Remifentanil (indlela ye-intravenous)

Ultiva

Isikhubekiso seRemifentanil sisetshenziswa ekuqedeni ubuhlungu phakathi nangemva kokuthola ukwelashwa noma ezinye izinqubo zezokwelapha. Sisetshenziswa futhi nezinye izidakamizwa (isib. isoflurane, propofol, midazolam, thiopental) ngaphambi noma ngesikhathi sokusebenza ukuze kusize i-anesthetic ukusebenza kangcono. I-Remifentanil iyingxenye yeqembu lemithi ebizwa ngokuthi yi-narcotic analgesics (imithi yokuqeda ubuhlungu). Isebenza ngokusebenza ohlelweni oluphakathi lwezinzwa (CNS) noma ebuchosheni ukuqeda ubuhlungu. Lolu lwemi lusetshenziswa kuphela yi-dokota wakho noma ngaphansi kokunakekelwa kwakhe okuqondile. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:

Ekwahluleni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqululo owenzayo wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma iyiphi impendulo engavamile noma ebangelwa uketshezi kule mithi noma kunoma iyiphi eminye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zoketshezi, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenamibhalo, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele ezenziwe kuze kube manje azibonakalisi izinkinga ezikhethekile zezingane ezizobeka umkhawulo ekusebenzeni kokubeka i-remifentanil uma kunikezwa nge-anesthetic ngaphambi noma ngesikhathi sokuhlinzwa kwezingane. Ukuphepha nokusebenza kahle kuye kwaqiniswa. Izifundo ezifanele eziphathelene nobudlelwano bobudala nemiphumela yokubeka i-remifentanil ukuze kuphepheke ubuhlungu ngemuva kokuhlinzwa azikwenziwe kubantu abancane. Ukuphepha nokusebenza kahle akukaqiniswanga. Izifundo ezifanele ezenziwe kuze kube manje azibonakalisi izinkinga ezikhethekile zabantu abadala ezizobeka umkhawulo ekusebenzeni kokubeka i-remifentanil kubantu abadala. Noma kunjalo, iziguli ezikhulile zingaba nomuzwa omkhulu wemiphumela yale mithi kunabantu abadala abasebancane, futhi zinezinkinga zezinkalankala noma zephunga ezihlobene nobudala, okungase kudinge ukunakekelwa nokulungiswa komthamo kwabaguli abamukela i-remifentanil. Ayikho izifundo ezifanele kwabesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izimithi akufanele zisetshenziswe ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingase isetshenziswe ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingase zidingeke. Uma wamukele le mithi, kubaluleke kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlwini elingezansi. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayikhuthazwa. Udokotela wakho angase anqume ukungakwelaphi ngale mithi noma ashintshe ezinye izimithi ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayikhuthazwa, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyisebenzisa kangaki enye noma zombili imithi. Ezinye izimithi akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba ngezimithi ezithile kungase futhi kubangele ukuhlangana. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile ayikhuthazwa, kodwa kungase kungakhuphuki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyisebenzisa kangaki le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi: