Have you been swept by a [Bible of Pediatric Medication] these two days?
Many readers have left us messages asking about the scientific nature of this [treasure book]. Well, our attitude is shown in the following figure…
Source: Internet
When looking at this picture roughly, there is indeed an illusion of “very reliable”:
[Baodian] listed several common disease coping styles respectively, and carefully marked the usage of drugs, and the words were written neatly.
However, after analyzing the [three noes] list one by one, which has no source, no author and no medical evidence, we found that except for the last three sentences, nothing else can stand scrutiny.
Where is this what Medication Book? It is clearly Kengwa Poison Book!
So we quickly contacted our old friend, pediatrician Zhuang Ruidan, and pharmacist Liu Ziqi. Let’s divide (beat) and analyze (face) one by one.
PS: We attached a handwritten and correct pediatric medication book at the end of the article!
01 If you are hot, you need ice to soak your feet and take a hot bath? Wrong!
The vast majority of fever does not require physical cooling. Only in an ultra-high heat state above 41 β and under the condition that children do not resist after drinking antipyretic drugs, it is recommended to use physical cooling in combination with fever reduction.
Reducing fever is not an end, let alone a treatment, but just to make children more comfortable.
Ice application, foot soaking and bathing are useless. They may also make the baby uncomfortable and affect the rest of the child. If the child likes it, forget it. If the child doesn’t like it, isn’t it tossing the child?
02 fever > 38.5 β should be used alternately with antipyretics? Wrong!
There are three mistakes in just two lines:
1. 38.5 β is not an absolute medication criterion.
The purpose of reducing fever is to make the child comfortable. The child is in good mental state, eating and drinking are not affected, and there is no need to take antipyretic drugs.
2. Different antipyretics have age limits,
Acetaminophen suspension is only suitable for children over 2 ~ 3 months, while ibuprofen suspension is only suitable for children over 6 months.
3. Do not use antipyretics alternately
In the actual situation, it is rare to really need alternate drugs. If one antipyretic can be used, it is definitely not recommended to use two, let alone alternate use.
Ibuprofen suspension and acetaminophen suspension both have their own medication intervals. It is easy to misremember the medication intervals during alternate use, resulting in excessive medication.
03 Take medicine for children to resist viruses? Wrong!
First of all, except for influenza, most respiratory tract infections do not require antiviral drugs, let alone any antiviral drugs for children.
As for proprietary Chinese medicines, we do not know whether they can resist viruses, but what is clear is that many proprietary Chinese medicines are not only [adverse reactions are not clear for the time being], but also many have been proved to contain harmful ingredients. Blind administration of proprietary Chinese medicines to children may cause liver and kidney function damage.
Two days ago, we sent a special article: [pediatric poison] that does not cure diseases but causes diseases. Some of them in the family should be thrown away quickly. It has already been popularized with everyone.
04 Baby Cough Self-medication? Wrong!
Under normal circumstances, it is not necessary to take antitussive drugs.
Cough is a protective reaction of human body and is conducive to the recovery of diseases. It can expel bacteria and secretions from respiratory tract out of the body.
Some cough and phlegm, phlegm deposition in the respiratory tract, not coughing out, but more likely to cause infection.
Children cough, our advice is:
- Cough is not serious, you don’t have to care, if you have phlegm, you can drink more water. If the sputum is viscous and not easy to cough up, some expectorant drugs, such as ambroxol hydrochloride, can be considered. If eating and sleeping are affected, consult a doctor in time to judge the cause of cough and carry out symptomatic treatment. If cough lasts for more than half a month, it is recommended to consult a doctor in person.
05 Headache, runny nose, tears, sneezing with children ammonia cafe Huang Min? Wrong!
Pediatric ammonia cafe Huang Min is a compound cold medicine, the main components of which are:
- Chlorphenamine maleate (chlorphenamine) is used to relieve allergic signs (sneezing and runny nose); Acetaminophen, an antipyretic and analgesic, can be used to reduce fever and relieve headache. Caffeine, used to reduce the drowsiness side effects of chlorpheniramine; Artificial bezoar, traditional Chinese medicine ingredients…
Compound cold medicine has many ingredients and many effects. Of course, there are also many side effects.
If the baby has these symptoms at the same time, it doesn’t matter to take this medicine, but if there are only one or two symptoms, it is necessary to take so many ingredients that you don’t need to eat at the same time and bear the risks of multiple drugs, which does more harm than good.
Among them, acetaminophen is at risk of overdose.
The child caught a cold and had a runny nose. Huang Min, a child with ammonia cafe, had a fever one hour later. You gave the child Tylenol again. The antipyretic ingredient of Tylenol is also acetaminophen, which will lead to excessive use of acetaminophen and the risk of liver injury.
06 Judge Pneumonia with Cough and Fever Sequence? Wrong! Do you need to choke up the blood test and the film? Wrong!
1. Pneumonia cannot be judged by the sequence of cough and fever.
Respiratory tract infection is divided into upper respiratory tract infection and lower respiratory tract infection. Cough and fever are all manifestations of infection, but these diseases will not appear in absolute order.
Children who do not cough may also have pneumonia, and cough before fever may also be common upper respiratory tract infection. This judgment has no reference value.
2. Whether to check blood and take films needs doctors to judge.
As mentioned above, the judgment of children’s respiratory diseases is actually very complicated, requiring doctors to conduct face-to-face diagnosis and cooperate with these examinations to judge.
I’m afraid I will delay my illness if I ask for self-examination and autonomy according to this.
If the child has a fever, is not feeling well, or is not sure about it, please go to the hospital and how to judge how to operate and follow the doctor.
See here some mothers may ask:
So can you sum up today’s content?
Yes!
The following is a handwritten “True Paediatric Medication Book”, which covers the principles of family medication for fever, cough, cold, diarrhea, constipation and other symptoms.
Press the picture for a long time to save it, and take it away.
Forward it to more people and transmit positive energy.