Midazolam
![Midazolam - Rapid Sequence Induction and Intubation](https://i.ytimg.com/vi/jIB_CFHNdtY/hqdefault.jpg)
Toka Te Manawa
- I mua i to tamaiti whiwhi midazolam,
- Ko te Midazolam te take ka awangawanga. Korero atu ki te taakuta a to tamaiti mena he nui enei tohu kaore ranei e haere:
- Ko etahi o nga awangawanga ka nui pea. Mena kua pa ki to tamaiti tetahi o enei tohu, karanga tonu ki tana taakuta:
- Ko nga tohu o te taikaha nui ka uru ki:
Ma te Midazolam pea e raru o te manawa ranei e mate ana i te manawa penei i te papaku, te puhoi, te whakamutua ranei o te manawa. Me whiwhi noa to tamaiti i tenei rongoa i te hohipera, i te tari taakuta ranei, kei a ia nga taputapu e hiahiatia ana hei tirotiro i tona ngakau me ona pūkahukahu, kia tere hoki te whakaora i te rongoa ora mena ka puea ake tana manawa, ka mutu ranei. Ka tirohia e to taakuta, to tapuhi ranei to tamaiti i to tamaiti i muri i tana whiwhinga i tenei rongoa kia mohio kei te manawa tika ia.Korero atu ki te taakuta a to tamaiti mena he mate kino to tamaiti, ki te mea kua paangia ranei e ia he huarahi rererangi, he manawa manawa ranei he mate manawa, he mate puhia ranei. Korero atu ki to taakuta me to taakuta rongoa mena kei te tango to tamaiti i tetahi o nga rongoa e whai ake nei: antidepressants; barbiturates pēnei i te secobarbital (Seconal); droperidol (Inapsine); nga rongoa mo te manukanuka, nga mate hinengaro, te hopu ranei; nga rongoa narcotic mo te mamae penei i te fentanyl (Actiq, Duragesic, Sublimaze, etahi atu), morphine (Avinza, Kadian, MS Contin, etahi atu), me meperidine (Demerol); nga kaiwhakamarie; pire moe; he kaiwhakamarie ranei.
Ka tukuna a Midazolam ki nga tamariki i mua i nga tikanga hauora, i mua ranei i te rongoa rongoa mo te pokanga kia hiamoe ai, kia maamaa ai te manukanuka, kia kore ai e maharatia te kaupapa. Ko Midazolam kei roto i te akomanga rongoa e kiia nei ko te benzodiazepines. Ka mahi ma te whakaheke i te mahi ki te roro kia pai ai te okioki me te moe.
Ka haere mai a Midazolam hei tirikara hei tango ma te mangai. I te nuinga o te waa ka hoatuhia e te taote, tapuhi ranei i mua o te waahanga hauora, i te pokanga ranei.
Ka tohua pea tenei rongoa mo etahi atu whakamahinga; pātai atu ki te tākuta, ki te taakuta rongoā ranei mo etahi atu korero.
I mua i to tamaiti whiwhi midazolam,
- korero atu ki to taakuta me to taakuta rongoa mena e mate ana ia i te midazolam, etahi atu rongoa, nga cherry ranei.
- mea atu ki te taakuta a to tamaiti mena kei te tango tau tamaiti i etahi rongoa mo te mate kino o te tangata (HIV) tae atu ki te amprenavir (Agenerase), atazanavir (Reyataz), darunavir (Prezista), delavirdine (Rescriptor), efavirenz (Sustiva, i Atripla), fosamprenavir (Lexiva ), indinavir (Crixivan), lopinavir (i Kaletra), nelfinavir (Viracept), ritonavir (Norvir, i Kaletra), saquinavir (Invirase), me tipranavir (Aptivus). Ka whakatau pea te taakuta a to tamaiti kia kaua e hoatu midazolam ki to tamaiti mena kei te inu ia i tetahi o enei rongoa ranei.
- korero atu ki to taakuta me to taakuta rongoa he aha atu nga rongoa rongoa me nga kore rongoa, huaora, me nga taapiringa kai kei te tango e to tamaiti, kei te whakaaro ranei koe ki te kai. Kia mahara ki te whakahua i nga rongoa kua tuhia ki te waahanga WHAKATOKANGA PONO me etahi o enei e whai ake nei: amiodarone (Cordarone, Pacerone); aminophylline (Truphylline); antifungals pēnei i te fluconazole (Diflucan), itraconazole (Sporanox), me te ketoconazole (Nizoral); etahi aukati hongere konupora penei i te diltiazem (Cartia, Cardizem, Tiazac, me etahi atu) me te verapamil (Calan, Isoptin, Verelan, etahi atu); cimetidine (Tagamet); clarithromycin (Biaxin); dalfopristin-quinupristin (Synercid); erythromycin (E-mycin, E.E.S.); fluvoxamine (Luvox); etahi rongoa mo te haehae pera i te carbamazepine (Tegretol), phenobarbital, me te phenytoin (Dilantin); methylphenidate (Concerta, Metadate, Ritalin, etahi atu); nefazodone; ranitidine (Zantac); rifabutin (Mycobutin); me te rifampin (Rifadin, Rimactane). Me whakarereke e te taakuta a to tamaiti nga rongoa o nga rongoa a to tamaiti, te tirotiro ranei i to tamaiti kia pa ki nga paanga kino. He maha atu ano nga rongoa ka uru pea ki te midazolam, na kia mahara ki te korero ki to taakuta to tamaiti mo nga rongoa katoa e inu ana i to tamaiti, tae atu ki nga mea kaore e kitea i tenei raarangi.
- mea atu ki te taakuta a to tamaiti he aha nga hua otaota e tangohia ana e to tamaiti, tautautefito ki te wort a St.
- korero ki te taakuta a to tamaiti mena he glaukoma to tamaiti. Ka whakatau pea te taakuta a to tamaiti kia kaua e hoatu ki to tamaiti midazolam.
- korero atu ki te taakuta a to tamaiti mena kua uru to tamaiti ki te mate whatukuhu, ate ranei.
- korero atu ki te taakuta a to tamaiti mena kei te hapu ranei to tamaiti, kei te whangai u ranei.
- kia mohio koe ma te midazolam pea e hiamoe ai to tamaiti ka raru pea tona maharatanga, te whakaaro me nga nekehanga. Kaua e tukua to tamaiti kia eke pahikara, taraiwa motuka, ki te mahi ranei i etahi atu mahi kia mataara ia mo te 24 haora i muri mai o te whiwhinga o te midazolam kia mate ra ano nga paanga o te rongoa. Kia maataki to tamaiti kia mohio kei hinga ia i a ia e hikoi ana i tenei waa.
- kia mohio koe ma te waipiro e kino ai nga paanga o te midazolam.
Kaua e tukua to tamaiti ki te kai karepe, ki te inu ranei i te wai karepe i te wa e tango ana i te rongoa.
Ko te Midazolam te take ka awangawanga. Korero atu ki te taakuta a to tamaiti mena he nui enei tohu kaore ranei e haere:
- whakapairuaki
- ruaki
- ponana
Ko etahi o nga awangawanga ka nui pea. Mena kua pa ki to tamaiti tetahi o enei tohu, karanga tonu ki tana taakuta:
- whakaohooho
- noho humarie
- te wiriwiri kore o tetahi waahanga o te tinana
- te whakapakeke me te hika o nga ringaringa me nga waewae
- whakaeke
- he puhoi, he koretake ranei i te ngakau
Ko te Midazolam tera pea ka awangawanga i etahi atu. Karangahia te taakuta a to tamaiti mena he raru rereke to tamaiti i te tango i tenei rongoa.
Mena kua pa ki a koe he raru kino, ka tukuna e koe, to taakuta ranei te ripoata ki te kaupapa Tuku Korero Kaupapa Hauora a te Whakahaerenga Tika me te Taonga Taonga (FDA) i runga i te ipurangi (http://www.fda.gov/Safety/MedWatch), waea atu ranei ( 1-800-332-1088).
Mena he nui rawa te waipiro, waea atu ki te awhina awhina paihana i te 1-800-222-1222. E waatea ana nga korero i runga ipurangi i te https://www.poisonhelp.org/help. Mena kua hinga te patunga, kua hemo ia, kua raru tana manawa, kaore ranei e taea te whakaoho, waea atu ki nga ratonga ohorere i te 911.
Ko nga tohu o te taikaha nui ka uru ki:
- hiamoe
- puputu'u
- nga raru ki te pauna me te neke
- he whakaheke i te manawa me te pupuhi o te ngakau
- Tuhinga o mua
Purihia nga wa katoa ki te taakuta a to tamaiti.
Patai ki te taakuta rongoā a to tamaiti, ki to taakuta ranei, mena he paatai taau mo te midazolam.
He mea nui ki a koe kia mau ki te raarangi tuhi o nga whakahaunga katoa me nga kore rongoa (rongoa-kore) e whakamahia ana e to tamaiti, me nga hua maha penei i te huaora, te kohuke, etahi atu taapiringa kai ranei. Me mau e koe tenei raarangi i ia wa ka toro atu to tamaiti ki te taakuta mena kua uru atu ia ki te hohipera. He mea nui ano hoki nga korero hei kawe atu maau ka pa he mate ohorere.
- Irava®