Codeine overdose
Codeine yog tshuaj nyob rau qee cov tshuaj kho mob. Nws yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua opioids, uas hais txog ib qho hluavtaws, semisynthetic, lossis tshuaj yeeb yam uas muaj morphine zoo li yam ntxwv.
Codeine overdose tshwm sim thaum ib tus neeg noj ntau dua li ib txwm los sis pom zoo npaum li cas ntawm cov tshuaj no. Qhov no tuaj yeem yog los ntawm kev sib tsoo lossis cov laj thawj.
Kab lus no yog rau cov lus qhia xwb. TSIS TXHOB siv nws los kho lossis tswj qhov tsis txaus siab. Yog tias koj lossis ib tus neeg koj tab tom noj tshuaj ntau dhau hwv lawm, hu rau koj tus xov tooj xwm ceev hauv zos (xws li 911), lossis hauv koj lub chaw muaj kuab lom hauv zos yuav hu ncaj qha los ntawm kev hu xov tooj rau lub teb chaws tus xov tooj Pab Dawb Hu Dawb (1-800-222-1222) los ntawm txhua qhov chaw nyob tebchaws meskas.
Codeine tuaj yeem lom tau los ntawm ntau.
Codeine muaj nyob hauv cov tshuaj no:
- Acetaminophen thiab codeine phosphate
- Fioricet nrog codeine
- Promethazine nrog codeine hnoos
- Robitussin A-C
- Triacin-C
- Tuzistra XR
- Tylenol nrog tus lej # 3
Lwm yam tshuaj noj kuj tseem muaj codeine.
Cov tsos mob ntawm tus so codeine noj ntau tshaj muaj xws li:
- Bluish rau tes thiab daim di ncauj
- Cov teeb meem ua pa, xws li ua pa qeeb thiab ua pa, ua pa tsw, tsis ua pa
- Cov tawv nqaij txias, nplaum
- Tsis meej pem
- Cem quav
- Kev nkees nkees, qaug zog, qaug zog
- Ua dej ntws ntawm daim tawv nqaij
- Khaus
- Lub teeb muag taub hau, kiv taub hau
- Poob ntawm kev nco qab, tsis nco qab
- Cov ntshav siab qis, cov mem tes tsis muaj zog
- Nqaij sib tw
- Xeev siab thiab ntuav
- Cov menyuam me me
- Quav paug hauv plab thiab hnyuv
Qee qhov tsos mob no tuaj yeem tshwm sim txawm hais tias ib tus neeg siv qhov tseeb ntawm codeine.
Npaj kom muaj cov ntaub ntawv no:
- Tus neeg lub hnub nyoog, hnyav, thiab mob li cas
- Lub npe ntawm cov khoom (cov khoom xyaw thiab muaj zog, yog tias paub)
- Thaum nws tau nqos lawm
- Tus nqi nqos
- Yog tias cov tshuaj raug muab rau tus neeg
Koj lub chaw tswj kuab lom hauv zos tuaj yeem hu ncaj qha los ntawm kev hu xov tooj rau Xov Xwm Pab Kev Nyab Xeeb Tsis Muaj Hmoov Hla (1800-222-1222) los ntawm txhua qhov chaw hauv Tebchaws Asmeskas. Xov tooj cua teb chaws no yuav cia koj tham nrog tus kws tshaj lij txog tshuaj lom. Lawv yuav muab koj cov lus qhia ntxiv.
Nov yog pub dawb thiab pub leej twg paub. Txhua lub chaw tswj tshuaj lom nyob hauv Tebchaws Meskas siv tus lej no. Koj yuav tsum hu yog tias koj muaj lus nug txog kev siv tshuaj lom lossis tswj kev ua kom muaj kuab lom. TSIS TXHOB yuav tsum muaj xwm txheej ceev. Koj tuaj yeem hu xov tooj rau ib qho laj thawj twg, 24 teev hauv ib hnub, 7 hnub hauv ib lub lis piam.
Nqa cov thawv nrog koj mus tom tsev kho mob, yog tias ua tau.
Tus kws kho mob yuav ntsuas thiab ntsuas tus neeg cov cim tseem ceeb, suav nrog kev ntsuas kub, mem tes, dhia pa, thiab ntshav ntaws.
Kev ntsuam xyuas uas yuav ua tau muaj xws li:
- Kuaj ntshav thiab zis
- Iav scan
- Kev ntsuas hluav taws xob xoo
- ECG (electrocardiogram, lossis mob plawv)
Kev kho mob yuav suav nrog:
- Cov kua dej los ntawm txoj hlab ntshav (los ntawm IV)
- Cov tshuaj txhawm rau thim rov qab los tiv thaiv kev mob siab ntawm cov tshuaj pleev xim (naloxone) thiab kho lwm cov tsos mob
- Kev hlawv hluav ncaig (yog tias tus neeg sawv cev rov qab yog tias tsis muab)
- Laxative
- Ua tsis taus pa pab, suav nrog lub raj tawm ntawm lub qhov ncauj thiab tshuab ua pa (tshuab pa)
Codeine feem ntau yog ua ke nrog lwm cov tshuaj, xws li tshuaj pleev tshuaj acetaminophen. Vim tias qhov no, qhov ua tsis zoo ntawm lwm cov tshuaj yuav tsum tau kho. Kev poob siab, mob ntsws loj, ua rau mob hlwb, thiab tuag tau.
Methylmorphine noj ntau dhau
Aronson JK. Opioid receptor agonists. Hauv: Aronson JK, ed. Meyler Qhov tshwm sim los ntawm Cov TshuajCov. 16th ed. Waltham, MA: Elsevier; 2016: 348-380.
Nikolaides JK, Thompson TM. Kev Siv Opioids. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 156.