Ka lāʻau "ketamine": aʻo no ka hoʻohana 'ana, ano, haku mele' ana a me ka hōʻike manaʻo

I mea e lawe mai i kekahiʻoki kino, ke kauka nele kūikawā e hoʻomākaukau ai i mea analgesic waiwai. Ia mea, ke anesthetic ua pono. Kekahi o kēia mau mea i ka "Ketamine". Na Ke Kumu no ka hoʻohana ana i ka lāʻau 'pono e loa? Anoee mua ka mea, ua hoʻolauna i ka hoʻomanawanui.

General hōʻikeʻano a me ka haku mele 'ana o ka lāʻau

I ka waiwai o ka wai a i ka hōʻemi iki hue pahaʻaʻohe waihoʻoluʻu. 1 ml o keia meakino na 57,6 mg o ketamine. Additional nā mea hoʻohui hiki ke kaʻawale benzalkonium koloriside, paʻakai, a me ka injectable ka wai.

Pili lapaau no ka intramuscular a intravenous hooponopono. Ināʻoe e hoʻohana "Ketamine" manual olelo e pili ana i na ano o ka? Iecaianoaaiiuo:

- Ampules o ia hoʻi, me ka huina o ka ma ka liʻiliʻi 2 ml. Ke AEeAaOA be 5 hue.

- hue 5 ml.

Ke pharmacological hana o ka lāʻau

O keia waiwai i ka maikai analgesic hookoia, a, naʻe, 'aʻole e mau loa ana. Eia hou kekahi, "Ketamine" (kauoha no ka hoʻohanaʻana i nāʻano aia ma ka AEeAaOA) hiki ole i ka pono nui o ka analgesia no abdominal hana. Iloko o ka hooponopono ana o ka lāʻau inhibited aole i hiki maopopo i ka ike a me ka moni 'ia, a me ka cough laryngeal reflexes hoolaia. Ma hope o hooponopono o ka lāʻau i ka hoʻomanawanui i kēia mau symptoms: kiʻekiʻe ke koko, myocardial contractility. Skeletal Muscle leo i loko o keia hihia ua i hoemiia.

Ma hope iho o ka pau ana o ka lāʻau i loko o kānaka he mea drowsiness, a hiki hoʻonāukiuki hallucinations, loa vivid nā moeʻuhane. Eia kekahi, ma hope o ka pau 'ana o ka anesthetic hookoia ma ka hoomanawanui mea disoriented ka lewa. Kēia manawa mea hiki ke hoʻomau i 8 hola. Inā e lawe i ka waiwai i loko o ka huipūʻana me antipsychotics, a pau o kēia mau 'ole ho'ēmi i kā lākou pinepine' a me ka aa pono ana. ʻO kā mākou ho'ōia au o 2-3 hola.

No ka intramuscular hoʻoponopono, hiki e mahuahua keia kanawai. Kona hookoia ka lāʻau hoʻomaka i loko o 10 minuke. It E e hoʻomaopopo i ka lāʻau mahele lāʻau o ka 1 mg / kg hiki inhibit hoʻokumu o wale 6 minuke. I mea e loaʻa ai 25-minuke anesthetic hookoia no, ia mea pono e hoʻolauna 4-8 mg / kg. "Ketamine" (kuhi no ka hoʻohana - he maoli alakai i ka hana) ua hoʻomano haawi ma ke kino, a komo iloko o ke koko-lolo ke'ākeʻakeʻa mai. A me ka wai koko nā polokina ka mea e hoopaa ana i wale 12%. Ka hapa-ola o ka waiwai 2 hora. E hōʻike 'ia lāʻau ua excreted i loko o ka mimi ina he uuku nui o metabolites hiki ke malama i ke kino no kekahi mau lā.

nāʻikepili

Inā kou kauka ua hoʻoholo e hoonoho i kekahi "Ketamine hydrochloride", manual e kōkua hana me na nāʻikepili no ka hoʻohanaʻana i ka lāʻau. hiki e hookoaia i waena o ia mea:

•ʻoki lāʻau lapaʻau kaʻina hana 'ē aʻe ma mua o pōkole lōʻihi like' ole. I ka Ia manawa i ka pono no ka Muscle hoʻomaha 'aʻole i mea. No, ka mea, hōʻike na kanaka, ka poe i haahaa ke koko, i ka malamaia.

• halihali haumana o ka hoʻomanawanuiʻana i nā Ho 'Oponopono.

• ka nele no kekahi huahana o ka walaʻauʻana anesthesia.

• kuni i ka mea lapaau.

• ana i lawelawe 'o ka vocal manipulation, a hiki i loa eha.

• ka pono e hoʻokō pilikia ana, kena ae la ia e traumatic kŰia, loa kahe ana ke koko.

• mea hoʻonoho o ka catheter i loko o ka naʻau.

• Caesarean pauku a gynecologicalʻoki kino.

•ʻoki lāʻau lapaʻau manipulations i loko o na holoholona.

Contraindications

Inā e hāʻawi "Ketamine" kauoha no ka hoʻohana (no ka mea, kauka holoholona hana keia lapaau i 'ae') mai nei e pili ana i kēia mau contraindications:

1. Po kiʻekiʻe pā lonoaʻili i ka constituents o ka lapaʻauʻia.

2. Arterial hypertension, ma a he mea he paakiki mahuahua ma ka puʻe.

3. Myocardial infarction paha angina i loko o na mahina eono i hala iho nei.

4. Po loaʻaʻa puʻuwai insufficiency.

5. 'aʻe' ana i ke koko holo i loko o ka lolo.

6. E ka convulsive Hui Pūʻia a me epilepsy, me na keiki.

7. hāpai keiki, a lactation.

8. Alcoholism.

Loa manao ia e ka poe e hoomanawanui i ka poe i ho'āʻo maʻi naʻau e hemahema, a me ka poe pono, e lawe mai i ka hana ma ka pharynx ole larynx. Ma keia hihia, ka mea hiki ke hou pili relaxant.

Hiʻona a me ka laʻau heluna

Kēia lapaau hiki ke lawelawe i loko o ka aa koko (bolus a me ka drip) a me IM. Inā ka hana ua lawe mai no nā mākua, ka mea, he pono ke hoʻolauna i ka waiwai intravenously. Ka nui o ka la hoomalolo, he 2-3 mg / kg kino ke kaumaha. Inā 'oe manao e intramuscular ka pahu kui, alaila, he ua pono ia 4-8 mg / kg kino ke kaumaha. I anesthetic hookoia ana hou aku e lawelawe "Ketamine" pāʻoihana ma 2 mg / kg no hora. Inā pili dropper, ka 0,1% pāʻoihana ua wahahee i ka uku o 20-50 kulu no minuke.

Description a me ka hoʻohana "Ketamine" pono pono e wehewehe ana i na makua, ina o ka hana ua lawe mai i ke keiki. Ma keia hihia i ke kanaka e hoomakaukau i hiki ke hoʻohana i ke kumu a me ka hoʻokumu paʻa anesthesia. Inā i ka lua o ka AOAIAaOO ua wae, a laila, e e hoʻouka kekahi intramuscularly paha intravenously ka waiʻona. o ia hoʻi, ka mahele lāʻau hilinaʻi nui ma luna o ka makahiki o ke keiki a me ka mea 8-12 mg / kg no na kamalii uuku, 6-10 mg / kg - keiki, mai 1 a hiki i 6 makahiki, ma kahi o 4-8 mg / kg - mua na keiki a me adolescents. Inā hoʻohana 'ia intravenous ka pahu kui, alaila, he mea pono e hoʻolauna i 3.2 mg / kg, me ka papa'āweʻaweʻa kemika hou o ka lāʻau ma ka hana.

Hōʻoi i ka hana o ka lāʻau mea hiki i ke kōkua o "Fentanyl", "promedolom", "droperidol." Ma keia mahele lāʻau "Ketamine" pono hoemiia.

He aha hua'ōlelo i makemake 'ole ke kānāwai?

Inā ke kauka mea pono e pili i ka "Ketamine" manual (, ke kumukuai o ka lāʻau ma kahi o ka 150 rubles) ao mai oe i ka mea e hiki hanana o adverse reactions:

• Tachycardia, a māhuahua ma ka puʻe.

• Excessive mahuahua ma ka salivation.

• ka muli o hallucinations a me ka loa psychomotor manaʻo pīhoihoi i ke ola mai ka anesthesia.

• pokole o ka hanu a me ka ÷ naehana hanu kaumaha.

• Pain.

• Ua redness ma ka ka pahu kui paena.

• Disorientation i loko o ka lewa.

Inā he ua he lāʻau overdose, e hana naehana hanu kaumaha. Ma keia hihia, e pono e hanaʻimi hoʻopunipuni ka hanu. Inā he mea he convulsive kāna hana, a laila, ka mea hiki ke wehe 'ia ma ka hoʻohana' ana i kahi mea paahana e like me "Diazepam".

Cautions

Ma hope o hooponopono o ka lāʻau a hiki i ka hoʻomanawanui hiki ole ia i ka lā a komo i loko o kekahi hoʻopōʻino hana e noi aku i māhuahua noonoo. I ole hihia e i kipaku aku i ka kaʻa. Eia hou:

• Kiakahi Ke ke kākoʻo '-aaieieno? O ai' hooku iho la ia me ka barbiturates.

• E hoʻohana i ka lapaau hiki wale palapala hōʻoia no kauka. E kuai oe ia mea i loko o keʻena kūʻai lāʻau lapaʻau me ke kuhikuhi, e hiki ole. Ua hoʻohana 'ia ka lāʻau wale i loko o ka ambulance a me ka haukapila hanai.

• «Atropine" hiki ke hoopili no ka mea, e ho'ēmi i salivation.

• Ia ka hoʻohana 'ana i kēia lapaau e pono i ka manawa a pau, e kanaka hoʻoponopono i ka hanu o ke hoomanawanui, o ka oi aku i loko o ke keena naehana'āpana hana i hiki spasm o ka masticatory nāʻiʻo.

• «Diazepam" ole wale kōkua emi i ka likelihood o involuntary twitching o nāʻiʻo, akā, i ua ālai 'psychomimetic hana.

Me ka pili ana i ka hoʻohui pū 'ia me nā lapaʻauʻia, "Ketamine" e listen i ka hopena o narcotic analgesics type, anxiolytics a me nā waiwai e hiki inhibit i ka functioning o ka CNS.

Reviews, analogs a me ka pūnaewele hiʻona

Inā 'oe e pono aiʻoki kino, ka anesthesiologist e hoʻohana i kēia lapaau me "Ketamine". Na Ke Kumu no ka hoʻohana '(ma ka hue i loaʻa ka 2 ML o ka hoʻomanaʻo ua hoʻohana' ia ka hapanui pinepine) kekahi hoakaka no analogs, a hiki i ka ia mele. Paha ia a me nā lapaʻauʻia i loaʻa i ka mea hana 'Oponopono, e hoopii oe hou. I waena o hiki e hoike ia na analogues i: "Kalipsol", "Ketanest", "Ketalar".

E mālama i ka huina hoonui i loko o ka me kahi keiki ke ole hiki. Available lāʻau wale nō ma ke kuhikuhi, oiai kona hoʻohana ua ikaika pāpā i loko o ka hale. waho pūnaewele mahana E e ole aku ma mua o 30 degere. 'ōpala ai 'pono paa i paa. Holopapa ke ola o ka mea o 24 mahina.

Me ka pili ana i ka manaʻo o nā mea maʻi, ua nui loa kekahi mau mea. No ka laʻana, ka mea maikaʻi kēia lākiō ua noʻonoʻo pono i ka laulā o ka lāʻau, no ka mea hoʻomanawanui 'aʻole i haha aku ka eha. Naʻe, i ka hopena o ka anesthesia ka loa kaʻawaʻawa loa. Haʻalele i mai anesthesia, e like me ka hapa nui o nā mea maʻi, e ka loa kaumaha.

Ano, i ko oukou ike ana a pau i ka ike e pili ana i ka lāʻau "ketamine". Na Ke Kumu no ka hoʻohana 'ana, uku, hōʻike manaʻo mea i ka malu no oe. E hoʻokaʻaʻike ola!