Hydrocodone / oxygencodone overdose
Hydrocodone thiab oxygencodone yog opioids, tshuaj uas feem ntau siv los kho mob hnyav.
Hydrocodone thiab oxygencodone kev noj tshuaj ntau dhau tshwm sim thaum ib tug neeg txhob txwm lossis yuam kev siv ntau yam tshuaj uas muaj cov khoom no. Tus neeg ntawd yuav noj tshuaj ntau dhau vim tias lawv tsis tau txais kev kho mob los ntawm qhov lawv tsis noj tshuaj. Muaj ntau qhov laj thawj uas yog vim li cas ib tug neeg yuav txhob txwm noj ntau dhau ntawm cov tshuaj no. Nws yuav raug sim kom ua kom raug mob rau tus kheej lossis kom siab lossis siab.
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.
Hydrocodone thiab oxycodone yog rau ib chav kawm ntawm cov tshuaj muaj npe hu ua opiates. Cov tshuaj no yog cov neeg tsim qauv ntawm lub ntuj sib txuas hauv cov tshuaj opium.
Hydrocodone thiab oxygencodone feem ntau pom muaj nyob hauv tshuaj kho mob kom tsis muaj teeb meem. Feem ntau cov tshuaj pleev xim uas muaj nrog ob yam no yog:
- Norco
- OxyContin
- Percocet
- Percodan
- Vicodin
- Vicodin ES
Cov tshuaj no tseem yuav tuaj yeem ua ke nrog cov tshuaj uas tsis yog-narcotic, acetaminophen (Tylenol).
Thaum koj noj cov tshuaj kom raug lossis cov tshuaj muab rau, cov kev mob tshwm sim yuav tshwm sim. Ntxiv nrog rau kev kho mob kom tsis txhob mob, koj tuaj yeem tsaug zog, meej pem thiab dias, cem quav, thiab xeev siab.
Thaum koj noj ntau dhau ntawm cov tshuaj no, cov tsos mob tshwm sim hnyav dua. Cov tsos mob yuav tshwm sim hauv ntau lub cev:
EYES, EARS, NOS, THIAB THROAT:
- Cov menyuam kawm ntawv Pinpoint
GASTROINTESTINAL SYSTEM:
- Cem quav
- Xeev siab
- Spasms (mob) ntawm lub plab lossis lub plab hnyuv
- Ntuav
Lub Plawv Thiab NTSHAV NTSHAV:
- Cov ntshav siab qis
- Cov mem tes tsis muaj zog
TSIS TXHOB SYSTEM:
- Coma (tsis lees paub)
- Kev nkees nkees
- Muaj chua leeg
LUB LUAG HAUJLWM
- Ua pa nyuaj
- Kev ua pa qeeb uas yuav tsum tau siv zog ntau dua
- Ua pa
- Tsis ua pa
Daim tawv nqaij:
- Bluish-kob ntiv tes thiab daim di ncauj
LWM COV LWM TUS:
- Mob puas los ntawm lub cev thaum tsis teb
Hauv ntau lub xeev, Naloxone, cov tshuaj tiv thaiv kab mob rau opiate overdose, yog muaj los ntawm lub tsev muag tshuaj yam tsis muaj tshuaj.
Naloxone muaj raws li kev txhaj tshuaj hauv intranasal, ntxiv rau kev txhaj tshuaj rau hauv intramuscular thiab lwm yam ntawv pom zoo los ntawm FDA.
Cov ntaub ntawv hauv qab no yog txiaj ntsig rau kev pab thaum muaj xwm ceev:
- Tus neeg muaj hnoob nyoog, hnyav, thiab mob li cas
- Lub npe ntawm cov khoom (nrog rau cov khoom xyaw thiab muaj zog, yog tias paub)
- Lub sijhawm nws tau nqos tau
- Tus nqi nqos
- Yog tias cov tshuaj raug muab rau tus neeg
Txawm li cas los xij, TSIS TXHOB ncua hu rau kev pab yog tias cov ntaub ntawv no tsis tuaj txog tam sim ntawd.
Koj lub chaw pabcuam txog kuab lom hauv zos tuaj yeem hu ncaj qha los ntawm kev hu xovtooj rau Lub Xovtooj Pabcuam Tiv Thaiv Dawb (1-800-222-1222) hauv 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 tiv thaiv kev lom lossis tshuaj 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. Cov tsos mob yuav raug kho raws li qhov tsim nyog. Cov neeg saib xyuas kev noj qab haus huv yuav saib xyuas tus neeg ua pa. Tus neeg ntawd yuav tau txais:
- Siv lub tshuab hluav ncaig
- Kev txhawb nqa pa, suav nrog pa oxygen, lub raj ua pa tawm ntawm lub qhov ncauj (nkag mus), thiab lub tshuab ua pa (tshuab pa)
- Kuaj ntshav thiab zis
- Kev ntsuas hluav taws xob xoo
- CT (suav tomography, lossis duab siab heev) scan
- ECG (electrocardiogram, lossis mob plawv)
- Cov kua dej los ntawm txoj hlab ntshav (leeg ntshav los yog IV)
- Laxative
- Cov tshuaj kho mob txhawm rau kho cov tsos mob, suav nrog naloxone, tshuaj tiv thaiv kom thim cov nyhuv tshuaj lom, yuav tsum tau txhaj ntau yam tshuaj
Kev kho mob ntxiv yuav xav tau yog tias tus neeg coj hydrocodone thiab oxygencodone nrog rau lwm cov tshuaj, xws li Tylenol lossis tshuaj aspirin.
Ib qho kev haus ntau tshaj tuaj yeem ua rau tus neeg ua tsis taus pa thiab tuag yog tias tsis kho tam sim ntawd. Tej zaum tus neeg kuj yuav tsum tau mus pw hauv tsev kho mob mus txuas ntxiv kev kho mob. Ua raws li cov tshuaj lossis cov tshuaj noj, ntau yam kabmob yuav raug cuam tshuam. Qhov no tuaj yeem cuam tshuam rau tus neeg qhov tshwm sim thiab qhov muaj feem ntawm kev ciaj sia.
Yog tias koj tau txais kev kho mob ua ntej muaj teeb meem loj nrog koj qhov kev ua pa tshwm sim, koj yuav tsum muaj kev mob tshwm sim mus ntev. Koj yuav nyob tau li qub rov qab nyob ib hnub.
Txawm li cas los xij, txoj kev noj ntau dhau no tuaj yeem ua rau tuag taus lossis tuaj yeem ua rau lub hlwb puas tas mus li yog tias kho tau qeeb thiab cov pa oxygenone thiab hydrocodone ntau npaum li cas.
Tsho tshaj - hydrocodone; Tsho noj - oxygencodone; Vicodin noj ntau dhau; Kev noj tshuaj percocet; Percodan noj ntau dhau; MS Noj ntau dhau; OxyContin noj ntau tshaj
Langman LJ, Bechtel LK, Meier BM, Holstege C. Cov tshuaj lom toxicology. Hauv: Rifai N, ed. Tietz Phau Ntawv Sau Txog Kev Siv Science Thiab Kev Kuaj Mob MolecularCov. 6 tus ed. St Louis, MO: Elsevier; 2018: chap 41.
Me M. Toxicology kev kub ntxhov. Hauv: Cameron P, Jelinek G, Kelly A-M, Xim av A, Me M, eds. Phau Ntawv Qhia Rau Cov Muaj Mob Loj CeevCov. 4 tug ed. Philadelphia, PA: Elsevier Churchill Livingstone; Xyoo 2015: chap 29.
Nikolaides JK, Thompson TM. Opiods. 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.
Pincus MR, Bluth MH, Abraham NZ. Toxicology thiab tshuaj kho mob. Hauv: McPherson RA, Pincus MR, eds. Henry's Kev Kuaj Mob thiab Kev Tswj Xyuas los ntawm Laboratory Txoj KevCov. 23rd ed. St Louis, MO: Elsevier; 2017: cha 23.