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Ayahuasca: What Healthcare Providers Need to Know.

机译:Ayahuasca:医疗保健提供者需要知道什么。

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Ayahuasca is a pan-Amazonian botanical hallucinogenic decoction made from a mixture of the bark of the Banisteriopsis caapi plant, containing a monoamine oxidase inhibitor, and Psychotria viridis (Rubiaceae) or Diplopterys cabrerana shrubs containing a serotonergic 2A receptor agonist, N,N-dimethyltryptamine, a powerful psychoactive substance. Ayahuasca is a traditional psychoactive sacrament that has been used for shamanic ceremonies for centuries. Ayahuasca is acclaimed for spiritual and psychotherapeutic benefits and is gaining popularity in the United States. Potential risks involved with usage of this hallucinogenic drug include psychotic episodes related to N,N-dimethyltryptamine and serotonin syndrome, which can be potentially life threatening. The consequences of ayahuasca use remain uncertain because of poor quality control, unpredictability, and polydrug interactions. Nurses, advanced practice nurses, and other healthcare providers working in outpatient settings, hospitals, and treatment centers need to be familiar with the pharmacology, possible drug interactions, and management for ayahuasca ingestion for optimal decision making. Nurses are well positioned to facilitate understanding and to advise and educate the public about the potential risks associated with ayahuasca ingestion.
机译:Ayahuasca是一种泛亚马孙植物性致幻汤,由含有单胺氧化酶抑制剂的Banisteriopsis caapi植物的树皮和含有5-羟色胺2A受体激动剂、N,N-二甲基色胺(一种强大的精神活性物质)的绿色精神病菌(茜草科)或双盲蝽灌木的混合物制成。阿亚瓦斯卡是一种传统的精神活动圣礼,几个世纪以来一直用于萨满仪式。阿亚瓦斯卡因其精神和心理治疗方面的益处而广受赞誉,并在美国越来越受欢迎。使用这种致幻药物的潜在风险包括与N,N-二甲基色胺和5-羟色胺综合征相关的精神病发作,这可能会威胁生命。由于质量控制差、不可预测性和多药相互作用,阿亚华斯卡使用的后果仍然不确定。在门诊、医院和治疗中心工作的护士、高级执业护士和其他医疗保健提供者需要熟悉阿亚华斯卡的药理学、可能的药物相互作用和摄入管理,以便做出最佳决策。护士能够很好地促进理解,并就阿亚华斯卡摄入的潜在风险向公众提供建议和教育。

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