Qoraa: Marcus Baldwin
Taariikhda Abuurista: 19 Juun 2021
Taariikhda Cusboonaysiinta: 16 Noofeembar 2024
Anonim
How to Apply & Remove Transdermal Patch (Fentanyl) | Medication Administration for Nursing Students
Dareemoleyad: How to Apply & Remove Transdermal Patch (Fentanyl) | Medication Administration for Nursing Students

Qanacsan

Dadka isticmaala dawooyinka anti-inflammatory nonsteroidal anti-inflammatory (NSAIDs) (oo aan ka ahayn asbiriin) sida transdermal diclofenac waxay yeelan karaan halista ugu badan ee wadno qabad ama istaroog marka loo eego dadka aan isticmaalin daawooyinkan Dhacdooyinkan waxay dhici karaan digniin la'aan waxayna sababi karaan dhimasho. Khatartu way ka sii badnaan kartaa dadka isticmaala NSAIDs muddo dheer. Ha u isticmaalin NSAID sida transdermal diclofenac haddii aad dhawaan wadno xanuun qabtid, ilaa uu takhtarkaagu ku faro mooyee. U sheeg dhakhtarkaaga haddii adiga ama qof kale oo qoyskaaga ka mid ah uu qabo ama uu waligiis ku dhacay cudur wadne, wadne qabad, ama istaroog; haddii aad sigaar cabto; iyo haddii aad qabto ama aad waligaa qabtid kolestarool sare, dhiig kar, ama sonkorow. Hel gargaar caafimaad oo deg-deg ah isla markiiba haddii aad isku aragto mid ka mid ah astaamaha soo socda: laabta oo xanuunta, neefta oo ku qabata, daciifnimo oo ku timaadda qayb ka mid ah ama dhinaca jidhkaaga, ama hadal aan fiicnayn

Haddii aad mari doontid halbowlaha xididdada wadnaha (CABG, nooc qalliin wadnaha ah), waa inaadan isticmaalin transdermal diclofenac isla qalliinka ka hor ama ka dib.


NSAIDs sida transdermal diclofenac waxay sababi karaan barar, boogo, dhiig bax, ama godad caloosha ama mindhicirada. Dhibaatooyinkani waxay soo bixi karaan wakhti kasta inta lagu jiro daweynta, waxay dhici karaan iyadoo aan lahayn astaamo digniin ah, waxayna sababi karaan dhimasho. Khatartu way ka sii badnaan kartaa dadka isticmaala NSAIDs muddo dheer, da 'weyn, da' caafimaad leh, sigaar cabba, ama cabba aalkolo inta ay isticmaalayaan transdermal diclofenac. U sheeg dhakhtarkaaga haddii aad leedahay mid ka mid ah arrimahan halista ah iyo haddii aad qabto ama aad waligaa ku dhacday dhiig-baxa boogaha ee caloosha ama mindhicirada, ama xanuunno kale oo dhiig-bax ah. U sheeg dhakhtarkaaga haddii aad qaadato mid ka mid ah daawooyinka soo socda: daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin, Jantoven); asbiriin; NSAID-yada kale sida ibuprofen (Advil, Motrin) ama naproxen (Aleve, Naprosyn); steroids-ka afka laga qaato sida dexamethasone, methylprednisolone (Medrol), iyo prednisone (Rayos); xulashada serotonin reuptake inhibitors (SSRIs) sida citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, in Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), iyo sertraline (Zoloft); ama serotonin norepinephrine reuptake inhibitors (SNRIs) sida desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), iyo venlafaxine (Effexor XR). Haddii aad isku aragto mid ka mid ah astaamaha soo socda, jooji isticmaalka diclofenac transdermal una wac dhakhtarkaaga: calool xanuun, laab xanuun, matag walax dhiig leh ama u eg qaxwaha, dhiig saxarada ku jira, ama saxaro madow iyo kuwa tarry.


Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaaga ayaa si taxadar leh ula socon doona astaamahaaga waxayna u badan tahay inuu qaadi doono cadaadiska dhiiggaaga wuxuuna amri doonaa baaritaano gaar ah si loo hubiyo jawaabta jirkaaga ee transdermal diclofenac. Hubso inaad u sheegto dhakhtarkaaga sida aad dareemaysid si dhakhtarku u qori karo qadarka saxda ah ee daawada si loogu daaweeyo xaaladdaada iyada oo ay ugu jirto khatarta ugu hooseysa ee waxyeellooyinka halista ah.

Dhakhtarkaaga ama farmashiistahaaga ayaa ku siin doona warqada macluumaadka bukaanka soo saaraha (Hagaha Daawada) markaad bilawdo daaweynta transdermal diclofenac iyo markasta oo aad dib u buuxiso dawadaada. Si taxaddar leh u akhri macluumaadka oo weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah qabtid. Waxa kale oo aad booqan kartaa bogga Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) si aad u hesho Hagaha Daawada.

Transdermal diclofenac waxaa loo isticmaalaa in lagu daaweeyo xanuunka muddada-gaaban sababtoo ah muruqyo yar yar, murgacasho, iyo nabarro ku dhaca dadka waaweyn iyo carruurta da'doodu tahay 6 sano iyo wixii ka weyn. Diclofenac wuxuu kujiraa nooc daawooyin ah oo looyaqaano nonsteroidal anti-inflammatory drugs (NSAIDs). Waxay ku shaqeysaa iyadoo la joojinayo soo saarista jirka ee walax xanuun keenta.


Transdermal diclofenac wuxuu u yimaadaa balastar si loo mariyo maqaarka. Balastarka 'Diclofenac' waxaa badanaa la mariyaa laba jeer maalintii, hal mar 12-kii saacadoodba. Codso balastar diclofenac ah isla waqtiyo isku mid ah maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Ha marinin waxbadan ama kayar oo balastar ah ama ha marinin balastarro inta badan ka badan inta dhakhtarkaagu kuu qoray.

Ha ku dhejin dhejisyada diclofenac maqaarka ka jabay, waxyeelloobay, la gooyey, infekshanka qaba, ama uu ku daboolan yahay finan yaryar.

Ha u oggolaan in balastarku taabtaan indhahaaga, sankaaga, ama afkaaga. Haddii balastarku taabto ishaada, isha isla markiiba ku maydh biyo ama cusbo. Wac dhakhtar haddii ay jirto cuncun indhaha oo socota in ka badan hal saac.

Ha xirin balastar intaad qubaysanaysid ama aad maydhanaysid. Qorsheyso inaad qubeysato ama aad qubeysato ka dib marka aad ka soo saarto balastarka iyo ka hor intaadan marin balastarka xiga.

Si aad u dalbato balastar diclofenac, raac talaabooyinkan:

  1. Ku maydh aagga maqaarka aad ku dhejinaysid balastarka saabuun iyo biyo. Ha ku isticmaalin wax saabuuno qoyan, looshino, maaddada loo yaqaan "astringents" ama alaabada kale ee lagu ilaaliyo maqaarka aagga maqaarka la doortay.
  2. Si buuxda u qalaji aagga maqaarka halka aad ku dhejinayso balastarka.
  3. Iska yaree fur baqshadda ay ku jiraan balastarrada, adigoo ku goynaya xariiqda dhibcaha oo hubi inaadan jarin shaabadda jiinyeerka wax ka hooseysa.
  4. Kala saar shaabadda jiinyeerka baqshada oo ka saar hal balastar. Baadhitaan ku samee baqshadda adoo isku tuuraya shaabadda jiinyeerka. Hubso in baqshaddu ay si adag u xiran tahay si looga ilaaliyo in nabarrada ku yaal gudaha ay u qalalaan.
  5. Isku laab gees ka mid ah balastarka oo si tartiib ah u xoq geeska isku laaban ee u dhexeeya fartaada iyo suulkaaga si aad uga soocdo balastarka lakabka saafiga ah ee ku dhegan dhinaca dhejiska ah Ka fuji safka oo dhan.
  6. Si adag ugu dhaji balastarka meesha maqaarka la doortay. Hoos u riix dhamaan afarta gees si aad uhesho balastarka.
  7. Balastarka ayaa laga yaabaa inuu bilaabo inuu diirto intaad xiraneyso. Haddii ay taasi dhacdo, ku dheji cidhifyada balastarka shaashadda gargaarka degdegga ah.
  8. Markaad xoqdo balastar, kala laab nus si ay iskaga dhegto oo u tuur qashin qashinka ka baxsan oo aysan carruurta iyo xayawaanku gaari karin.
  9. Dhaq gacmahaaga markaad dhamaysato codsashada ama taabashada balastarka.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor intaadan isticmaalin balastarrada 'diclofenac',

  • u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay diclofenac (Cambia, Pennsaid, Solaraze, Voltaren, Zipsor, Zorvolex, in Arthrotec), aspirin, ama NSAIDs kale; daawooyin kale; ama mid ka mid ah maaddooyinka kale ee ku jira balastarrada 'diclofenac'. Weydii farmashiistahaaga ama ka hubi Hagaha Daawada liiska waxyaabaha ay ka kooban yihiin. U sheeg dhakhtarkaaga iyo farmasiilahaaga haddii aad qabtid neef, sanka oo kaa soo baxa, ama sanka oo dareeraya iyo haddii aad isku aragtay cudurka neefta, furuuruc, neefsashada ama wax liqidda oo dhib ku ah, ama falcelin xasaasiyadeed ka dib qaadashada asbiriin, badeecad ay ku jirto asbiriin, ama dawooyinka kale ee NSAID. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan isticmaalin balastarrada 'diclofenac'.
  • u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto dawooyinka ku taxan qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: acetaminophen (Tylenol, waxyaabaha kale); angiotensin-converting enzyme (ACE) inhibitors sida benazepril (Lotensin, in Lotrel), captopril, enalapril (Vasotec, Vaseretic), fosinopril, lisinopril (Zestoretic), moexipril (Univasc, Uniretic); perindopril (Aceon, in Prestalia), quinapril (Accupril, in Quinaretic), ramipril (Altace), iyo trandolapril (Mavik, in Tarka); xannibaadayaasha 'angiotensin receptor blockers' sida candesartan (Atacand, in Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, in Avalide), losartan (Cozaar, Hyzaar), olmesartan (Benicar, Azor, Benicar HCT, Tribenzor), telmisartan (Micardis, Micardis HCT, Twynsta), iyo valsartan (Exforge HCT); antibiyootikada qaarkood; beta blockers sida atenolol (Tenormin, Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, in Dutoprol), nadolol (Corgard, in Corzide), iyo propranolol (Hemangeol, Inderal, Innopran); cyclosporine (Gengraf, Neoral, Sandimmune); durayaasha ('kaniiniyada biyaha'); lithium (Lithobid); daawooyinka qalalka; iyo methotrexate (Otrexup, Rasuvo, Trexall). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
  • u sheeg dhakhtarkaaga haddii aad qabto shuban daran ama matag ama aad u malaynayso inaad fuuqbaxan tahay, haddii aad cabto ama aad taariikh u leedahay cabidda khamri aad u tiro badan, iyo haddii aad qabto ama aad waligaa qabtid mid ka mid ah xaaladaha lagu xusay qaybta DIGNIIN MUHIIM AH, wadnaha oo istaaga; bararka gacmaha, cagaha, anqawyada, ama lugaha hoose; ama cudur kalyaha ama beerka.
  • u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato; ama naas nuujin Diclofenac waxaa laga yaabaa inuu waxyeeleeyo uur-jiifka oo uu dhibaato ku keeno dhalmada haddii la isticmaalo qiyaastii 20 toddobaad ama ka dib muddada uurka. Ha isticmaalin balastarrada 'diclofenac' qiyaastii ama kadib 20 toddobaad ee uurka, illaa uu takhtarku kuu sheego mooyee. Haddii aad uur yeelato intaad isticmaaleyso balastarrada 'diclofenac', wac dhakhtarkaaga.
  • haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaaleyso balastarrada 'diclofenac'.
  • waa inaad ogaataa inta lagu jiro daweynta jajabka 'diclofenac' inay adkaan karto in la ogaado haddii aad qabto infekshan ama jirro maxaa yeelay daawadani waxay sidoo kale yareyn kartaa ama ka hortagi kartaa qandhada.Wac dhakhtarkaaga haddii aadan caafimaad qabin ama aad leedahay calaamado kale oo cudur ama jirro ah.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Codso balastar cusub isla marka aad xusuusato. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtigii loo qorsheeyay arjiga xiga, ka boodi qiyaasta la seegay oo sii wad jadwalkaaga caadiga ah. Ha codsan balastar diclofenac oo dheeri ah si aad uhesho qiyaasta la seegay.

Transformmal diclofenac waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

  • qallalan, casaan, cuncun, barar, cuncun, ama kabuubis goobta codsiga
  • isbedelka dhadhanka
  • madax xanuun
  • hurdo la'aan
  • maqaarka xoqan

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga:

  • finan
  • cuncun
  • dhib liqidda
  • barar wejiga ama cunaha, gacmaha, ama gacmaha
  • miisaanka oo kordha
  • neefta oo ku qabata ama neefsashada oo ku adkaata
  • barar caloosha, anqawyada, cagaha, ama lugaha
  • taahid
  • cudurka neefta oo kasii daraya
  • hurdi maqaarka ama indhaha
  • lallabbo
  • daal xad dhaaf ah
  • dhiigbax ama nabar aan caadi ahayn
  • tamar la’aan
  • cunto xumo
  • xanuun qeybta kore ee midig ee caloosha
  • astaamaha hargabka oo kale ah
  • kaadi midab madow
  • finan
  • nabarro maqaarka ku yaal
  • qandho
  • maqaarka cirro leh
  • garaaca wadnaha

Balastarka 'Diclofenac' ayaa sababi kara waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleyso daawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan gaari karin carruurta iyo xayawaanku. Ku keydi heerkulka qolka.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Haddii qof liqo, wax calaliyo, ama dhuuqmo balastarrada 'diclofenac', wac xarunta ka hortagga sunta ee deegaankaaga 1-800-222-1222. Haddii dhibbanuhu uu dhacay ama uusan neefsanayn, wac adeegyada gurmadka degdegga ah ee 911.

Ha u ogolaan qof kale inuu isticmaalo daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

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