā kaʻina hana lapaʻau a i ʻole e mālama i ka hopohopo nui a me nā hopu. He ikaika loa kēia lāʻau lapaʻau a pono e mālama pono i ka mālama ʻana i ka lāʻau lapaʻau, akā ke hoʻohana pono ʻia, hiki iā ia ke hāʻawi i ke kōkua nui no nā kūlana kikoʻī.

He aha ʻo Midazolam?

He lāʻau lapaʻau benzodiazepine hana pōkole ʻo Midazolam e pili ana i nā kemika i loko o kou lolo e hana i ka hopena hoʻomaha. Ua hoʻolālā ʻia e hana wikiwiki a e pau koke i ka hoʻohālikelike ʻia me nā lāʻau lapaʻau ʻē aʻe i loko o kāna papa. E noʻonoʻo iā ia ma ke ʻano he ala mālie akā maikaʻi e kōkua i kāu ʻōnaehana nerve e lohi i ka wā e hana nui ana.

Loaʻa ka lāʻau lapaʻau i nā ʻano like ʻole, me nā papa waha, ka wai, a me nā mana injectable. Hoʻolālā ʻia kēlā me kēia ʻano no nā kūlana lapaʻau kikoʻī a ua kauoha mau ʻia e nā mea mālama ola kino e hoʻomaopopo i kāu mau pono pilikino. E koho kāu kauka i ke ʻano kūpono e pili ana i kou kūlana a me ka mōʻaukala olakino.

No ke aha e hoʻohana ʻia ai ʻo Midazolam?

He nui nā kumu lapaʻau koʻikoʻi o Midazolam, ʻo ka mea nui e kōkua ana i ka poʻe e pono ai ke kōkua wikiwiki mai ka hopohopo a i ʻole ka sedation ma mua o nā kaʻina hana. Hiki i kāu kauka ke kuhikuhi iā ia i ka wā i hāʻawi ʻole ai nā lāʻau lapaʻau ʻē aʻe i ke kōkua kūpono a i ʻole ke pono ʻoe i nā hopena hoʻomaha koke.

Eia nā kūlana nui kahi e hōʻoia ai ʻo midazolam:

• Hopohopo ma mua o ke kaʻina hana a me ka sedation ma mua o nā ʻoki a i ʻole nā hoʻokolohua lapaʻau
• Nā hanana hopohopo nui e pono ai ke komo koke
• Status epilepticus (nā hopu lōʻihi ʻaʻole e pau i kā lākou iho)
• ʻAʻole hiki ke hiamoe i nā wahi haukapila kahi e pono ai ka hiamoe no ka hoʻōla
• Nā hōʻailona haʻalele ʻana i ka waiʻona ma lalo o ka mālama ʻana i ka lāʻau lapaʻau

ʻAʻole i maʻa mau, hiki i nā kauka ke hoʻohana i ka midazolam no nā kūlana kūikawā ʻē aʻe e like me ke kōkua ʻana i ka huhū nui a i ʻole ma ke ʻano he ʻāpana o nā protocols anesthesia. E kaupaona mau ana kāu mea mālama ola i nā pōmaikaʻi e kūʻē i nā pilikia hiki ke loaʻa no kou kūlana.

Pehea e hana ai ʻo Midazolam?

Hana ʻo Midazolam ma ka hoʻonui ʻana i nā hopena o kahi kemika maoli i loko o kou lolo i kapa ʻia ʻo GABA, e kōkua ana i ka hoʻomaha ʻana i ka hana nerve. Ke hana pono ʻole ʻo GABA iā ia iho, komo ʻo midazolam e hoʻonui i kāna mau hōʻailona hoʻomaha i loko o kāu ʻōnaehana nerve.

Ua manaʻo ʻia kēia lāʻau lapaʻau he mea ikaika loa i loko o ka ʻohana benzodiazepine, ʻo ia hoʻi e hana ana i nā hopena ikaika i ka wikiwiki. E hoʻomaka maʻamau ʻoe e ʻike i kāna mau hopena hoʻomaha i loko o 15 a 30 mau minuke o ka lawe ʻana iā ia ma ka waha. Hiki i ka lāʻau lapaʻau i kona kiʻekiʻe i loko o 1 a 2 mau hola a maʻa mau e pau i loko o 6 a 8 mau hola.

No ka mea he mea maikaʻi loa ʻo midazolam, ua helu ʻia ʻo ia he mea i mālama ʻia. ʻO ia hoʻi, e nānā pono kāu kauka i kāu hoʻohana ʻana e hōʻoia e loaʻa ana iā ʻoe nā pōmaikaʻi kūpono me ka hōʻemi ʻana i nā pilikia.

Pehea wau e lawe ai i ka Midazolam?

ʻO ka lawe pono ʻana i ka midazolam he mea nui ia no ka palekana a me ka pono. E hahai mau i nā ʻōlelo aʻoaʻo a kāu kauka, no ka mea, ua hoʻopilikino lākou i ka dosage a me ka manawa i kāu mau pono pilikino a me ke kūlana olakino.

No nā ʻano waha, hiki iā ʻoe ke lawe i ka midazolam me ka ʻole o ka meaʻai, ʻoiai ʻo ka lawe ʻana me kahi meaʻai māmā e kōkua paha i ka hōʻemi ʻana i ka ʻōpū inā ʻoe e ʻike. E pale loa i ka waiʻona i ka wā e lawe ana i kēia lāʻau lapaʻau, no ka mea, hiki ke pilikia ka hui pū ʻana. Inā ua kau ʻia ʻoe i ke ʻano wai, e hoʻohana i ka mea ana i hāʻawi ʻia e kāu lāʻau lapaʻau no ke ana pololei.

E hoʻolālā e lawe i ka midazolam ma kahi palekana a ʻoluʻolu kahi e hiki ai iā ʻoe ke hoʻomaha. Mai kalaiwa, hana i nā mīkini, a i ʻole e hana i nā hoʻoholo nui no ka liʻiliʻi o 8 mau hola ma hope o ka lawe ʻana. He mea kōkua pinepine ka loaʻa ʻana o kahi hoaaloha a i ʻole ʻohana i hilinaʻi ʻia, ʻoiai no kāu mahele mua.

Pehea ka lōʻihi e lawe ai au i ka Midazolam?

Hoʻonohonoho ʻia ka Midazolam no ka hoʻohana ʻana i ka wā pōkole, maʻamau i kekahi mau lā a i ʻole ʻelua pule. Hoʻolālā kāu kauka i kēia ala no ka mea hiki i kou kino ke hoʻomohala i ka hoʻomanawanui i ka lāʻau, ʻo ia hoʻi, pono paha ʻoe i nā mahele kiʻekiʻe i ka manawa e loaʻa ai nā hopena like.

No ka hopohopo ma mua o ke kaʻina hana, e lawe ʻoe i hoʻokahi mahele ma mua o kāu manawa lapaʻau. No nā kūlana ʻē aʻe e like me ka hopohopo nui a i ʻole nā pilikia hiamoe, hiki i kāu kauka ke kuhikuhi iā ia no 3 a 7 mau lā i ka wā e hana ana i nā hoʻonā lapaʻau lōʻihi.

Mai hooki i ka lawe ʻana i ka midazolam i ka wā e hoʻohana mau ana ʻoe, ʻoiai no hoʻokahi pule a ʻelua paha. E hana kāu kauka i kahi papa hana hoʻemi mālie e pale ai i nā hōʻailona haʻalele, e hiki ke komo i ka hopohopo nui, ka maluhia ʻole, a i nā hihia kakaikahi, nā hopu.

He aha nā hopena ʻaoʻao o Midazolam?

E like me nā lāʻau lapaʻau a pau, hiki i ka midazolam ke hana i nā hopena ʻaoʻao, ʻoiai he nui ka poʻe e ʻae maikaʻi iā ia ke hoʻohana ʻia e like me ke kauoha. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e manaʻoʻiʻo i kāu lapaʻau a ʻike i ka manawa e hoʻokaʻaʻike aku ai i kāu mea mālama ola.

ʻO nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike, e komo pū ana:

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• Ka hiamoe a me ka luhi e hiki ke mau i kekahi mau hola
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• ʻO ka ʻūlū a i ʻole ka manaʻo paʻa ʻole ma kou mau wāwae
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• Huikau a i ʻole ka pilikia o ka noʻonoʻo
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• ʻO ke poʻo a i ʻole ka manaʻo

  He maʻamau ka maʻalahi a me ka manawa pōkole kēia mau hopena, e hoʻoponopono ana i ka wā e haʻalele ai ka lāʻau i kāu ʻōnaehana. Eia naʻe, ʻike kekahi poʻe i nā hopena ʻaoʻao e pili ana i ka pono e mālama koke ʻia.

  E kelepona koke i kāu kauka inā ʻike ʻoe i kekahi o kēia mau hopena ʻaoʻao koʻikoʻi:

  • Ka hiamoe nui e paʻakikī ai ke ala
  • Ka hanu lohi a pāpaʻu paha
  • Huikau nui a i ʻole nā pilikia hoʻomanaʻo
  • Nā loli ʻano ʻē a i ʻole ke ʻano hana ʻino
  • Nā hopena maʻi e like me ka ʻōpala, ka pehu, a i ʻole ka pilikia o ka hanu

  I kekahi manawa, ʻike kekahi poʻe i nā hopena paradoxical kahi e lilo ai lākou i mea ʻoi aku ka huhū a i ʻole ka hopohopo ma mua o ka mālie. Hana kēia i ka liʻiliʻi ma mua o 1% o nā kānaka akā pono e loiloi olakino koke inā loaʻa.

ʻO wai ka mea ʻaʻole pono e lawe iā Midazolam?

ʻAʻole kūpono ʻo Midazolam no nā mea a pau, a e nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ke kau ʻana. ʻO kekahi mau maʻi a me nā kūlana e lilo ai kēia lāʻau lapaʻau i mea weliweli a i ʻole ka liʻiliʻi o ka pono.

ʻAʻole pono ʻoe e lawe iā midazolam inā loaʻa iā ʻoe:

• Nā pilikia hanu nui a i ʻole ka apnea hiamoe
• Maʻi ate nui a i ʻole ka hāʻule ʻana o ke ake
• Myasthenia gravis (kahi maʻi nāwaliwali ʻiʻo)
• Nā maʻi i ʻike ʻia i nā benzodiazepines
• Glaucoma kihi haiki
• ʻO ka ʻona ʻona a i ʻole ka lāʻau lapaʻau

E hoʻohana pū kāu kauka i ka mālama keu inā he ʻelemakule ʻoe, hāpai, hānai umauma, a i ʻole nā pilikia o ka puʻupaʻa, ke kaumaha, a i ʻole ka mōʻaukala o ka hoʻohana ʻana i nā mea ʻino. ʻAʻole e pale ʻakomi kēia mau kūlana iā ʻoe mai ka hoʻohana ʻana iā midazolam, akā pono lākou i ka nānā ʻana kūikawā a me ka hoʻoponopono ʻana i ka dosage.

Nā inoa inoa Midazolam

Loaʻa ʻo Midazolam ma lalo o kekahi mau inoa inoa, ʻoiai e hana like ana ka mana generic. ʻO ka inoa inoa maʻamau āu e hālāwai ai ʻo Versed, ka mea i hoʻohana pinepine ʻia i nā hoʻonohonoho haukapila a me nā hoʻonohonoho lapaʻau.

ʻO nā inoa inoa ʻē aʻe e komo pū ana me Dormicum a me Hypnovel, akā, ʻoi aku ka maʻamau o ka hoʻohana ʻana ma waho o ʻAmelika Hui Pū ʻIa. Hiki i kāu hale kūʻai lāʻau lapaʻau ke mālama i kekahi o kēia mau mana, a loaʻa iā lākou nā mea hana like me nā hopena like a me ka palekana.

Nā Koho ʻē aʻe no Midazolam

Inā ʻaʻole kūpono ʻo midazolam iā ʻoe, hiki i kekahi mau lāʻau lapaʻau ʻē aʻe ke hāʻawi i nā pōmaikaʻi like no ka hopohopo a me ka hōʻoluʻolu. Hiki i kāu kauka ke noʻonoʻo i nā benzodiazepines ʻē aʻe e like me lorazepam (Ativan) a i ʻole diazepam (Valium), e hana like ana akā he mau manawa like ʻole o ka hana.

No ka mālama ʻana i ka hopohopo no ka wā lōʻihi, nā koho ʻaʻole benzodiazepine e komo pū ana me buspirone, kekahi mau antidepressants, a i ʻole beta-blockers. ʻO kēia mau koho ʻē aʻe pinepine he liʻiliʻi nā pilikia hilinaʻi akā hiki ke lōʻihi ka manawa e hōʻike ai i nā hopena. No nā pilikia hiamoe, hiki i nā lāʻau lapaʻau e like me zolpidem (Ambien) a i ʻole trazodone ke kūpono no ka hoʻohana maʻamau.

E kōkua kāu mea mālama ola iā ʻoe e ʻimi i kēia mau koho e pili ana i kāu mau hōʻailona kikoʻī, ka mōʻaukala olakino, a me nā pahuhopu lapaʻau.

Ua ʻoi aku ka maikaʻi o Midazolam ma mua o Lorazepam?

He mau benzodiazepines maikaʻi ʻo Midazolam a me lorazepam, akā he mau ikaika like ʻole ko lākou e hana ai i kēlā me kēia mea kūpono no nā kūlana kikoʻī. ʻO ke koho

Hiki ke palekana ʻo Midazolam no nā mākua kahiko, akā hāʻawi pinepine nā kauka i nā lāʻau lapaʻau haʻahaʻa a nānā pono. I ko mākou wā ʻelemakule, hana ʻokoʻa ko mākou kino i nā lāʻau lapaʻau, a ʻoi aku ka maʻalahi o nā mākua kahiko i nā hopena hoʻomaha a hiki ke loaʻa nā pilikia kiʻekiʻe o ka hāʻule a i ʻole ka huikau.

E hoʻomaka kāu kauka me ka lāʻau lapaʻau haʻahaʻa loa a hiki ke koho i nā lāʻau lapaʻau ʻē aʻe inā ʻoe ma luna o 65. E kōkua nā nānā maʻamau e hōʻoia e loaʻa ana iā ʻoe nā pōmaikaʻi me ka ʻole o ka ʻike ʻana i nā hopena ʻaoʻao pilikia.

He aha kaʻu e hana ai inā ua lawe hewa au i ka nui o Midazolam?

Inā manaʻo ʻoe ua lawe nui ʻoe i ka midazolam, e ʻimi koke i ka lāʻau lapaʻau a i ʻole e kelepona i ka mana hoʻomalu lāʻau make. ʻO nā hōʻailona overdose e pili ana i ka hiamoe nui, ka huikau, ka hanu lohi, a me ka nalowale o ka hoʻonohonoho.

Mai ho'āʻo e hana iā ʻoe iho e luaʻi a i ʻole e kali e ʻike inā e hoʻomaikaʻi nā hōʻailona. Hiki i nā poʻe loea lapaʻau ke hāʻawi i ka mālama kākoʻo a, inā pono, e lawelawe i ka flumazenil, kahi lāʻau lapaʻau e hiki ke hoʻohuli i nā hopena o ka midazolam.

He aha kaʻu e hana ai inā ua hala au i kahi lāʻau o Midazolam?

Inā ua hala ʻoe i kahi lāʻau o ka midazolam, e lawe koke iā ia ke hoʻomanaʻo ʻoe, ke ʻole kokoke i ka manawa no kāu lāʻau lapaʻau e hiki mai ana. Mai lawe i ʻelua lāʻau i ka manawa hoʻokahi e hoʻoponopono ai i kahi lāʻau i hala, no ka mea, hoʻonui kēia i kou pilikia o nā hopena ʻaoʻao.

No ka mea, ua kauoha pinepine ʻia ka midazolam no ka hoʻohana ʻana i ka wā pōkole a i ʻole nā kūlana kikoʻī, ʻaʻole pilikia ka hala ʻana i kahi lāʻau. E kelepona i kāu kauka inā ʻaʻole ʻoe maopopo i ka mea e hana ai a i ʻole inā pili ka hala ʻana i ka lāʻau i kāu mau hōʻailona.

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

Hiki iā ʻoe ke hooki i ka lawe ʻana i ka midazolam ke hoʻoholo kāu kauka he kūpono, ʻo ia ka mea ma hope o ka hoʻomaikaʻi ʻana o kāu mau hōʻailona a i ʻole ua pau kāu kaʻina hana lapaʻau. No ka hoʻohana ʻana i ka wā pōkole loa (he mau lāʻau), hiki iā ʻoe ke hooki me ka ʻole o ka tapering.

Inā ua lawe ʻoe i ka midazolam maʻamau no nā lā ʻoi aku ma mua o kekahi mau lā, e hana kāu kauka i kahi papa hoʻemi mālie e pale ai i nā hōʻailona haʻalele. Mai hooki koke me ka ʻole o ke alakaʻi olakino, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi.

Hiki iaʻu ke kalaiwa ma hope o ka lawe ʻana i ka Midazolam?

ʻAʻole, ʻaʻole pono ʻoe e kalaiwa a i ʻole e hana i nā mīkini no ka liʻiliʻi o 8 mau hola ma hope o ka lawe ʻana i ka midazolam, a ʻoi aku ka lōʻihi inā ʻoe e hiamoe a i ʻole e nāwaliwali ana. Hoʻopilikia nui ka lāʻau i kou manawa pane, ka hoʻonohonoho ʻana, a me nā hiki ke hoʻoholo.

E hoʻolālā i nā kaʻa ʻē aʻe ma mua o ka lawe ʻana i kāu mahele, a loaʻa kekahi e mākaukau e kalaiwa iā ʻoe inā pono. ʻO kou palekana a me ka palekana o nā poʻe ʻē aʻe ma ke alanui ka mea nui i ka wā e noho ana kēia lāʻau i loko o kāu ʻōnaehana.