He aha ka Sodium Nitroprusside: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

He lāʻau ikaika ka sodium nitroprusside i hoʻohana ʻia i loko o nā haukapila e hoʻohaʻahaʻa koke i ke koko kiʻekiʻe. Hana kēia lāʻau wikiwiki i loko o kekahi mau minuke e hoʻomaha ai i nā paia o nā kīʻaha koko, e kōkua ana i ka pale ʻana i nā pilikia koʻikoʻi e like me ka hahau ʻana a i ʻole ka puʻuwai i ka wā pilikia olakino.

E loaʻa wale iā ʻoe kēia lāʻau lapaʻau i loko o kahi haukapila a i ʻole kahi mālama koʻikoʻi ma lalo o ka mālama olakino. Hoʻohana nā hui mālama ola iā ia i ka wā e pono ai ke koko e iho koke a palekana, e lilo ia i mea hana nui no ka mālama ʻana i nā pilikia hypertensive.

He aha ka Sodium Nitroprusside?

ʻO ka sodium nitroprusside he vasodilator ikaika e pili ana i kahi papa o nā lāʻau i kapa ʻia he nitrates. He pauka sterile ia e hui pū ai nā lāʻau lapaʻau haukapila me nā wai kūikawā e hana i kahi hopena intravenous.

Ua hoʻopakele kēia lāʻau lapaʻau i nā ola i loko o nā lumi pilikia a me nā ʻāpana mālama koʻikoʻi no nā makahiki he nui. Hana ka lāʻau ma ka hoʻokuʻu ʻana i ka nitric oxide i loko o kou mau kīʻaha koko, e hōʻailona ana i ka ʻiʻo maʻemaʻe i loko o nā paia o nā kīʻaha e hoʻomaha a ākea.

Ma muli o kāna mau hopena koke a ikaika, pono ka sodium nitroprusside i ka nānā mau ʻana a hiki ke hāʻawi ʻia ma o kahi laina IV i loko o kahi haukapila. E nānā kāu hui lapaʻau i kou koko i ka wā e loaʻa ai iā ʻoe kēia lapaʻau.

No ke aha e hoʻohana ʻia ai ka Sodium Nitroprusside?

Hoʻohana nui nā kauka i ka sodium nitroprusside e mālama i nā pilikia hypertensive i ka wā e piʻi ai ke koko i nā pae kiʻekiʻe. Pono kēia mau kūlana i ka hana koke e pale ai i ka pōʻino o nā ʻōpū a i ʻole nā pilikia e hoʻoweliweli ana i ke ola.

Eia nā kūlana nui e hoʻohana ai kāu hui lapaʻau i kēia lāʻau:

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• He maʻi hypertensive me nā heluhelu koko ma luna o 180/120 mmHg
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• He maʻi puʻuwai ʻoi loa ke paʻakikī ka puʻuwai i ka pauma pono
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• He ʻoki aortic, kahi e ulu ai ka moku nui mai ka puʻuwai
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• Preeclampsia i ka wā hāpai ke piʻi nui ke koko
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• Ka mālama ʻana i ke koko ma hope o ka hana ʻana i kekahi mau hana puʻuwai
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• Hoʻomalu ʻia ka hypotension i ka wā o nā hana ʻokiʻoki kūikawā
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I nā kūlana kakaʻikahi, hiki i nā kauka ke hoʻohana i ka sodium nitroprusside no ka edema pulmonary ʻoi loa a i ʻole ke hana ʻole nā lāʻau koko ʻē aʻe i ka wikiwiki. ʻO ke kumu nui ka pono no ka hoʻohaʻahaʻa wikiwiki a hoʻomalu ʻia o ke koko ma lalo o ka mālama olakino.

Pehea e hana ai ka Sodium Nitroprusside?

Ua manaʻo ʻia ʻo Sodium nitroprusside he lāʻau ikaika loa e hana pololei ana ma ka hoʻomaha ʻana i ka ʻiʻo maʻalahi i nā paia o kou mau moku koko. Ke komo ka lāʻau i loko o kou kahe koko, e wāwahi ʻia a hoʻokuʻu i ka nitric oxide, he mea maoli e haʻi ana i nā moku koko e laulā.

E noʻonoʻo i kou mau moku koko e like me nā paipu māla e hiki ke hoʻonui a me ka ʻaelike. Ke hoʻokuʻu ka sodium nitroprusside i ka nitric oxide, e like ia me ka hoʻouna ʻana i kahi hōʻailona i kēia mau

E hoʻokomo kāu hui lapaʻau i kahi catheter IV kūikawā i loko o kekahi o kou mau veins, maʻamau i kou lima a i ʻole ka lima. Hele mai ka lāʻau lapaʻau ma o kēia IV ma ke ʻano he kulu mau e hiki ke hoʻoponopono ʻia ma muli o ka pane ʻana o kou koko.

I ka wā o ka mālama ʻana, e hoʻopili ʻia ʻoe i nā mea nānā e nānā mau i kou koko, ka helu o ka puʻuwai, a me nā pae oxygen. E nānā nā kahu hānai i kāu mau hōʻailona ola i nā manawa pinepine a hoʻoponopono i ka nui o ka lāʻau lapaʻau e like me ka mea e pono ai.

ʻAʻole pono ʻoe e hopohopo e pili ana i nā meaʻai a i ʻole nā mea inu i ka wā e loaʻa ana ka sodium nitroprusside. Eia naʻe, e mālama kāu hui lapaʻau i kāu meaʻai holoʻokoʻa a me ka wai e pili ana i kou kūlana a me ka hoʻolālā lapaʻau.

Pehea ka lōʻihi e pono ai iaʻu ke lawe i ka Sodium Nitroprusside?

Hoʻohana maʻamau ʻia ka sodium nitroprusside no nā manawa pōkole, maʻamau mai kekahi mau hola a i kekahi mau lā. Aia ka lōʻihi pololei i kou kūlana a me ka maikaʻi o ka pane ʻana o kou koko i ka mālama ʻana.

Loaʻa i ka hapa nui o nā maʻi kēia lāʻau lapaʻau no 24 a 72 mau hola i ka wā e hana ana nā kauka e hoʻopaʻa i ko lākou kūlana. Ke hoʻomalu ʻia kou koko, e hoʻemi mālie kāu hui lapaʻau i ka nui a hoʻololi iā ʻoe i nā lāʻau lapaʻau waha hiki iā ʻoe ke lawe ma ka home.

I nā kūlana pilikia, pono paha ʻoe i ka lāʻau lapaʻau no kekahi mau hola. No nā kūlana paʻakikī e like me ka puʻuwai a i ʻole ma hope o kekahi mau hana, hiki ke hoʻomau ka mālama ʻana no kekahi mau lā.

ʻAʻole e hoʻōki kāu hui mālama ola i ka sodium nitroprusside i ka manawa koke. E hoʻemi mālie lākou i ka nui i ka manawa e pale ai i kou koko mai ka hoʻi ʻana i nā pae weliweli.

He aha nā hopena ʻaoʻao o ka Sodium Nitroprusside?

E like me nā lāʻau lapaʻau ikaika a pau, hiki i ka sodium nitroprusside ke hoʻoulu i nā hopena ʻaoʻao, ʻoiai e nānā pono kāu hui lapaʻau iā ʻoe e hopu a mālama i nā pilikia i ka wikiwiki.

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

• He ʻehaʻeha ke poʻo mai nā loli o nā kīʻaha koko
• Luaʻi a i ʻole ka manaʻo ʻehaʻeha
• Pōniuniu a i ʻole ka māmā o ke poʻo
• Ka wikiwiki o ka puʻuwai i ka wā e hoʻoponopono ai kou kino
• Ka hou a i ʻole ka ʻulaʻula
• Hū a i ʻole ka hopohopo

Hoʻomaikaʻi pinepine kēia mau hopena i ka wā e hoʻoponopono ai kou kino i ka lāʻau a paʻa ke koko.

Hiki ke loaʻa nā hopena ʻaoʻao koʻikoʻi, ʻoi loa me nā manawa lōʻihi o ka mālama ʻana:

• Ka hāʻule nui o ke koko e alakaʻi ana i nā pilikia o nā ʻōkana
• ʻO ka ʻona cyanide mai ka hoʻohana lōʻihi a i ʻole nā ​​dose kiʻekiʻe
• ʻO ka ʻona thiocyanate, ʻoi loa i nā maʻi me nā pilikia o ka puʻupaʻa
• Methemoglobinemia, kahi maʻi koko kakaʻikahi
• Hoʻonui i ke kaomi i loko o ka iwi poʻo i nā hihia kakaʻikahi

Mālama kāu hui lapaʻau i kēia mau pilikia koʻikoʻi ma o nā hoʻokolohua koko maʻamau a me ka nānā mau ʻana. Ua aʻo ʻia lākou e ʻike i nā hōʻailona hōʻailona mua a hoʻoponopono i ka mālama ʻana.

ʻO wai ka mea ʻaʻole pono e lawe i ka Sodium Nitroprusside?

ʻO kekahi mau maʻi lapaʻau e hoʻolilo i ka sodium nitroprusside i mea palekana ʻole a i ʻole e koi i nā hana kūikawā. E nānā pono kāu hui lapaʻau i kāu mōʻaukala olakino ma mua o ka hoʻomaka ʻana i kēia lapaʻau.

ʻAʻole pono ʻoe e loaʻa i ka sodium nitroprusside inā loaʻa iā ʻoe:

• Ke koko haʻahaʻa nui a i ʻole ka haʻalulu
• Aortic coarctation, kahi ʻuʻuku o ke aʻa nui
• Arteriovenous malformation i ka lolo
• Ke kaomi kiʻekiʻe i loko o ka iwi poʻo mai ka trauma a i ʻole nā ​​kumu ʻē aʻe
• Maʻi puʻuwai valve koʻikoʻi me ka nānā pono ʻole
• ʻIke ʻia ka maʻi maʻi koʻikoʻi i ka nitroprusside a i ʻole nā ​​lāʻau pili

Pono ka mālama kūikawā inā loaʻa iā ʻoe ka maʻi puʻupaʻa, nā pilikia o ke akepaʻa, a i ʻole ka hemahema o ka huaora B12. Hiki i kēia mau kūlana ke hoʻonui i kou pilikia o nā hopena ʻaoʻao koʻikoʻi mai ka lāʻau.

Hiki i nā wāhine hāpai ke loaʻa i ka sodium nitroprusside no ka preeclampsia koʻikoʻi, akā e ana nā kauka i nā pōmaikaʻi e kūʻē i nā pilikia hiki ke loaʻa i ka makuahine a me ka pēpē. Hiki i ka lāʻau lapaʻau ke hele i ka placenta a pili i ka fetus e ulu nei.

Nā inoa inoa o Sodium Nitroprusside

Loaʻa ka sodium nitroprusside ma lalo o nā inoa inoa like ʻole, ʻoiai he nui nā halemai e hoʻohana i ka mana generic. ʻO ka inoa inoa maʻamau ʻo Nitropress, i hoʻohana nui ʻia i nā hale lapaʻau.

ʻO nā inoa inoa ʻē aʻe e pili ana iā Nipride a me nā ʻano generic like ʻole mai nā hui lāʻau lapaʻau like ʻole. ʻAʻole pili i ka inoa, hana nā lāʻau lapaʻau sodium nitroprusside a pau ma ke ala like a loaʻa nā hopena like.

Na kāu hale kūʻai lāʻau lapaʻau e hoʻoholo i ka mana e hoʻohana ai ma muli o ka loaʻa a me nā mea e pili ana i ke kumukūʻai. ʻO ka mea nui, ua kūlike nā mana a pau i nā kūlana maikaʻi a hāʻawi i nā pōmaikaʻi therapeutic like.

Nā koho ʻē aʻe o Sodium Nitroprusside

Hiki ke hoʻohana ʻia kekahi mau lāʻau lapaʻau ʻē aʻe ma kahi o ka sodium nitroprusside, ma muli o kou kūlana kikoʻī a me nā pono olakino. E koho kāu hui mālama ola i ke koho maikaʻi loa e pili ana i kou kūlana.

ʻO nā koho maʻamau e pili ana:

• Nicardipine, he mea pale i ke kahawai calcium i hāʻawi ʻia ma IV
• Labetalol, hiki ke hāʻawi ʻia intravenously a i ʻole ma ka waha
• Esmolol, he mea pale beta pōkole no ka mana pololei
• Hydralazine, hoʻohana pinepine ʻia i ke koko kiʻekiʻe e pili ana i ka hāpai ʻana
• Clevidipine, he mea pale i ke kahawai calcium hou me ka hana wikiwiki

No nā kūlana liʻiliʻi, hiki i nā kauka ke hoʻohana i nā lāʻau lapaʻau waha e like me nā mea pale ACE, ARB, a i ʻole nā lāʻau lapaʻau koko kiʻekiʻe ʻē aʻe hiki iā ʻoe ke lawe ma ka home.

Aia ke koho o ke koho ʻē aʻe i nā mea e like me kāu hana puʻuwai, ke olakino o ka puʻupaʻa, ke kūlana hāpai, a me ke ʻano kikoʻī o ka pilikia koko kiʻekiʻe āu e ʻike nei.

Ua ʻoi aku ka maikaʻi o ka Sodium Nitroprusside ma mua o Nicardipine?

He mea maikaʻi loa nā lāʻau lapaʻau ʻo sodium nitroprusside a me nicardipine no ka hoʻohaʻahaʻa ʻana i ke koko wikiwiki, akā he mau pono kūikawā ko kēlā me kēia i nā kūlana like ʻole.

Hana wikiwiki ʻo Sodium nitroprusside, me nā hopena i ʻike ʻia i loko o 30 kekona a 2 mau minuke. Hāʻawi pū kekahi i ka mana pololei no ka mea hiki i nā kauka ke hoʻoponopono mau i ka mahele a ʻike i nā hopena koke.

ʻO Nicardipine, ma kekahi ʻaoʻao, he hopena hiki ke wānana ʻia a me nā hopena ʻaoʻao liʻiliʻi. Makemake pinepine ʻia ke pono ʻoe i ka mana koko no nā wā lōʻihi a i ʻole ke hopohopo ʻoe i ka ʻona cyanide.

E koho kāu hui lapaʻau ma muli o kāu mau pono kikoʻī. No ka mana wikiwiki a pololei i nā kūlana pilikia, makemake ʻia ʻo sodium nitroprusside. No ka mālama lōʻihi a i ʻole ke loaʻa iā ʻoe kekahi mau maʻi puʻuwai, ʻoi aku ka maikaʻi o nicardipine.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana iā Sodium Nitroprusside

He palekana anei ʻo Sodium Nitroprusside no ka poʻe me ka maʻi puʻuwai?

Hiki ke hoʻohana palekana ʻia ʻo Sodium nitroprusside i ka poʻe me ka maʻi puʻuwai, akā pono ia i ka nānā ʻana. Hiki i ka lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i ka hana ma kou puʻuwai ma ka maʻalahi o ke kahe ʻana o ke koko i loko o kou mau moku.

Eia naʻe, inā loaʻa iā ʻoe ka maʻi valve puʻuwai koʻikoʻi a i ʻole kekahi mau ʻano o ka maʻi puʻuwai, pono kāu hui lapaʻau e nānā iā ʻoe me ka akahele. Hiki iā lākou ke koho i kahi lāʻau lapaʻau ʻē aʻe a i ʻole e hoʻohana i nā ʻenehana nānā kūikawā e hōʻoia i ka pane maikaʻi ʻana o kou puʻuwai i ka lāʻau.

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

ʻAʻole pono ʻoe e hopohopo e pili ana i ka loaʻa ʻana o ka nui o ka sodium nitroprusside no ka mea e mālama ana nā poʻe loea mālama ola i ka lāʻau lapaʻau ma o nā pauma kamepiula me nā hiʻohiʻona palekana.

Inā loaʻa kahi overdose, e kāpae koke kāu hui lapaʻau i ka hoʻokomo ʻana a hāʻawi i ka mālama kākoʻo. Hiki iā lākou ke hāʻawi iā ʻoe i nā wai e hoʻokiʻekiʻe i kou koko a i ʻole nā lāʻau ʻē aʻe e kūʻē i nā hopena. ʻO ka nūhou maikaʻi, ʻo nā hopena o ka sodium nitroprusside e pau koke ke pau ka hoʻokomo ʻana.

He aha kaʻu e hana ai inā pau ka hana ʻana o kaʻu laina IV i ka wā o ka mālama ʻana?

Inā paʻa a pau paha kāu laina IV i ka wā o ka mālama ʻana i ka sodium nitroprusside, e makaʻala koke i kāu kahu. Manaʻo ʻia he mea wikiwiki kēia no ka mea pono ka lāʻau lapaʻau e kahe mau e mālama i ke koko paʻa.

E hoʻokumu koke kāu hui mālama ola i kahi laina IV hou a hoʻomau i ka lāʻau lapaʻau. Ua aʻo ʻia lākou e mālama i kēia kūlana a e nānā pono iā ʻoe i ka wā o ka hoʻololi ʻana e hōʻoia i ka paʻa ʻana o kou koko.

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

E hooki ʻoe i ka lawe ʻana i ka sodium nitroprusside ke hoʻoholo kāu hui lapaʻau ua paʻa kou koko a ua mālama ʻia kou maʻi ma lalo. Hana mau ʻia kēia hoʻoholo e kāu poʻe mālama ola, ʻaʻole na ʻoe iho.

ʻO ke kaʻina hana e pili ana i ka hoʻemi ʻana i ka mahele i nā hola a i ʻole nā lā e nānā ana i kāu pane. E hoʻomaka pū kāu hui iā ʻoe i nā lāʻau lapaʻau waha hiki iā ʻoe ke hoʻomau i ka lawe ʻana ma ka home ma mua o ka hoʻōki ʻana i ka lāʻau IV.

Hiki iaʻu ke hele i ka home i ka wā e lawe ana i ka Sodium Nitroprusside?

ʻAʻole, ʻaʻole hiki iā ʻoe ke hele i ka home i ka wā e loaʻa ana ka sodium nitroprusside. Pono kēia lāʻau lapaʻau i ka nānā mau ʻana i kahi hoʻonohonoho haukapila ma muli o kāna mau hopena ikaika a me nā hopena ʻaoʻao.

Pono ʻoe e noho i ka haukapila a hiki i ka hiki ʻana o kāu hui lapaʻau ke hoʻololi palekana iā ʻoe i nā lāʻau lapaʻau waha a hōʻoia i ka paʻa ʻana o kou koko. Ke loaʻa iā ʻoe nā lāʻau lapaʻau hiki iā ʻoe ke lawe ma ka home a paʻa kou maʻi, hiki iā ʻoe ke hele i ka home me ka mālama ma hope.