Centruroides Immune F(ab′)2
Jeneng merek: Anascorp
Kelas obat:
Agen Antineoplastik
Panganggone Centruroides Immune F(ab′)2
Evenomasi Kalajengking
Pengobatan tanda-tanda klinis saka envenomasi kalajengking; ditunjuk minangka obat yatim piatu dening FDA kanggo panggunaan iki.
Bisa nyepetake wektu kanggo ngrampungake gejala envenomasi, bisa uga ora mbutuhake perawatan ing unit perawatan intensif.
Ing AS, Centruroides sculpturatus (umume dikenal minangka kalajengking babakan) iku siji-sijine kalajengking sing dianggep bisa mbebayani kanggo manungsa; ditemokake utamane ing Arizona, nanging bisa uga ditemokake ing bagean California, New Mexico, Texas, Nevada, lan Meksiko sisih lor.
Coba rembugan karo ahli sing duwe pengalaman ngobati envenomasi Centruroides (contone, Arizona Poison and Drug Information Center ing Tucson, Banner Good Samaritan Poison lan Drug Information Center ing Phoenix).
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- Unisom
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- Valproate/Divalproex
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- Wytensin
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- Xywav
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- Zirconium Cyclosilicate
- Zolpidem
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- 5-hydroxytryptophan, melatonin, and pyridoxine
Carane nggunakake Centruroides Immune F(ab′)2
Umum
Administrasi
IV Administrasi
Administrasi kanthi infus IV.
Rekonstitusi lan PengenceranReconstitute saben vial Centruroides lyophilized (kalajengking) imun F (ab′)2 (kuda) kanthi 5 mL natrium klorida 0,9%; nyampur nggunakake swirling alus sing terus-terusan. Nalika macem-macem vial dituduhake (contone, kanggo dosis awal), gabungke jumlah vial sing direkonstitusi sing dibutuhake sanalika sawise rekonstitusi.
Sadurunge infus, encerake dosis total (total bokor rekonstitusi gabungan) nganti volume total 50 mL nggunakake 0,9% natrium klorida.
Tingkat AdministrasiAdministrasi kanthi infus IV sajrone 10 menit.
Dosis
Dosis sing dituduhake miturut jumlah vial.
p>Pasien Anak
Envenomasi Kalajengking IVKaping pisanan, 3 vial.
Wenehana tambahan 1 dosis vial saben 30-60 menit yen perlu.
Dewasa
Kalajengking Envenomasi IVKaping pisanan, 3 vial.
Wenehi tambahan dosis 1 vial saben 30-60 menit yen perlu.
Populasi Khusus
Ora ana rekomendasi dosis populasi khusus.
Pènget
Kontraindikasi
Pènget/PanandhapReaksi Sensitivitas
Reaksi Hipersensitivitas.
Reaksi hipersensitivitas sing abot, kalebu anafilaksis, bisa uga kedadeyan.
Pasien sing duwe alergi marang protein kuda beresiko ngalami reaksi anafilaksis. Patients sing sadurunge nampa Centruroides (kalajengking) imun F(ab′)2 (kuda) utawa antivenom equine utawa antitoxin liyane bisa nambah risiko reaksi hipersensitivitas abot.
Ngawasi kanthi teliti kanggo hipersensitivitas sajrone infus antivenom; IV epinefrin, kortikosteroid, lan diphenhydramine kudu kasedhiya.
Yen ana reaksi anafilaksis, langsung mandhegake infus antivenom lan miwiti perawatan medis darurat sing cocog.
Hipersensitivitas Tertunda utawa Reaksi Penyakit Serum.Hipersensitivitas telat utawa reaksi serum penyakit bisa kedadeyan. Gejala sing entheng bisa uga kalebu pruritus, mual, urtikaria, demam rendah, lan malaise; Manifestasi abot kalebu urtikaria sing terus-terusan, muntah, arthralgia, myalgia, sinkop, lan angioedema.
Monitor manifestasi reaksi alergi sing telat utawa penyakit serum (umpamane, ruam, mriyang, myalgia, arthralgia) ing kunjungan tindak lanjut. . Nambani reaksi kasebut yen perlu; perawatan umume gejala (contone, antihistamin, analgesik, antipiretik, kortikosteroid).
Risiko Agen Infèksi sing Bisa Ditular
Disiapake saka plasma kuda; duweni potensi bisa nularake agen infèksius, kalebu virus. Sawetara langkah ing proses manufaktur (contone, pencernaan pepsin, presipitasi amonium sulfat / perawatan panas, nanofiltrasi) nyuda risiko panularan virus.
Konten Kresol
Ngandhut jumlah tilak cresol (<0,41 mg saben vial) saka proses manufaktur. Cresol digunakake minangka eksipien suntik wis nyebabake reaksi lokal lan myalgia umum.
Populasi Spesifik
KandhutanKategori C.
LaktasiOra dingerteni manawa disebarake menyang susu. Gunakake kanthi ati-ati ing wanita sing nyusoni.
Panggunaan PediatrikEfikasi lan safety ing pasien pediatrik sing bisa dibandhingake karo wong diwasa. Wis digunakake ing bocah-bocah saka umur 1 sasi nganti 18 taun.
Panggunaan GeriatrikEfikasi lan safety ing pasien geriatrik sing ora diteliti sacara khusus; dianggep padha karo populasi pasien sakabèhé.
Efek Umum sing Sabar
Muntah, pyrexia, ruam, mual, pruritus.
Apa obatan liyane bakal mengaruhi Centruroides Immune F(ab′)2
Ora ana studi interaksi obat resmi nganti saiki.
Disclaimer
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