Iingqinisiso: Yintoni Eyiyo kwaye Kutheni Isetyenziswa
Kuthetha ntoni?
I-Versed yi-benzodiazepine, uhlobo lwesigqirha esibangela ukuphumla, ukulala kwaye kunokubangela ukulahlekelwa okukodwa okanye okupheleleyo ngexesha lokusetyenziswa kweziyobisi. Ngokuqhelekileyo kusetyenziselwa ukunceda isigulane singcono ukunyamezela inkqubo yonyango. Isetyenziswe kwakhona kwiinkathalo ezinzulu kwizigulane ezisefenini kwaye akunako ukunyamezela umshini wokuphefumula kakuhle.
Kutheni kusetshenziselwa izinto ezinxulumene nazo
I-Versed isetyenziselwa ukuhlalisa ngexesha leenkqubo ezingafunanga i- anesthesia jikelele , kodwa zifuna isigulane ukuba sihlale sizolile kwaye sikhululekile, njenge-colonoscopy. Iingcamango zingasetyenziselwa emva kokuhlinzwa ngenxa yokudityaniswa, okanye ukunceda ukugcina isigulane sizolile ngexesha lomoya .
Iingqinisiso zingasetyenziselwa ukudibanisa neentlungu zamachiza okanye ezinye iindidi ze-sedation. Nangona ngokuqhelekileyo kudibaniswa neFentanyl, imithi enesifo esinamandla, inokudibaniswa nepropofol kunye neminye imithi.
IiFom
I-Versed ifumaneka njengento yokujova, njenge-IV infusion kunye nesiraphu ethathwa ngomlomo. Ngokuqhelekileyo unikezwa nge-IV, ukwenzela ukuba ikwazi ukusebenza ngokukhawuleza, isiraphu ithatha ixesha elide ukuba isebenze kwaye kunzima ukuqikelela ukuba kuya kusebenza nini.
Isiraphu isoloko isetyenziselwa abantu abanesibhulo sokutya, nokuba sisigxina okanye sifakwe okwesikhashana, kwaye ngokuqhelekileyo kwizigulana ezidinga i-sedation ixesha elide kunokuba nje imizuzu embalwa okanye iiyure ezimbalwa.
Versed kunye neFentanyl
I-Versed ivame ukudibaniswa neFentanyl, inxinxusa enamandla, ukubonelela nge-"sedation". Ikwaziwa nangokuthi "ukulala ubusuku" okanye "ukunakekelwa kwe-anesthesia (MAC)" . Olu hlobo lwe-aneshesia alufuni ukuba isiguli sibe umqhubi ngexesha le nkqubo.
Amachiza amabini, esebenzisene kunye, anika intlungu, ukuphumula, kunye ne-amnesia.
Injongo kukuthintela intlungu kunye nokuxhalaba ngexesha le nkqubo, kwaye ukuba kukho nantlungu okanye uxinzelelo, isiguli asikwazi ukuyikhumbula.
Ukuhlanganiswa kwe-Versed kunye neFentanyl kusetyenziswa kwi-ICU setting, ngokuqhelekileyo nge-IV. Unokunikezwa ngokunyanga ukuba usebenzise uhlobo lwe "coma," ukugcina isigulane singazi ndawo ezikuyo. Oku kunokuba kuyimfuneko ukuba isiguli singenako ukuzinya, sisengozini yokuzilimaza, sichasene nomoya womoya, okanye isifo esibangela intlungu ebalulekileyo (njengokutshisa).
Iimiphumo eziPhezulu zeNdlela
- Iimbambano zivame ukudala ukulahleka kweempepha ngeli xesha ngelixa ilawulwa yiziyobisi kunye nexesha elilandelayo ngokukhawuleza. Oku kuyimpembelelo yecala yesiqhelo ye-Versed kwaye kufuneka ilindeleke.
- Iingcamango zinganciphisa ukuphefumula, ukujongwa okufutshane kubalulekile xa isilwanyana sisetyenziswa.
- Iqela elincinci lezigulane livakalelwa, lixhatshaze okanye lidibanise xa lithatha i-Versed, kunokuba lukhuphe uxolo kunye nokuphumla okujoliswe kuyo.
- Iimbambano zibangela ukulala nokuqhuba emva kokufumana amayeza ayikhuthazwa.
- Imiba ingabangela okanye yanda ukukhwehlela .
Usetyenziso lwekhaya lwasekhaya
I-Versed ayifanelekanga ukusetyenziswa kwekhaya, isetyenziswe ngexesha leenkqubo okanye unyango lwezonyango.
Ukubeka iliso rhoqo kuyadingeka ngokusebenzisa i-Versed, ngoko ke akunqabile isetyenziswe esibhedlele kwiindawo ezingaphandle kokuhlinzwa, amagumbi okusebenza kunye nokunyamekela.
Izilumkiso
Iingcamango zingabangela ukucindezeleka okuphefumulayo, oku kuthetha ukuba isifiso sokuphefumula sincipha kubantu abafumana amayeza. Ngenxa yempembelelo ecaleni, izigulane kufuneka zijongwe ngokuthe ngqo kwiziko lonyango xa uthatha i-Versed. Iingcamango zingaphinde zandise ukuphefumula kokuphefumula kwamanye amayeza, kuquka i-opioids.
Ngenxa yokuphefumula ukuphefumula, izigulane ezineemeko zokuphefumula ezifana neCOPD zingabi ngabaviwa abafanelekileyo kwi-Versed.
Izigulane kwi-moya, ezinokuthi zingenakho ukufumana isifo sokuphefumula, zinganikwa i-Versed to help them tolerate a tube breathing place.
Iingcamango zinganciphisa uxinzelelo lwegazi kwaye kufuneka zisetyenziswe xa isigulane sinexinzelelo oluphantsi lwegazi, ingaba kubangelwa ukutshitshiswa, i- sepsis okanye impilo yesiqhelo yesigulane.
Iingqinisiso kufuneka zisetyenziswe ngokulumkisayo xa kuncelisayo kunye nabasetyhini abakhulelweyo. I-Versed iboniswe ukuba iwele umnqamlezo we-placental, oku kuthetha ukuba umntwana uya kufumana esinye sezidakamizwa xa kunikwa umfazi okhulelweyo.
I-Versed iyancipha ngakumbi kwiigulane ezinomsebenzi onzima wezintso kwaye ingaba nemiphumo engapheliyo kwezi gulane. Amanani amancinci kunye / okanye ixesha elide lokuhlaziya lingafuneka.
Iingqinisiso eziManyeneyo
Ngokungafani namachiza amaninzi, ii-Versed dosages kufuneka zisekelwe kwisiphumo sonyango, kunokuba ubunzima besigulane. I dose kufuneka ilungiswe ngokusekelwe kwisiphumo sokuqala, esichazela ukuba isiguli kufuneka sinikezwe ngaphantsi okanye esingaphantsi kwesilwanyana esekelwe kwindlela efanelekileyo ngayo.
Ukukwazi ukunyamezela ukusetyenziswa kakubi kotywala kufuthi kubonelela ngokunyamezela kwabo. Abantu abathile "banokugqithisela" kwaye banxiliswe kalula banokufuna imithi encinci kunomntu onokuthi "abambe utywala."
ILizwi Elivela Kwisimo Esihle
I-Versed iyona mveliso eluncedo kakhulu yokudityaniswa ngexesha leenkqubo, kodwa kufuneka isetyenziswe kwisimo esifanelekileyo: kunye nabasebenzi abaqeqeshweyo kunye nokubeka iliso kwi-elektroniki ekusebenziseni ukhuseleko. La mayeza angabangela ukunciphisa ukuphefumula kunye nokulahlekelwa kwememori, ngoko kubalulekile ukuba uqeqesho oluqeqeshiwe lukhoyo ukuba lubekwe iliso kwiziphumo ezijamelana nesigulane.
Imithombo:
Monograph. RxMed Pharmaceutical. Kufike ngoJulayi 2009. http://www.rxmed.com/b.main/b2.pharmaceutical/b2.1.monographs/CPS-%20Monographs/CPS-%20(General%20Monographs-%20V)/VERSED.html