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宝宝用药最容易犯的错误

发布时间:2013-12-31 16:57:17  

宝宝用药最容易犯的错误

我国每年大概有250万人因用药错误或者药物不良反应生病住院,其中有高达20 万人死于用药不当或者用药错误。中国药学会儿科药学组的一项调查结果显示:在北京、上海、重庆等地的聋哑学校中,70%的儿童是由于小时候用药不当而造成 聋哑的。据20世纪90年代的项统计显示,我国聋哑儿童达180万人,药物致聋占60%,约100万人,并且以每年2万到4万人的速度在递增。实际上,多 数用药问题并不是药物本身质量不过关,而是由于选择或者使用药物不当造成的。在此,我总结自己的临床经验,给大家讲讲宝宝用药最容易犯的几个错误。

1、中西药混吃

很多家长都有一个错觉,以为药吃得越多,病好得越快,于是中药加西药,多种药一起服。事实上,无论中药还是西药,绝大多数药物进入体内要经由肝脏代谢灭活、肾脏排泄清除。由于儿童的肝肾功能还不健全,因此应尽量避免多种药物同时服用,以免造成肝肾损伤。

如果病情需要多药同服,也应该知道如何正确服用。例如,当需要中药和西药同服时,我们一般建议两种药物至少间隔1个小时服用。

多种药物同时服用时,还需注意各药物的有效成分,以避免重复用药,加重不良反应。再次强调,退烧用的对乙酰氨基酚成分同时存在于许多复方感冒药中,如果退烧的同时还服用复方感冒药,就有可能导致服用对乙酰氨基酚过量,造成肝损伤。

2、弄错剂量

药 品有不同的剂量单位,比如毫升(mL)、毫克(mg)等。有的时候,一些医生还喜欢用简写,这存在很大的安全隐患,在此提醒家长们一定要仔细识别。例如, 抗过敏的西替利嗪滴剂,两岁以下儿童每次用的剂量是0.25毫升(相当于2.5毫克),有些医生喜欢写

2.5毫克,如果把这里的2.5毫克错看成2.5毫 升,那给孩子服用的量就达到中毒量了,严重者会导致儿童死亡,美国就曾报道过这样的例子。

泰诺林在中国市场上有两个浓度的产品,混悬剂的药物浓度是160毫克/5毫升,而滴剂是500毫克/5毫升,如果家长不仔细核对浓度,很容易给错剂量。

3、保健品当糖吃

保 健品市场一直很红火,不少家长怕宝宝缺维生素或微量元素,选择给儿童服保健品。为了在口味上吸引宝宝,保健品的厂家把产品的口味做得很好,以至于不少宝宝 把保健品当糖吃。例如,不少妈妈给宝宝海淘“小熊糖”,这是一种儿童型多种维生素,口味好而且外形可爱,孩子们很爱吃。国外报道过多个服用小熊糖过量的案 例,都是儿童趁父母不注意误服导致的。再比如抗过敏的马来酸氯苯那敏成分在很多复方感冒药里也存在,成分列表里可能写的是氯苯那敏,如果家长们不知道俗称 的扑尔敏就是氯苯那敏,给宝宝服扑尔敏的同时也服含氯苯那敏的感冒药,很容易造成扑尔敏过量,导致宝宝昏睡不醒,严重者可造成意识丧失。

保健品吃多了也会中毒,提醒家长们要告诉宝宝这不是糖,要把保健品放在宝宝够不到的地方或者锁进柜子里。

Our country there are about 2.5 million people each year due to medication errors or

adverse drug reactions is ill in hospital, including up to 200000 people died from drug use or medication errors. Pediatrics of Chinese www.ajsdjj.com medicine institute of pharmaceutical group of the results of a survey shows that: in Beijing, Shanghai,

chongqing and other places in deaf school, 70% of children were caused by drug use as a child of the deaf. According to statistics of the 1990 s, deaf-mute children in our country of

1.8 million people, drug deafness (60%), about 1 million people, and for increasing the speed of 20000 to 20000 people a year. In fact, most drug problems are not the drug itself quality closes nevertheless, but due to the selection or improper use of drugs. Here, I summarized their clinical experience, tell you something about the baby use the easiest way to make a few mistakes.

1, Chinese and western medicine to eat

A lot of parents have an illusion that medicine to eat, the more the faster disease good, so traditional Chinese medicine and western medicine, many kinds of medicine is to be taken together. In fact, both traditional Chinese www.makayikanggw.com medicine and western medicine, the vast majority of drugs into the body to renal excretion through hepatic

metabolism inactivated, clear. Because children's liver and kidney function is not perfect, should try to avoid a variety of drugs at the same time, lest cause liver and kidney damage.

If the disease need more medicine with clothing, should also know how to correctly use. For example, when need to traditional Chinese medicine and western medicine with clothing, we generally suggest two drugs interval at least an hour.

A variety of drugs at the same time, still need to pay attention to the active components of the drug, to avoid repeated drug use, and aggravate adverse reactions. Again, use of acetaminophen fever component exists in many compound cold medicines at the same time, if the fever while also taking compound medicine, are likely to lead to taking acetaminophen overdose, cause liver damage.

2, the right dose,

Drug product has different dose units, such as mL (mL), mg (mg), etc. Sometimes, some doctors also like to use abbreviations, it is quite safe hidden trouble, in this remind parents must carefully identify. Cetirizine allergy, for example, drops, children under the age of two doses of each use of 0.25 ml (2.5 mg), some doctors like write 2.5 mg, 2.5 mg of mistake here if as 2.5 mm, then give the child take measure to poisoning, severe cases can lead to children's death, the United States has reported an example of this.

Tylenol products in the Chinese market, there are two concentration, the drug

concentration of suspension agent is 160 mg / 5 ml, and drops is 500 mg / 5 ml, if parents do not check carefully concentration, it is easy to give the wrong dose.

3, health care products as sugar

Protect the healthy product market has been very prosperous, many parents afraid baby lack of vitamins and trace elements, choice for children to take health care products. In order to attract the baby on the taste, health care products manufacturer to do the taste of the product is very good, the baby that many health care products as sugar. For example, many baby mother to hai tao "sugar" bear, this is a kind of marketed for a variety of vitamins, tastes good and cute appearance, the children love to eat. Foreign reports several case example, taking the bear too much sugar is children while their parents do not pay attention to the mistake. Again such as allergy of maleic acid chlorobenzene the sensitive components in many medicine compound exist, may write in the ingredient list is chlorobenzene that sensitive, if parents don't know what is commonly known as the chlorpheniramine maleate chlorobenzene, take chlorpheniramine maleate also suits to darling cold medicines containing chlorobenzene that sensitive, easy to cause excessive chlorpheniramine maleate, causes the baby sleeping don't wake up, severe cases can cause loss of consciousness.

Health food to eat many will also be poisoning, remind parents to tell the baby this is not a sugar, will put health care products in the baby's reach or lock into the cupboard.

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