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Common problems and how children medication Opinion rational drug use

Drug resources and costs. 2.1 Strict indications, select the appropriate drug treatment should pay attention to the age characteristics of children, strict control of drug indications, the drug of choice with a reasonable condition, targeted strong, not too many categories. Such as antibiotic use, should take into account the clinical diagnosis,[link widoczny dla zalogowanych], pathogens, antimicrobial drugs, and the sick child's general condition, it should not apply for the viral infection, can not use a combination of antibiotics to reduce the body resistance. Meanwhile, the pediatric medical staff in their work not only to strictly enforce its own principles of rational use of antibiotics, but also knowledge of parents of children with propaganda, enabling them to cooperate with treatment, efforts to reduce antibiotic use in children's unreasonable. 2.2 Select the appropriate dosage and dosing interval select the appropriate dosage forms and dosing interval can improve medication compliance in children to achieve the purpose of treatment. To improve compliance in children with the option of adding a fruity number of granules, some drugs can be used suppositories suppositories, and select a long half-life of drugs, try to extend the delivery time, reduce delivery times. Select the appropriate dose of 2.3 improper dose pediatric adverse drug reactions are the main factors. Dosage should vary with maturity and disease in children varies. Children age, weight, physical strength is determined A, JL dose factors, not just the reduction of adult dose. Methods commonly used body surface area method, pediatric weight method, by age method, and the adult dose based on conversion, etc., can be calculated according to the specific circumstances of choice. But it is worth mentioning that the same drug in different formulations or more of the compound preparation of the repeated administration should also pay attention to, should try to avoid the phenomenon of leaving such excessive use of drugs, the body to cause unnecessary harm children. 2.4 According to A, JL feature, select the appropriate route of administration in general, safer delivery through the digestive tract, oral administration should be adopted to reduce the adverse injection to stimulate the children. Oral drugs can only be used on coma patients irrigation nasal feeding tube, but not oral administration of some drugs, oral reduce the effect. Need for rescue medication injection, intramuscular injection of some drugs can cause partial necrosis (such as calcium chloride), to be administered intravenously while the children according to the provisions of a certain rate of intravenous infusion, not too fast too fast, and to prevent drug leakage caused by tissue necrosis. Gargle, inhalation and other delivery method is only used to cooperate with the child, and enema method is commonly used sedative-hypnotics,[link widoczny dla zalogowanych], such as stability,[link widoczny dla zalogowanych], chloral hydrate, paraldehyde. Infant thin skin keratosis, skin treatment easily absorbed, and even poisoning, it should be used with caution. 2.5 master familiar medicinal properties of drug contraindications, 605 * the taboo of drug control is the prerequisite for rational drug use. Banned drugs in children, see table 1. Table l name of the drug in children is disabled to disable the scope of the drug class of chloramphenicol, sulfonamides Ring Cable trimethoprim nitrofurantoin lincomycin haloperidol hydroxyzine fluoroquinolones amphetamine acetaminophen indomethacin diazepam morphine fentanyl, thiopental by Thani acid L-dopa diphenhydramine phenolphthalein metoclopramide In summary, the sJ, JL physical and organ function in all aspects of development in a constant period, the central nervous system, gastrointestinal tract, liver and kidney function and neither sound development of the endocrine system. The pharmacokinetic and pharmacodynamic characteristics and more significant difference between adults, so children must be children medication anatomy, physiology and other characteristics of the medicine,[link widoczny dla zalogowanych], pharmacology, physiology, pathological features,[link widoczny dla zalogowanych], and even psychological characteristics of young children to combine Strict indications, careful selection of the medicines in order to achieve the purpose of rational use of drugs.
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