Tus Sau: Marcus Baldwin
Hnub Kev Tsim: 16 Lub Rau Hlis Ntuj 2021
Hloov Hnub: 7 Lub Kaum Ib Hli Ntuj 2024
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Ketorolac Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
Daim Duab: Ketorolac Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

Zoo Siab

Ketorolac yog siv rau kev kho mob luv luv ntawm kev mob hnyav ib nrab thiab yuav tsum tsis txhob siv ntev dua 5 hnub, rau mob me, lossis rau mob los ntawm mob ntev (ntev ntev). Koj yuav tau txais koj thawj koob tshuaj ketorolac los ntawm cov leeg ntshav (rau hauv cov leeg ntshav) los yog txhaj tshuaj rau hauv cov leeg ntshav hauv tsev kho mob lossis chaw haujlwm. Tom qab ntawd, koj tus kws kho mob yuav xaiv los txuas ntxiv kev kho mob nrog ketorolac ntawm qhov ncauj. Koj yuav tsum tsis txhob noj ketorolac ntawm qhov ncauj hnub thib tsib tom qab koj tau txais koj thawj ketorolac txhaj. Tham nrog koj tus kws kho mob yog tias koj tseem muaj mob tom qab 5 hnub lossis yog tias koj qhov mob tsis tswj nrog cov tshuaj no. Ketorolac tuaj yeem ua rau muaj kev phiv loj heev, tshwj xeeb tshaj yog thaum noj tsis raug.Noj ketorolac raws nraim li qhia. Tsis txhob noj ntau dua nws lossis noj nws ntau zaus uas kws kho mob tau hais tseg.

Cov neeg uas noj cov tshuaj tiv thaiv tsis muaj zog (NSAIDs) (dua li cov tshuaj aspirin) xws li ketorolac yuav muaj kev pheej hmoo siab ua mob plawv lossis mob stroke dua li cov neeg uas tsis noj cov tshuaj no. Cov xwm txheej no yuav tshwm sim yam tsis muaj kev ceeb toom thiab tuaj yeem ua rau tuag taus. Qhov kev pheej hmoo no tej zaum yuav siab dua rau cov neeg uas siv NSAIDs ntev. Tsis txhob noj cov tshuaj NSAID xws li ketorolac yog tias koj nyuam qhuav tau mob plawv, tshwj tsis yog koj tus kws kho mob hais kom ua. Qhia koj tus kws kho mob yog tias koj lossis ib tus neeg hauv koj tsev neeg tau muaj lossis muaj mob plawv, mob plawv lossis hlab ntsha tawg lossis 'mob taub hau loj;' yog tias koj haus luam yeeb; thiab yog tias koj tau lossis tau muaj cov roj ntshav siab, ntshav siab, ntshav khov lossis teeb meem txhaws, lossis ntshav qab zib. Nrhiav kev pab kho mob maj nrawm yog tias koj muaj cov tsos mob li no: mob hauv siab, txog siav, tsis muaj zog ntawm ib qho lossis ib sab ntawm lub cev, lossis hais lus tsis meej.


Yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia tus kws kho mob lossis kws kho hniav tias koj noj ketorolac. Yog tias koj yuav kho mob rau txoj hlab ntshav hla kev hla pob txha (CABG; ib hom kev phais plawv), koj yuav tsum tsis txhob noj ketorolac sai ua ntej lossis sai tom qab phais mob.

NSAIDs xws li ketorolac yuav ua rau mob txhab, los ntshav, lossis muaj qhov txhab ntawm plab lossis hnyuv. Cov teeb meem no tuaj yeem txhim kho tau txhua lub sijhawm thaum kho, yuav tshwm sim yam tsis muaj kev tshwm sim ua ntej, thiab yuav ua rau tuag taus. Txoj kev pheej hmoo yuav muaj ntau dua rau cov neeg uas siv cov tshuaj NSAIDs ntev, tus neeg laus dua lub hnub nyoog, muaj kev noj qab haus huv tsis zoo, lossis haus dej cawv ntau thaum noj ketorolac. Qhia rau koj tus kws kho mob yog tias koj noj ib qho ntawm cov tshuaj hauv qab no: anticoagulants ('ntshav thinner') xws li warfarin (Coumadin, Jantoven); tshuaj aspirin; qhov ncauj steroids xws li dexamethasone, methylprednisolone (Medrol), thiab prednisone (Rayos); xaiv serotonin reuptake inhibitors (SSRIs) xws li citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra, hauv Symbyax), fluvoxamine (Luvox), paroxetine (Brisdelle, Paxil, Pexeva), thiab sertraline (Zoloft); los yog serotonin norepinephrine reuptake inhibitors (SNRIs) xws li desvenlafaxine (Khedezla, Pristiq), duloxetine (Cymbalta), thiab venlafaxine (Effexor XR). Tsis txhob noj tshuaj aspirin lossis lwm yam tshuaj NSAIDs xws li ibuprofen (Advil, Motrin) thiab naproxen (Aleve, Naprosyn) thaum koj tseem noj tshuaj ketorolac. Kuj qhia koj tus kws kho mob yog tias koj tau muaj lossis muaj kev mob lossis muaj ntshav ntau los ntawm plab lossis plab hnyuv. Yog tias koj muaj cov tsos mob nram qab no, tsum tsis txhob noj ketorolac thiab hu rau koj tus kws kho mob: mob plab, kub siab, ntuav uas muaj ntshav lossis zoo li thaj chaw kas fes, ntshav hauv cov quav, lossis cov quav tawv dub.


Ketorolac yuav ua rau lub raum tsis ua haujlwm. Qhia rau koj tus kws kho mob yog tias koj muaj mob raum lossis mob siab, yog tias koj ntuav lossis zawv plab lossis xav tias koj lub cev qhuav dej, thiab yog hais tias koj noj tshuaj angiotensin-hloov mus rau ntawm enzyme (ACE) inhibitors xws li benazepril (Lotensin, hauv Lotrel), captopril , enalapril (Vasotec, hauv Vaseretic), fosinopril, lisinopril (hauv Zestoretic), moexipril (Univasc), perindopril (Aceon, hauv Prestalia), quinapril (Accupril, hauv Quinaretic), ramipril (Altace), thiab trandolik ); los yog diuretics ('tshuaj ntsiav dej'). Yog tias koj muaj cov tsos mob nram qab no, tsum tsis txhob noj ketorolac thiab hu rau koj tus kws kho mob: o ntawm tes, caj npab, ko taw, pob taws, lossis ceg qis; piav tsis hnyav ntxiv; tsis meej pem; lossis qaug dab peg.

Qee tus neeg muaj kev fab tshuaj hnyav rau ketorolac. Qhia rau koj tus kws kho mob yog tias koj muaj kev fab tshuaj rau ketorolac, tshuaj aspirin lossis lwm yam tshuaj NSAIDs xws li ibuprofen (Advil, Motrin) lossis naproxen (Aleve, Naprosyn), lossis lwm yam tshuaj noj. Thiab qhia koj tus kws kho mob yog tias koj muaj lossis tau mob ntsws dua, tshwj xeeb yog tias koj nquag txhaws ntswg lossis los ntswg lossis polyps qhov ntswg (o rau lub qhov ntswg ntawm lub qhov ntswg). Yog tias koj muaj cov tsos mob nram qab no, tsum tsis txhob noj ketorolac thiab hu rau koj tus kws kho mob tam sim ntawd: tawm pob; khaus; khaus; o ntawm lub qhov muag, ntsej muag, caj pas, tus nplaig, caj npab, tes, pob taws, lossis ceg qis; ua pa nyuaj lossis nqos; lossis txhaws qa.


Tsis txhob pub mis thaum koj noj ketorolac.

Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws kho mob yuav soj ntsuam koj cov tsos mob kom zoo thiab tej zaum yuav xaj qee yam kev kuaj xyuas koj lub cev ua li cas rau ketorolac. Nco ntsoov qhia koj tus kws kho mob seb koj lub siab xav li cas kom koj tus kws kho mob tuaj yeem sau ntawv noj tshuaj rau koj los kho koj tus mob nrog qhov kev pheej hmoo tsawg tshaj plaws ntawm kev phiv.

Koj tus kws kho mob lossis kws muag tshuaj yuav muab daim ntawv qhia txog cov neeg mob rau koj (Phau Ntawv Qhia Tshuaj) thaum koj pib kho nrog ketorolac thiab txhua zaus koj rov ntim tshuaj rau koj. Nyeem cov ntaub ntawv kom zoo thiab nug koj tus kws kho mob lossis kws muag tshuaj yog tias koj muaj lus nug. Koj kuj tuaj yeem mus saib zaub mov thiab Tshuaj (FDA) lub vev xaib (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kom tau Phau Ntawv Qhia Tshuaj.

Ketorolac yog siv los daws qhov mob hnyav ib nrab, feem ntau yog tom qab phais tas. Ketorolac nyob hauv chav kawm ntawm cov tshuaj hu ua NSAIDs. Nws ua haujlwm los ntawm kev nres lub cev ntawm kev tsim cov khoom uas ua rau mob, kub ib ce thiab o.

Ketorolac los ua ib ntsiav tshuaj los noj ntawm qhov ncauj. Feem ntau yog noj txhua 4 rau 6 teev nyob rau ib qho sij hawm lossis raws li xav tau qhov mob. Yog tias koj noj ketorolac raws sij hawm, noj nws ib ncig ntawm tib lub sijhawm txhua hnub. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab.

Cov tshuaj no qee zaum sau tseg rau lwm qhov kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj ketorolac,

  • qhia rau koj tus kws kho mob yog tias koj noj pentoxifylline (Pentoxil) lossis probenecid (Probalan, hauv Col-Probenecid). Koj tus kws kho mob yuav qhia koj kom tsis txhob noj ketorolac yog tias koj noj ib lossis ntau dua ntawm cov tshuaj no.
  • qhia rau koj tus kws kho mob thiab kws muag tshuaj uas siv tshuaj thiab cov tshuaj uas tsis yog kws kho mob, cov vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj tau noj lossis npaj yuav noj. Nco ntsoov hais txog cov tshuaj teev tseg rau ntawm ntu CEEB TOOM TSEEM CEEB thiab ib qho twg ntawm cov hauv qab no: tshuaj tiv thaiv kab mob siab; angiotensin-converting enzyme (ACE) inhibitors xws li benazepril (Lotensin, hauv Lotrel), captopril, enalapril (Vasotec, hauv Vaseretic), fosinopril, lisinopril (hauv Zestoretic), moexipril (Univasc), perindopril (Aceon, in Prestic) (Accupril, hauv Quinaretic), ramipril (Altace), thiab trandolapril (Mavik, hauv Tarka); angiotensin receptor blockers xws li candesartan (Atacand, hauv Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, hauv Avalide), losartan (Cozaar, hauv Hyzaar), olmesartan (Benicar, hauv Azor, hauv Benicar HCT, hauv Tribenzor), telmisartan (Micardis, hauv Micardis HCT, hauv Twynsta), thiab valsartan (hauv Exforge HCT); beta blockers xws li atenolol (Tenormin, hauv Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol XL, hauv Dutoprol), nadolol (Corgard, hauv Corzide), thiab propranolol (Hemangeol, Inderal, InnoPran); tshuaj rau kev ntxhov siab lossis mob hlwb; tshuaj rau qaug dab peg xws li carbamazepine (Epitol, Tegretol, Teril, lwm tus) lossis phenytoin (Dilantin, Phenytek); methotrexate (Otrexup, Rasuvo, Trexall); cov tshuaj ua kom nqus; pw tsaug zog tshuaj; thiab tranquilizers. Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo dua rau cov kev phiv.
  • qhia rau koj tus kws kho mob yog tias koj tau lossis muaj dua li cov kev mob uas tau hais nyob hauv seem ceebtoom lossis lub plawv tsis ua haujlwm lossis o ntawm tes, taw, pob taws, lossis sab ceg qis.
  • qhia rau koj tus kws kho mob yog tias koj cev xeeb tub, npaj ua cev xeeb tub; lossis tab tom pub niam mis. Ketorolac tuaj yeem tsim kev puas tsuaj rau tus menyuam hauv plab thiab tsim teeb meem nrog kev xa menyuam yog tias nws yuav siv li ntawm 20 lub lis piam lossis tom qab ntawd thaum cev xeeb tub. Tsis txhob noj ketorolac puag ncig lossis tom qab 20 lub limtiam uas cev xeeb tub, tshwj tsis yog koj tus kws khomob hais kom koj ua. Yog tias koj cev xeeb tub thaum noj ketorolac, hu rau koj tus kws kho mob.
  • tham nrog koj tus kws kho mob txog cov kev pheej hmoo thiab txiaj ntsig ntawm kev noj ketorolac yog tias koj muaj hnub nyoog 65 xyoos lossis laus dua. Cov neeg laus yuav tsum tsis txhob noj ketorolac vim tias nws tsis muaj kev nyab xeeb ntau npaum li lwm yam tshuaj uas tuaj yeem siv los kho cov mob qub.
  • koj yuav tsum paub tias cov tshuaj no yuav ua rau koj tsaug zog lossis kiv taub hau. Tsis txhob tsav tsheb los sis siv lub tshuab ua haujlwm kom txog thaum koj paub tias cov tshuaj no cuam tshuam rau koj li cas.
  • tham nrog koj tus kws kho mob txog kev haus cawv zoo thaum siv cov tshuaj no. Cawv yuav ua rau muaj kev phiv ntawm ketorolac zuj zus.

Tshwj tsis yog koj tus kws kho mob hais rau koj lwm yam, txuas ntxiv koj li kev noj haus zoo.

Yog tias koj tus kws kho mob tau hais kom koj noj ketorolac tsis tu ncua, noj cov koob tshuaj uas ploj lawm thaum koj nco qab. Txawm li cas los xij, yog tias nws yuav luag txog rau koob tshuaj txuas ntxiv, hla cov koob tshuaj uas tsis nco qab noj thiab txuas ntxiv koj lub sijhawm noj tshuaj kom tsis tu ncua. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Ketorolac yuav ua rau muaj kev mob tshwm sim. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

  • mob taub hau
  • kiv taub hau
  • tsaug zog
  • zawv plab
  • cem quav
  • roj
  • qhov ncauj tawm hauv lub qhov ncauj
  • hws

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob li hais hauv qab no, lossis cov uas tau hais hauv ntu CEEB TOOM TSEEM CEEB, hu rau koj tus kws kho mob tam sim ntawd. Tsis txhob noj ib qho ketorolac ntxiv kom txog thaum koj tham nrog koj tus kws kho mob.

  • ua npaws
  • hlwv
  • piav tsis hnyav ntxiv
  • txog siav siav lossis ua pa nyuaj
  • o hauv plab, pob taws, ko taw, lossis ceg
  • daj ntawm daim tawv nqaij lossis qhov muag
  • nkees dhau heev lawm
  • ntshav txawv lossis doog ntshav
  • tsis muaj lub zog
  • xeev siab
  • tsis qab los noj mov
  • mob hauv sab saud hauv plab
  • cov tsos mob khaub thuas zoo li
  • daj ntseg tawv nqaij
  • lub plawv dhia ceev
  • pos huab, tshem tawm, lossis tso zis ntshav
  • rov qab mob
  • nyuaj los yog mob tso zis

Ketorolac tuaj yeem ua lwm cov kev mob tshwm sim. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum noj cov tshuaj no.

Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).

Khaws cov tshuaj no rau hauv lub khob uas nws nkag los, kaw kom nruj, thiab ncav tsis cuag ntawm cov menyuam. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej).

Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org

Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.

Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.

Cov tsos mob ntawm kev noj haus ntau heev yuav suav nrog cov hauv qab no:

  • xeev siab
  • ntuav
  • mob plab
  • los ntshav, dub, lossis quav tawv tsiaj
  • ntuav yog ntshav lossis zoo li thaj chaw kas fes
  • tsaug zog
  • ua pa qeeb los ceev, ua pa tsis ceev
  • tsis nco qab (tsis nco qab rau lub sijhawm ib ntus)

Tsis txhob cia lwm tus noj koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.

Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.

  • Toradol®

Cov khoom muaj npe khoom no tsis nyob rau ntawm kev ua lag luam. Muaj lwm cov kev xaiv uas siv tau.

Kawg Kho - 03/15/2021

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