He aha ʻo Rocuronium: Nā Hoʻohana, Ka Leka, Nā ʻAoʻao ʻAoʻao a me nā mea hou aku

He lāʻau hoʻomaha ʻiʻo ikaika ʻo Rocuronium e hoʻohana ai nā kauka i ka wā o ka ʻoki a me nā kaʻina hana lapaʻau. Hoʻopōloli ia i kou mau ʻiʻo no ka manawa pōkole ma ka pale ʻana i nā hōʻailona ma waena o kou mau aʻalolo a me nā ʻiʻo, e maʻalahi ai i nā kauka e hana palekana. Hāʻawi ʻia kēia lāʻau lapaʻau i nā halemai a i ʻole nā ​​lāʻau lapaʻau e nā poʻe loea mālama ola i hoʻomaʻamaʻa ʻia ma o ka laina IV i loko o kou vein.

He aha ʻo Rocuronium?

No ka papa o nā lāʻau lapaʻau i kapa ʻia ʻo neuromuscular blocking agents a i ʻole nā ​​mea hoʻomaha ʻiʻo ʻo Rocuronium. Hana ia ma ka pale ʻana i kou mau ʻiʻo mai ka loaʻa ʻana o nā hōʻailona uila e pono ai lākou e ʻaelike a neʻe. E noʻonoʻo iā ia e like me ka

E loiloi pono kāu hui lapaʻau inā he koho kūpono ʻo rocuronium no kou kūlana kikoʻī. E noʻonoʻo lākou i nā mea e like me kou kūlana olakino, ke ʻano o ke kaʻina hana, a me ka lōʻihi o ka hana ʻana.

Pehea e Hana ai ʻo Rocuronium?

Hana ʻo Rocuronium ma ka pale ʻana i kahi ʻano mea loaʻa i kapa ʻia ʻo nicotinic acetylcholine receptors ma ka hui ma waena o kou mau aʻalolo a me nā ʻiʻo. Ke ālai ʻia kēia mau mea loaʻa, ʻaʻole hiki i kou mau ʻiʻo ke loaʻa nā hōʻailona e pono ai lākou e ʻaelike, e hopena i ka maʻi lōlō manawa.

Ua manaʻo ʻia he lāʻau lapaʻau ikaika kēia e hana ai i ka hoʻomaha ʻana o ka ʻiʻo. Hoʻomaka nā hopena i loko o 1 a 3 mau minuke ma hope o ka injection a hiki i ko lākou ʻoi loa i loko o 3 a 5 mau minuke. E hoʻi hou ana kou mau ʻiʻo i kā lākou hana maʻamau i ka wā e pau ai ka lāʻau a i ʻole e hoʻohuli ʻia me nā lāʻau ʻē aʻe.

Hoʻopilikia ka maʻi lōlō i nā ʻiʻo manawaleʻa a pau i loko o kou kino, me nā mea i hoʻohana ʻia no ka hanu ʻana. ʻO ia ke kumu e noho mau ai ʻoe ma luna o ka ventilator a i ʻole ka mīkini hanu i ka wā e loaʻa ai iā rocuronium. Ke hoʻomau nei kou puʻuwai e paʻi maʻamau no ka mea e hoʻohana ana ia i kahi ʻano ʻiʻo ʻē aʻe ʻaʻole i hoʻopilikia ʻia e kēia lāʻau.

Pehea wau e lawe ai iā Rocuronium?

ʻAʻole ʻoe e lawe iā rocuronium iā ʻoe iho no ka mea e hāʻawi wale ʻia e nā poʻe lapaʻau i hoʻomaʻamaʻa ʻia i nā wahi haukapila. Hāʻawi ʻia ka lāʻau lapaʻau ma o ka laina intravenous (IV) pololei i loko o kou kahe koko. E helu kāu anesthesiologist a i ʻole ka mea mālama ola i ke ana pololei e pili ana i kou kaumaha, makahiki, a me ke kūlana olakino.

Ma mua o ka loaʻa ʻana o rocuronium, e noi ʻia ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola. Kōkua kēia manawa hoʻokē ʻai i ka pale ʻana i nā pilikia i ka wā o ke kaʻina hana. E hāʻawi kāu hui lapaʻau iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka manawa e hooki ai i ka ʻai a me ka inu ʻana ma mua o kāu ʻoki.

Hāʻawi ʻia ka lāʻau lapaʻau i loko o kahi kaiapuni olakino i mālama ʻia kahi e nānā mau ʻia ai kou hanu ʻana, ka helu o ka puʻuwai, a me nā hōʻailona koʻikoʻi ʻē aʻe. E hoʻopili ʻia ʻoe i nā mīkini e nānā ana i nā pane o kou kino a e hōʻoia i kou palekana i ka wā o ke kaʻina hana.

Pehea ka lōʻihi e lawe ai au i ka Rocuronium?

Hoʻohana ʻia ʻo Rocuronium no ka lōʻihi o kāu hana ʻoki a i ʻole ka hana olakino. ʻAʻole ia he lāʻau lapaʻau āu e lawe ai ma ka home a i ʻole no nā manawa lōʻihi. ʻO ka maʻamau, mau nā hopena ma waena o 30 a 60 mau minuke, ma muli o ka nui a me kou pane pilikino i ka lāʻau lapaʻau.

E nānā kāu anesthesiologist i ke ʻano o ka pane ʻana o kou mau ʻiʻo a hiki ke hāʻawi i nā mea hou aku inā lōʻihi kāu hana ma mua o ka mea i manaʻo ʻia. Hiki iā lākou ke hoʻohana i nā lāʻau hoʻohuli e kōkua i kou mau ʻiʻo e loaʻa hou i ka hana wikiwiki ke pau ke ʻoki.

Hana ʻia ka hoʻoholo e pili ana i ka manawa a me ka lōʻihi e kāu hui olakino ma muli o kāu hana kikoʻī a me nā pono hoʻōla. E hōʻoia lākou e pau nā hopena o ka lāʻau lapaʻau ma mua o kou neʻe ʻana i kahi wahi hoʻōla.

He aha nā hopena ʻaoʻao o Rocuronium?

ʻO ka hapa nui o nā kānaka e ʻae maikaʻi iā rocuronium ke hoʻohana pono ʻia i nā wahi olakino. Eia naʻe, e like me nā lāʻau lapaʻau a pau, hiki iā ia ke hoʻoulu i nā hopena ʻaoʻao. Nānā mau kāu hui olakino iā ʻoe e ʻike koke a mālama i nā pilikia e hiki ke hana.

ʻO nā hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia:

• Nāwaliwali o ka ʻiʻo no ka manawa pōkole e hoʻomaikaʻi mālie
• ʻUlaʻula a i ʻole ʻulaʻula o ka ʻili ma kahi i hoʻokomo ʻia ai
• Nā loli liʻiliʻi i ke koko a i ʻole ka helu o ka puʻuwai
• Nāwaliwali o ka ʻiʻo e pono ai ka manawa e hoʻoponopono piha ai

ʻO nā hopena ʻaoʻao koʻikoʻi akā ʻaʻole maʻamau, hiki ke komo:

• Nā hopena maʻi me nā hōʻailona e like me ka ʻōpala, ka ʻūlū, a i ʻole ka pilikia o ka hanu
• Ka palu ʻana o nā ʻiʻo e lōʻihi ana ma mua o ka mea i manaʻo ʻia e pau
• Nā pilikia o ka hanu inā pili ka lāʻau i kou mau ʻiʻo hanu ma mua o ka mea i manaʻo ʻia
• Nā loli cardiovascular e pono ai ka mālama olakino

ʻO nā pilikia laha ʻole akā koʻikoʻi paha e komo pū ana me nā hopena maʻi koʻikoʻi (anaphylaxis), hiki ke hoʻoulu i ka emi ʻana o ke koko a me nā pilikia hanu koʻikoʻi. Hiki nō hoʻi ke hana ʻia ka hyperthermia malignant, he maʻi laha ʻole akā hoʻoweliweli i ke ola, i nā kānaka i maʻalahi.

Ua aʻo ʻia kāu hui lapaʻau e ʻike a mālama koke i kēia mau pilikia. Loaʻa iā lākou nā lāʻau lapaʻau pilikia a me nā lako i loaʻa koke e mālama i nā hopena maikaʻi ʻole e hiki ke hana.

ʻO wai ka mea pono ʻole e lawe iā Rocuronium?

ʻAʻole kūpono ʻo Rocuronium no nā mea a pau, a e nānā pono kāu hui lapaʻau i kāu moʻolelo olakino ma mua o ka hoʻohana ʻana. Pono paha nā kānaka me kekahi mau maʻi i nā lāʻau lapaʻau ʻē aʻe a i ʻole nā hana kūikawā i ka wā o kā lākou hana.

Pono ʻoe e haʻi i kāu mea mālama ola inā loaʻa iā ʻoe kekahi o kēia mau maʻi:

• ʻIke ʻia ka maʻi i ka rocuronium a i ʻole nā mea hoʻomaha ʻiʻo like
• Myasthenia gravis a i ʻole nā maʻi neuromuscular ʻē aʻe
• Maʻi kīkī a i ʻole ate koʻikoʻi
• Moʻolelo o ka hyperthermia malignant
• Nā maʻi puʻuwai a i ʻole ka puʻuwai puʻuwai ʻole
• Nā kaulike electrolyte e like me ka potassium haʻahaʻa a i ʻole ka magnesium

Pono paha nā manaʻo kūikawā inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, ʻoiai hiki ke hoʻohana palekana ʻia ʻo rocuronium i ka wā o nā ʻāpana cesarean. E kaupaona ana kāu anesthesiologist i nā pōmaikaʻi a me nā pilikia no kāu kūlana.

Hiki i kekahi mau lāʻau lapaʻau ke launa pū me ka rocuronium, a hiki ke hoʻolilo iā ia i mea ʻoi aku ka maikaʻi a i ʻole ka liʻiliʻi. E hāʻawi mau i kāu hui lapaʻau i kahi papa inoa piha o nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā lāʻau lapaʻau lāʻau āu e lawe nei.

Nā inoa inoa o Rocuronium

Loaʻa ka Rocuronium ma lalo o nā inoa inoa like ʻole, ʻoiai ke hoʻohana pinepine ʻia ka mana generic i nā halemai he nui. ʻO ka inoa inoa kaulana loa ʻo Zemuron, ʻo ia ka mana inoa mua o kēia lāʻau lapaʻau.

ʻO nā inoa inoa ʻē aʻe āu e hālāwai ai, ʻo ia ʻo Esmeron, i hoʻohana ʻia ma kekahi mau ʻāina ma waho o ʻAmelika Hui Pū ʻIa. Eia naʻe, me ka nānā ʻole i ka inoa inoa, like ka mea hana a me nā hopena.

E hoʻohana kāu mea mālama ola i ka mana i loaʻa ma kā lākou keʻena. Pono nā mana a pau o ka rocuronium e kū i nā kūlana palekana a me ka pono like, no laila hiki iā ʻoe ke hilinaʻi e loaʻa ana iā ʻoe ka lāʻau lapaʻau maikaʻi me ka nānā ʻole i ka inoa inoa.

Nā koho ʻē aʻe o Rocuronium

Hiki ke hoʻohana ʻia kekahi mau mea hoʻomaha ʻiʻo ʻē aʻe ma kahi o ka rocuronium, ma muli o kāu mau pono kikoʻī a me ke kūlana olakino. E koho kāu anesthesiologist i ke koho kūpono loa e pili ana i nā mea e like me ka lōʻihi o kāu kaʻina hana a me kou mau kūlana olakino.

ʻO nā koho maʻamau e pili ana:

• Vecuronium - he mea hoʻomaha ʻiʻo lōʻihi e makemake ʻia no nā ʻoki lōʻihi
• Atracurium - koho pinepine ʻia no nā maʻi me nā pilikia o ka puʻupaʻa a i ʻole ke akepaʻa
• Cisatracurium - kahi koho ʻē aʻe i wāwahi ʻia ma ke ʻano ʻokoʻa i kou kino
• Pancuronium - he koho lōʻihi no nā kūlana ʻoki kikoʻī
• Mivacurium - kahi koho pōkole no nā kaʻina hana pōkole

Loaʻa i kēlā me kēia lāʻau lapaʻau kona mau pono a me nā manaʻo. E koho kāu hui lapaʻau i ka mea e kūpono i kāu kaʻina hana a me ke olakino. I kekahi manawa, hiki ke hoʻohana ʻia kahi hui pū ʻana o nā mea hoʻomaha ʻiʻo like ʻole e loaʻa ai nā hopena maikaʻi loa.

Ua ʻOi aku ka Maikaʻi o Rocuronium ma mua o Vecuronium?

He mau mea hoʻomaha ʻiʻo maikaʻi ʻo Rocuronium a me vecuronium, akā he mau ʻano like ʻole ko lākou e kūpono ai kekahi i kekahi i nā kūlana like ʻole. ʻAʻole maikaʻi kekahi ma mua o kekahi, a e koho kāu anesthesiologist ma muli o kāu mau pono kikoʻī.

He wikiwiki ka hana ʻana o Rocuronium, e hana ana i loko o 1 a 3 mau minuke i hoʻohālikelike ʻia me 3 a 5 mau minuke o vecuronium. He mea pono loa kēia i nā kūlana pilikia a i ʻole ke koi ʻia ka hoʻomaha ʻiʻo wikiwiki no ka waiho ʻana i nā paipu hanu.

ʻO Vecuronium, ma kekahi ʻaoʻao, ʻoi aku ka lōʻihi o ka hana a makemake ʻia no nā kaʻina hana lōʻihi. ʻAʻole hoʻi ia e hoʻoulu i nā hopena ʻaoʻao cardiovascular i kekahi mau maʻi. ʻO ke koho ma waena o lākou e hilinaʻi pinepine ana i nā pono o ka manawa, ka lōʻihi o ke kaʻina hana, a me kāu mau mea olakino pilikino.

Noʻonoʻo kāu hui lapaʻau i nā mea he nui i ke koho ʻana ma waena o kēia mau lāʻau, me kāu hana kīkī a me ke ake, ke ʻano o ke ʻoki ʻana, a me ka wikiwiki o ka pono o ka hoʻomaha ʻiʻo e hana.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Rocuronium

He Palekana ʻo Rocuronium no nā Maʻi ʻelemakule?

Hiki ke hoʻohana palekana ʻia ʻo Rocuronium i nā maʻi ʻelemakule, akā pono paha kāu hui lapaʻau e hoʻoponopono i ka mahele a i ʻole e nānā pono iā ʻoe. I ko mākou wā ʻelemakule, hana ko mākou kino i nā lāʻau like ʻole, a hiki paha iā ʻoe ke ʻoi aku ka naʻau i nā hopena o nā mea hoʻomaha ʻiʻo.

Hiki i nā mākua ʻelemakule ke loaʻa nā hopena lōʻihi mai rocuronium, a hiki paha ke lawe i ka manawa hou no ka hana ʻiʻo e hoʻi i ka maʻamau. E noʻonoʻo kāu anesthesiologist i kou makahiki a me ke olakino holoʻokoʻa i ka wā e hoʻoholo ai i ka mahele kūpono a me ka hoʻolālā nānā.

Hoʻohana mau ʻia ka lāʻau lapaʻau i nā maʻi ʻelemakule e hana ana i ke ʻoki ʻana, a i ka wā e mālama pono ʻia ai, hāʻawi ia i ka hoʻomaha ʻana o ka ʻiʻo palekana a maikaʻi. Loaʻa i kāu hui lapaʻau ka ʻike i ka hoʻoponopono ʻana i ka lāʻau lapaʻau no nā maʻi o nā makahiki āpau.

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

ʻAʻole pono ʻoe e hopohopo e pili ana i ka loaʻa ʻana o ka nui o ka rocuronium no ka mea, hāʻawi ʻia ia e nā poʻe loea lapaʻau i aʻo ʻia e helu pono a nānā i ka mahele. Eia naʻe, inā e hana ʻia kahi overdose, ua mākaukau kāu hui lapaʻau e mālama koke.

ʻO nā hōʻailona o ka nui o ka rocuronium e pili ana i ka lōʻihi o ka maʻi ʻiʻo e lōʻihi ana ma mua o ka mea i manaʻo ʻia. Nānā mau kāu hui lapaʻau i kāu hana ʻiʻo a hiki ke hoʻohana i nā lāʻau lapaʻau e like me sugammadex e hoʻihoʻi koke i ka hana ʻiʻo maʻamau inā pono.

ʻO ke kaiapuni lapaʻau i mālama ʻia kahi e hāʻawi ʻia ai ka rocuronium e hōʻoia i ka ʻike ʻia a mālama koke ʻia nā pilikia. Nānā mau ʻia kāu mau hōʻailona koʻikoʻi, a loaʻa mau nā mea hana pilikia e kākoʻo i kou hanu a me ke kahe ʻana inā pono.

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

ʻAʻole pili kēia nīnau i ka rocuronium no ka mea ʻaʻole ia he lāʻau lapaʻau āu e lawe ai ma ka papa manawa ma ka home. Hāʻawi ʻia ia i ka wā o nā kaʻina hana lapaʻau ma nā halemai a i ʻole nā kikowaena ʻoki e nā poʻe loea mālama ola.

Inā ua hoʻonohonoho ʻia ʻoe no kahi kaʻina hana e pili ana i ka rocuronium a pono ʻoe e hoʻonohonoho hou, e hoʻokaʻaʻike wale i kāu mea mālama ola e hoʻonohonoho i kahi manawa hou. E hāʻawi ʻia ka lāʻau lapaʻau hou i ka manawa o kāu kaʻina hana.

E hōʻoia kāu hui lapaʻau e loaʻa iā ʻoe ka mahele kūpono ke loaʻa iā ʻoe kāu kaʻina hana i hoʻonohonoho ʻia. ʻAʻohe pono e hopohopo e pili ana i ka hala ʻana i nā mahele a i ʻole ka mālama ʻana i nā papa manawa lāʻau me ka rocuronium.

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

ʻAʻole ʻoe e "hooki i ka lawe ʻana" i ka rocuronium ma ke ʻano kuʻuna no ka mea e hoʻohana ʻia ana ia i ka wā o nā hana lapaʻau. E pau ana ka lāʻau lapaʻau ma waena o 30 a 60 mau minuke, a i ʻole e hiki i kāu hui lapaʻau ke hoʻohana i nā lāʻau hoʻohuli e kōkua i kou mau ʻiʻo e hoʻihoʻi i ka hana wikiwiki.

Na kāu anesthesiologist e hoʻoholo i ka manawa e hooki ai i ka hāʻawi ʻana i ka rocuronium ma muli o ka holomua o kāu hana a me nā pono o kou ola hou ʻana. E hōʻoia lākou e hoʻi ana ka hana o kou mau ʻiʻo i ke kūlana maʻamau ma mua o kou neʻe ʻana i kahi wahi ola hou.

ʻO ka hoʻoholo e pili ana i ka manawa e hoʻohuli ai a i ʻole e ʻae i ka lāʻau lapaʻau e pau mau loa ia e kāu hui lapaʻau ma muli o kou palekana a me nā koi o kāu hana. E nānā pono ʻia ʻoe i loko o kēia kaʻina hana.

Hiki i ka Rocuronium ke hoʻoulu i nā hopena lōʻihi?

No ka hapa nui o nā kānaka, ʻaʻole i hoʻoulu ka rocuronium i nā hopena lōʻihi, a hoʻi ka hana o nā ʻiʻo i ke kūlana maʻamau i loko o nā hola o ka hana. Eia naʻe, hiki i kekahi poʻe ke ʻike i ka nāwaliwali o nā ʻiʻo e hiki ke mau no kekahi mau hola a i ʻole, i nā hihia kakaʻikahi, kekahi mau lā.

I nā manawa kakaʻikahi loa, hiki i kekahi poʻe ke hoʻomohala i kahi maʻi i kapa ʻia ʻo postoperative residual curarization, kahi e mau ai ka nāwaliwali o nā ʻiʻo ma mua o ka mea i manaʻo ʻia. ʻOi aku ka nui o kēia i nā maʻi ʻelemakule a i ʻole ka poʻe me kekahi mau maʻi lapaʻau, akā ʻaʻole maʻamau.

E nānā pono kāu hui lapaʻau iā ʻoe i ka wā o ka ola hou ʻana e hōʻoia i ka hoʻi ʻana o kou ikaika o nā ʻiʻo i ke kūlana maʻamau. Inā ʻike ʻoe i kekahi nāwaliwali ʻano ʻē a i ʻole ka pilikia i ka neʻe ʻana ma hope o kāu hana, e haʻi koke i kāu mea mālama ola kino i hiki iā lākou ke loiloi a hoʻoponopono i nā hopohopo.