Ten children’s medication errors! Don’t give children breaking medicine. 3344111

Ten children medication errors! Don’t give children off the medicine (Health Times reporter Wei Yaning) children are sick, how to give children reasonable medication safety, parents are most difficult thing. Once the improper use of light, heavy illness, disability or even death. Issued by the southern Medicine Economic Research Report of the "2016 white paper" children’s drug safety showed that children China adverse drug reaction rate is 2 times of the adult, newborn was 4 times, about 7000 children die every year of medication errors. Children under the age of 14, every year there are about 30 thousand children due to improper medication induced deafness. A piece of adult drug to duplicate, divided into 4 or 8 copies, to give the children to eat. Such a fine job, even children’s Hospital Pharmacists feel very difficult, not to mention the ordinary parents of children. Often hear mother complained: pill less than 1 cm in diameter, how can the average is divided into 4 parts? Is how to do? Why so few children! In the first children safe medication dissemination and development conference, pharmacology of traditional Chinese medicine experts Li Lianda said: "parents often have a misunderstanding. That child is small adults, pediatric diseases is the internal disease reduction, drug use is a medicine medicine Baicheng half, pH 14 can be used for children. This concept is wrong, children have the characteristics and rules of its growth and development, physiology and pathology, they have their own particularity in the occurrence and development of diseases, and even adults have the same disease, their development is not the same, prescription medication is not the same, attention is not the same, drug law is not the same." "Children have a fever, some parents with alcohol with fever, but the child’s skin was thin and tender, with too much, it will cause burns. The child’s kidney function is not very good, with some conventional drugs, sometimes causing the plasma drug concentration is too high, especially the blood brain barrier in children, is not too perfect, sometimes with some sedative drugs, can cause the child to coma." Example of academician Zhong Nanshan. Beijing Children’s Hospital pharmacy department director Wang Xiaoling pointed out that compared with adults, children are not the rational use of drugs, medication errors caused by drug damage is more serious. Displayed in the "survey of children’s medication safety in 2016 white paper": the present 3500 kinds of medicines for children of the school is only 60, only 1.7% of the total; and for children, granules, syrup, effervescent tablet formulations such as very little; 95% of the drug without children’s medication safety packaging no, equipped with special measures; the more than 6000 pharmaceutical factories, specializing in the production of children’s medication only more than 10 children, a production enterprise is only 30. The choice of drugs for children should be especially careful, otherwise it will leave a great security risk to the health of children. The following is a list of drugs is not completely unable to take, but when taken must follow the doctor’s advice, see instructions, use caution, vigilant, avoid unnecessary harm. Listen to the 1. nerve of streptomycin, kanamycin and gentamicin may damage in children, causing deafness. 2. polymyxinb, norepinephrine can cause kidney damage in children. 3. metoclopramide can cause brain damage in some children. 4. tetracycline)

十大儿童服药误区!千万别给孩子掰药吃了(健康时报记者 魏雅宁)孩子生病了,如何合理安全地给孩子用药,是家长最犯难的事。一旦用药不当,轻则病情加重,重则致残甚至死亡。南方医药经济研究所发布的《2016年儿童用药安全调查报告白皮书》显示:中国儿童药物不良反应率是成人的2倍,新生儿更是达到4倍,每年约有7000例儿童死于用药错误。14周岁以下的儿童中,每年约有3万名儿童因用药不当致聋。一片成人药,要平均分成两份、四份甚至八份,再给孩子吃。这样的精细活儿,就连儿童医院的药师们都觉得很难,更何况普通的儿童家长。经常听到身边有妈妈抱怨:小片药直径还不到1厘米,怎么能平均分成4份?分偏了怎么办?为什么儿童药这么少!在首届儿童安全用药传播与发展大会上,中药药理学专家李连达院士说:“做父母的经常有一个误解,认为儿童就是小大人,儿科疾病就是内科病的缩小,用药就是内科药一片掰成一半、掰成1 4给儿童用就可以了。这种概念是错误的,儿童有其生长发育的规律和生理病理的特点,他们在疾病的发生、发展上有自己的特殊性,即使和成人得的同一个病,他们的发展规律也不相同,选方用药不一样,注意事项不一样,用药规律也不一样。”“孩子发烧,有些家长用酒精涂抹退烧,但是孩子的皮肤又薄又嫩,用得太多,就会造成灼伤。孩子的肾脏功能不太好,用一些常规的药,有时候会造成血浆的药物浓度过高,特别是孩子的血脑屏障,并不太健全,有时候用一些关于镇静的药,会引起孩子昏迷等。”钟南山院士举例说。北京儿童医院药剂科主任王晓玲指出,和成人相比,儿童不合理用药、用药错误造成的药物性损害更严重。在《2016年儿童用药安全调查报告白皮书》中显示:目前我国现有的3500多种药品中专供儿童使用的只有60多种,仅占总数的1.7%;而且,适合儿童的颗粒剂、糖浆剂、泡腾片等剂型也非常少;95%以上的药品没有儿童用药安全包装,不配备专用量器;全国6000多家药厂中,专门生产儿童用药的仅10余家,有儿童生产部门的企业也仅30家。儿童用药的选择应该特别慎重,否则会对儿童健康留下极大的安全隐患。以下列举的药品不是完全不能服用,而是服用时一定要遵医嘱、看清说明书,慎重使用,提高警惕,避免不必要的伤害。1.链霉素、卡那霉素、庆大霉素等有可能损害儿童的听神经,引起耳聋。2.多黏菌素、去甲肾上腺素能引起儿童的肾脏损伤。3.胃复安能引起一些儿童的脑损伤。4.四环素、氟哌酸等药物能影响幼儿牙齿、骨骼的发育。5.感冒通能引起儿童血尿;滴鼻净(萘甲唑啉)能引起儿童中毒等。十大儿童服药误区误区一:果汁服药用果汁送服药物,或吃药后立即喝果汁或吃水果,果酸会中和碱性药物,或使药物提前分解,降低药效。误区二:喂药加糖糖能抑制某些药物的药效,干扰矿物质和维生素在肠道的消化吸收。再者,糖能与某些中药中的蛋白质、鞣酸等成分起化学反应,产生有害物质。误区三:剥去溶衣外包溶衣的药物一般对胃有刺激或易被胃液分解破坏,如剥去溶衣或压碎服用,易产生不良反应。误区四:强行灌药父母齐上阵用筷子撑开孩子嘴巴或捏着鼻子,在儿童的哭闹声中强行灌药,易使药物呛入气管,轻则引起呼吸道肺部发炎,重则堵塞呼吸道而造成窒息危险。误区五:静睡喂药儿童的神经系统尚未发育完善,受外来刺激时适应性调整能力差。如果趁其睡眠时喂药,药液突然刺激舌、喉等部位的神经,可反射引起喉部痉挛。误区六:服成人药有些家长觉得成人药药效强,为使儿童尽早痊愈而用成人药物喂儿童,是很错误的。比如治腹泻时用诺氟沙星胶囊(氟哌酸),此药对儿童肾脏有损伤。误区七:服药过量有的家长急于求成,给儿童服药时擅自加大剂量,这样会引起儿童脏器中毒。如镇痛类药物服用过量,会伤及肝脏(中毒性肝炎)。误区八:滥用退烧药发热是人体必要的保护机制。有些年轻的妈妈一见孩子发热,就给孩子吃退热药。这样做很容易掩盖症状,使疾病难以诊断。误区九:滥用维生素维生素在儿童的生长发育中确实很重要,但并不是多多益善。不少药用维生素有一定的不良作用,甚至毒性反应,尤其是脂溶性维生素,用量过大或过久可能造成体内蓄积而中毒。误区十:滥用抗生素流行病学调查证明,90%以上的上呼吸道感染是由病毒感染引起的。因此上呼吸道感染用抗生素是不合适的。而且长期使用链霉素、庆大霉素、卡那霉素等抗生素,会对孩子听神经造成影响,引起眩晕、耳鸣,甚至耳聋;长期使用氯霉素,可能引起再生障碍性贫血。(健康时报网)相关的主题文章: