Qoraa: Marcus Baldwin
Taariikhda Abuurista: 19 Juun 2021
Taariikhda Cusboonaysiinta: 16 Noofeembar 2024
Anonim
Diazepam Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
Dareemoleyad: Diazepam Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

Qanacsan

Diazepam waxay kordhin kartaa halista dhibaatooyinka neefsashada ee halista ah ama nolosha halista ah, suuxdin, ama miyir-beel haddii loo isticmaalo daawooyinka qaarkood. U sheeg dhakhtarkaaga haddii aad qaadanaysid ama qorsheyneyso inaad u qaadato daawooyinka opiate-ka qaarkood qufaca sida Codein (Triacin-C, Tuzistra XR) ama hydrocodone (Anexsia, Norco, Zyfrel) ama xanuun sida codeine (Fiorinal) ), fentanyl (Actiq, Duragesic, Subsys, kuwa kale), hydromorphone (Dilaudid, Exalgo), meperidine (Demerol), methadone (Dolophine, Methadose), morphine (Astramorph, Duramorph PF, Kadian), oxycodone (Oxycet, in Perco gudaha Roxicet, kuwa kale), iyo tramadol (Conzip, Ultram, in Ultracet). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga oo si taxadar leh ayuu kuu kormeeri doonaa. Haddii aad ku qaadatid daawada 'diazepam' mid ka mid ah daawooyinkan oo aad yeelato mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama isla markiiba raadso daryeel caafimaad oo degdeg ah: dawakhaad aan caadi ahayn, madax-xanuun, hurdo saa'id ah, neefsasho gaabis ah ama dhib ah, ama jawaab celin la'aan. Hubso in daryeel bixiyahaaga ama xubnaha qoyskaaga ay ogyihiin calaamadaha halista ah si ay ugu wici karaan dhakhtarka ama daryeelka caafimaadka degdegga ah haddii aadan awoodin inaad iskaa u doonato daaweyn.


Diazepam waxay caado u noqon kartaa sameynta. Ha qaadan qadar ka weyn, qaad inta badan, ama waqti ka dheer sida dhakhtarkaagu kuu sheego. U sheeg dhakhtarkaaga haddii aad waligaa khamri cabtay, haddii aad isticmaasho ama aad waligaa isticmaasho daroogada waddooyinka, ama aad si xad dhaaf ah u isticmaasho daawooyinka laguu qoray. Ha cabin aalkolo ama ha isticmaalin daroogada waddada inta lagu jiro daweyntaada. Cabitaanka aalkolada ama isticmaalka daroogada dariiqa inta lagu guda jiro daaweyntaada diazepam sidoo kale waxay kordhineysaa halista ah inaad la kulanto waxyeelooyinkan halista ah ee nolosha halista ku ah. Sidoo kale u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa isku buuqday ama cudur kale oo maskaxda ah.

Diazepam waxay sababi kartaa ku tiirsanaan jir ahaaneed (xaalad taas oo astaamo jireed oo aan fiicnayn ay dhacaan haddii daawo si lama filaan ah loo joojiyo ama loo qaato qadar yar), gaar ahaan haddii aad qaadato dhowr maalmood illaa dhowr toddobaad. Ha u joojin qaadashada daawadan ama qaadashada qadar yar adigoon la hadlin dhakhtarkaaga. Joojinta diazepam si lama filaan ah ayaa uga sii dari karta xaaladaada waxayna sababi kartaa astaamaha ka-noqoshada oo socon kara dhowr toddobaad illaa in ka badan 12 bilood. Dhakhtarkaaga ayaa laga yaabaa inuu tartiib tartiib ah u yareeyo qiyaastaada diazepam. Wac dhakhtarkaaga ama u hesho daaweyn caafimaad oo deg deg ah haddii aad isku aragto mid ka mid ah astaamaha soo socda: dhaqdhaqaaqyo aan caadi ahayn; dhagahaaga ka yeeraya; walaac; dhibaatooyinka xusuusta; adkaanshaha feejignaanta; dhibaatooyinka hurdada; suuxdinta; gariirid; murqaha oo la rogrogo; isbeddelada caafimaadka maskaxda; niyad jab; gubashada ama ku garaacayo gacmahaaga, gacmahaaga, lugahaaga ama cagahaaga; aragista ama maqalka waxyaalaha dadka kale arkin ama maqlaan; fikradaha waxyeelada ama naftaada ama dadka kale; xamaasad xad dhaaf ah; ama luminta taabashada xaqiiqda.


Diazepam waxaa loo isticmaalaa in lagu yareeyo walwalka iyo in la xakameeyo kacsanaanta ay keento ka tagitaanka aalkoladu. Waxaa sidoo kale loo isticmaalaa daawooyin kale si loo xakameeyo murqaha murqaha iyo murugada ay keeneen ciladaha neerfaha qaarkood sida curyaanka maskaxda (xaalad sababa dhibaato dhaqdhaqaaqa iyo isu dheelitirka), paraplegia (awood u laheyn dhaqaaqa qeybaha jirka), athetosis (murqaha oo aan caadi aheyn ), iyo cillad-adayg (waa cillad naadir ah oo leh murqo adag iyo qallafsanaan). Diazepam sidoo kale waxaa loo isticmaalaa dawooyin kale si loo xakameeyo qalalka. Diazepam wuxuu ku jiraa nooc daawooyin ah oo loo yaqaan 'benzodiazepines'. Waxay ku shaqeysaa iyada oo dejineysa firfircoonaanta aan caadiga ahayn ee maskaxda.

Diazepam waxay u timaadaa sida kaniiniga, xalka, iyo xoog saarid (dareere) ah oo afka lagu qaato. Badanaa waxaa la qaataa 1 ilaa 4 jeer maalintii waxaana laga yaabaa in lagu qaato cunno ama cunto la'aan. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado diazepam sida saxda ah ee lagu faray.


Isku-uruurinta Diazepam waxay la timaadaa dhibco si gaar ah loogu calaamadeeyay qiyaasta qiyaasta. Weydiiso farmashiistaha inuu ku tuso sida loo isticmaalo daroogada. Ku milmi uruurinta biyaha, casiirka, ama cabbitaannada kaarboon leh ka hor intaadan qaadan. Waxaa sidoo kale lagu qasi karaa tufaax ama pudding waxyar ka hor intaadan qaadan qiyaasta. Si tartiib ah walaaq ugu walaaq dhowr ilbiriqsi. Isku dar dhammaan isku darka isla markiiba; ha dhigin si loogu isticmaalo mustaqbalka.

Haddii aad qaadanaysid diazepam oo ay weheliso dawooyin kale si aad u xakamayso qalalka, ha u joojin qaadashada diazepam adigoon la hadlin dhakhtarkaaga, xitaa haddii aad la kulanto waxyeelooyin sida isbeddellada aan caadiga ahayn ee dhaqanka ama niyadda. Haddii aad si lama filaan ah u joojiso qaadashada diazepam, suuxdintaadu way ka sii dari kartaa. Dhakhtarkaaga ayaa laga yaabaa inuu si tartiib tartiib ah u yareeyo qiyaastaada.

Daawadan ayaa mararka qaarkood loo qoraa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada diazepam,

  • u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay diazepam, alprazolam (Xanax), chlordiazepoxide (Librium, in Librax), clonazepam (Klonopin), clorazepate (Gen-Xene, Tranxene), estazolam, flurazepam, lorazepam (Ativan), oxazepam, temazepam (Restoril), triazolam (Halcion), dawooyin kale oo kasta, ama wax kasta oo ka mid ah waxyaabaha ku jira waxyaabaha diazepam. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
  • u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, iyo nafaqada nafaqada leh ee aad qaadanayso.Hubso inaad sheegto mid ka mid ah kuwan soo socda: antihistamines; barbiturates sida phenobarbital (Luminal); cimetidine (Tagamet); digoxin (Lanoxin); disulfiram (Antabuse); fluoxetine (Prozac); fluvoxamine (Luvox); isoniazid (Laniazid, Rifamate, Rifater); ketoconazole; daawooyinka walwalka, niyadjabka, cudurada maskaxda, suuxdinta, cudurka Parkinson, neefta, hargabka, ama xasaasiyadda; metoprolol (Lopressor, Toprol XL); monoamine oxidase (MAO) inhibitors ay ka mid yihiin isocarboxazid (Marplan), linezolid (Zyvox), buluug methylene, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), iyo tranylcypromine (Parnate); nasashada murqaha; dawooyinka phenothiazine ee cudurada maskaxda ama lallabbo sida chlorpromazine, fluphenazine, prochlorperazine (Compro, Procomp), iyo promethazine (Promethegan); omeprazole (Prilosec); probenecid (Probalan, oo ku taal Col-Probenecid); propranolol (Hemangeol, Gudaha, Innopran); ranitidine (Zantac); rifampin (Rifadin, Rimactane, gudaha Rifamate, Rifater); dajiya; kaniiniyada hurdada; theophylline (Elixophyllin, Theo 24, Theochron); dejiyeyaasha; ama valproic acid (Depakene). 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 qabtid myasthenia gravis (cillad ku timaadda habka neerfaha ee sababa murqaha oo daciifa), hurdo la'aan (xaalad qofku muddo kooban ku joojiyo neefsashada marar badan inta lagu jiro habeenkii), ama sambabada ama cudur beerka. Sidoo kale, u sheeg dhakhtarkaaga haddii aad qabtid glaucoma xagal cidhiidhi ah (xaalad daran oo indhaha ah oo sababi karta aragga oo yaraada. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan diazepam. Diazepam waa inaan loo isticmaalin dhallaanka ka yar 6 bilood da'da.
  • u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabtid glaucoma-xagal furan (kororka cadaadiska indhaha ee gudaha ee dhaawaca dareemayaasha indhaha); niyad jab ama cudur kale oo maskaxeed; suuxdinta; ama wadne xanuun.
  • u sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad uur yeelatid inta aad qaadanaysid diazepam, isla markiiba wac dhakhtarkaaga.
  • u sheeg dhakhtarkaaga haddii aad naas nuujinayso. Naasnuujin inta aad qaadanaysid diazepam.
  • kala hadal dhakhtarkaaga khataraha iyo faa'iidooyinka qaadashada diazepam haddii aad tahay 65 sano jir ama ka weyn. Dadka waayeelka ah waa inaysan badiyaa qaadan diazepam maxaa yeelay ammaan uma ahan sida daawooyinka kale ee loo isticmaali karo in lagu daaweeyo isla xaaladahaas.
  • haddii aad qalliin samaynayso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha in aad qaadanayso 'diazepam'.
  • waa inaad ogaataa in daawadani kaa dhigi karto mid hurdo leh. Gaari ha wadin ama ha ku shaqeynin mishiin ilaa aad ka ogaato sida daawadani kuu saameyneyso.
  • waa inaad ogaataa in caafimaadkaaga maskaxda laga yaabo inuu isku badalo qaabab lama filaan ah waxaadna noqon kartaa isdilid (inaad ka fikirto inaad wax yeeleyso ama aad isdileyso ama aad qorsheyneyso ama aad isku dayeyso inaad sidaas sameyso) inta aad qaadaneyso diazepam ee daaweynta suuxdinta. Tiro yar oo qaangaar ah iyo carruur 5 sano jir ah iyo wixii ka weyn (qiyaastii 1 in 500 qof) oo qaata daawada lidka ku ah daawada 'diazepam' si loo daweeyo xaalado kala duwan inta lagu jiro daraasadaha bukaan-socodka waxay noqdeen ismiidaamin intii lagu jiray daweyntooda. Qaar ka mid ah dadkani waxay sameeyeen fikrado is-dil ah iyo dabeecad ugu horreyn hal toddobaad ka dib markay bilaabeen qaadashada daawada. Waxaa jirta halista ah inaad la kulanto isbeddelo caafimaadkaaga maskaxda ah haddii aad qaadato daawada xinjirowga lidka ku ah sida diazepam, laakiin waxaa sidoo kale jiri kara halista ah inaad la kulanto isbeddello ku dhaca caafimaadkaaga maskaxda haddii aan xaaladdaada wax laga qaban. Adiga iyo dhakhtarkaaga ayaa go'aansan doona haddii halista qaadashada daawada xinjirowga lidka ku ah ay ka weyn tahay halista qaadashada daawada. Adiga, qoyskaaga, ama daryeel bixiyahaagu waa inaad wacdaa dhakhtarkaaga isla markiiba haddii aad isku aragto mid ka mid ah astaamaha soo socda: weerarada argagaxa; kacsan ama degganaansho la’aan; xanaaq, walaac, ama niyad jab cusub ama ka sii daraya; ku-dhaqmidda dardaaranka khatarta ah; dhib ku ah inuu dhaco ama seexdo; dabeecad dagaal, xanaaq, ama rabshad; mania (frenzied, xaalad aan caadi ahayn oo ku faraxsan); kahadalka ama ka fikirka inaad rabto inaad naftaada dhaawacdo ama noloshaada joojiso; ka noqoshada asxaabta iyo qoyska; mashquulka dhimashada iyo dhimashada; bixinta alaab qaali ah; ama wixii isbeddel ah ee aan caadi ahayn ee dabeecadda ama niyadda. Hubso in qoyskaaga ama xannaaneeyahaagu ogyahay astaamaha halista ah si ay ugu yeeraan dhakhtarka haddii aadan awoodin inaad keligaa daaweyn raadsato.

Haddii aad qaadatid dhowr qiyaasood maalintii oo aad seegto qaddar, ka bood qiyaasta la seegay oo sii wad jadwalkaaga qiyaasta daawada ee caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

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

  • lulmid
  • dawakhaad
  • daallan
  • daciifnimada muruqyada
  • madax xanuun
  • afka qalalan
  • lallabbo
  • calool istaag
  • jahwareer
  • kaadida oo ku adkaata
  • kaadi badan
  • isbeddelada kufsiga galmada ama awoodda

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, wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

  • luminta xakamaynta dhaqdhaqaaqa jirka
  • gariir aan la koontarooli karin qayb ka mid ah jirka
  • hadal xanaf leh
  • neefta oo gaabisa iyo garaaca wadnaha

Diazepam waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

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 carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

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.

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

  • lulmid
  • jahwareer
  • daallan
  • neefta oo gaabisa iyo garaaca wadnaha
  • miyir beelid

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu amri doonaa tijaabooyinka shaybaarka qaarkood si loo hubiyo jawaabtaada 'diazepam'.

Haddii aad qaadanaysid diazepam oo ay weheliyaan dawooyin kale si aad u xakamayso qalalka oo aad ku kordhiso soo noqnoqodooda ama darnaanta, wac dhakhtarkaaga. Qiyaastaada 'diazepam' ama daawooyinka kale waxay u baahan karaan in wax laga beddelo. Haddii aad u isticmaasho 'diazepam' suuxdin, qaado aqoonsi (Medic Alert) oo muujinaya inaad suuxdin qabto iyo inaad qaadanayso diazepam iyo daawooyin kale.

Ha u ogolaan qof kale inuu qaato daawadaada. Diazepam waa walax la kontoroolo. Daawooyinka laguu qoro waxaa lagu buuxin karaa oo keliya tiro kooban oo jeer ah; weydii farmasiilahaaga wixii su'aalo ah ee aad ka qabtid buuxinta 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.

  • Diazepam Intensol®
  • Valium®
  • Sii deyn®

Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.

Markii ugu dambeysay ee dib loo eegay - 05/15/2021

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