A 2-year-old boy in Phu Tho is given a 500-mg antipyretic drug Paracetamol by his family at a dose of 4 tablets / day for 4 days. After hospitalization, the baby fell into a coma, the risk of death.
On August 14, the Emergency Department, Obstetrics and Pediatrics Center, Phu Tho General Hospital, received a 27-month-old pediatric patient with signs of Paracetamol poisoning due to overdose.
Family members said that the baby has high fever, wheezing cough should be given a dose of 500 mg Paracetamol fever-reducing drug at a dose of 4 tablets / day for the past 4 days.
Children hospitalized in a state of drowsiness, fatigue, fever 38 degrees, shortness of breath, wheezing, tachycardia, poor ventilation, enlarged liver 2 cm below the ribs. Doctors diagnose severe metabolic acidosis respiratory failure in pediatric pneumonia, monitoring Paracetamol poisoning.
After receiving the first aid from the first aid doctor, the child was transferred to the intensive care unit - Anti-poison.
Here, the baby was placed in endotracheal tube, mechanical ventilation, gastric lavage, alkaline compensation.
Two hours after being admitted to the hospital, the baby fell into a coma, the pupils on both sides contracted, poor light reflection, tachycardia, blood pressure drop, symptoms of acute liver failure, severe coagulation disorder, elevated liver enzymes. Bilirubin soared.
Doctors evaluated this as a serious illness, prognosis of death without liver transplantation. After adjusting to basic life functions, the baby was transferred to the National Hospital of Pediatrics (Hanoi) for further treatment.
MSc, doctor Phan Hong Sang - Deputy Head of the Department of Active Resuscitation - Anti-Poisoning - Center of Obstetrics and Pediatrics - said that a year ago, doctors also accepted cases of 3-year-old children who died from drug poisoning. This paracetamol.
When your baby has a high fever of 38.5 degrees C or higher, the fever reducer will be given to him. Do not exceed 1,000 mg / day (4 packs of 250mg) with children. When using for children must calculate the dosage (or according to the specific instructions of the doctor). Note to parents, if after 48 hours the child is still sleepy, vomiting a lot, they need to see a doctor immediately!
Unlike adults, because children are special subjects, children are given a dosage that is usually calculated on the drug mg / kg weight of the child. Specifically, on 1 weight of a child, only 10-15mg of paracetamol / kg each time. Depending on the child's weight, mothers will calculate the dose for each use, for example, children weighing 10kg will use 100-150mg of paracetamol each time. Based on the child's weight is also a smart and popular way of calculating the dosage of antipyretics for children that mothers often use.
Although the dose of paracetamol each time for children of all ages is 10-15mg / kg, but the number of times used for a whole day is 24 hours, depending on the child's age. For example, infants use 10-15mg / kg each time and with a frequency of 6-8 hours, using it once, that means 3-4 times a day.
For older children, use the same dose as an infant, but the dose is closer, every 4-6 hours, ie 4-6 times / day, but it is best not to use more than five times in 24 hours.
Based on the child's age to calculate the dose of fever-reducing medicine is also a way of calculating the dose of fever-reducing medicine for the baby, mothers need to keep in mind, because at different ages, the level of medicine for children is also different.
This is a separate calculation for highly toxic drugs like cancer drugs. In fact, in hospitals, specialists rely on the child's weight and height as well as based on formulas or spreadsheets available to deduce the child's skin area and from there calculate the dose of medicine. Although this is the most accurate calculation, it is quite complicated, doctors have to do it for the safety and effectiveness of the drug on children.
According to doctors, especially with paracetamol which is a medicine or used to reduce fever for children, it is recommended to apply the method of calculating the dose of fever-reducing medicine for children by weight and using liquid medicine. Health experts recommend that it is best not to take adult paracetamol tablets or split 1/2, 1/3, 1/4 ... tablets for use in children.
Observe a safe distance between 2 doses to avoid overdose, which can affect health. Only repeat the next dose after 4 hours if the child has a fever, usually 3-4 times a day. The maximum total dose should not exceed 60mg / kg in 24 hours.
In the home medicine cabinet should keep 2 different antipyretic drugs in the form of powder and suppository. Powder package form usually has a sweet taste, aroma of fruit, suitable for children's preferences, quickly reducing fever effect, only about 15-30 minutes after drinking.
see more
How to calculate fever reducers and safe medicine measuring devices for children
9 safe and effective ways to reduce fever for your baby at home without fever-reducing medicine!
Fever in children and how to take care of them when they are
How to take care of a child with a fever effectively and 5 things mothers should absolutely avoid
Preserving good oral health is very necessary. Dental procedures are not just about sweetening aesthetics, they are compulsory for overall well-being. Regular dental checkups are the foundation of adequate oral health.
Basketball and soccer are among the world's most popular and rapidly growing sports, captivating millions with their unique blend of athleticism, strategy, and global appeal
In the sphere of reproductive health, the concept of contraception stands as a cornerstone of personal autonomy and informed decision-making. It empowers individuals for informed family planning, ensuring they pursue personal goals without the anxiety of unplanned pregnancies.
Vascular diseases including atherosclerosis, stroke, and peripheral artery disease present a major challenge to the medical industry with their potentially debilitating physical and psychological repercussions
Before exploring the significance of therapy, let's first consider what mental health encompasses. Mental health is a multifaceted concept that comprises our emotional, psychological, and social wellbeing.
Dry eyes can cause discomfort, leading to difficulty in vision in extreme cases. Warm compresses are one of the common ways you can relieve such symptoms. You can try this dry eyes warm compress as a first aid treatment before seeing a doctor.
CBD is short for cannabidiol, and it is one of the many cannabinoids found in the cannabis plant. CBD is reputed to have a number of potential health benefits, including reducing anxiety, relieving pain, and improving sleep. However, there is still much research to be done on CBD and its potential effects.
Unlike many other assignments, students come across at college or middle or high school, a nursing assignment is a sort of responsibility and academic style together. You cannot simply write it by adding empty rhetoric just to achieve the word count, hence, you are most likely to require help. Let’s find out what nursing assignment is for, and what helpers exist to deliver it promptly and flawlessly.
India on April 26 continued to set a gloomy record when it recorded more than 350,000 cases of COVID-19 and more than 2,800 deaths within 24 hours, when the country was experiencing a serious outbreak of COVID-19 yet. have seen.
Black beans contain a large amount of vegetable protein, fiber, which helps in eliminating toxins, excess fat and purifying the body. Thanks to that, weight loss with black beans is considered a "miracle" to maintain the physique of the sisters.
Baby diaper rash medicine with many wonderful uses! Please join us to learn about this secret use.
Crab porridge for children, crab porridge as well as seafood porridge should start for children 7-8 months old to eat and can be combined with vitamins rich vegetables as follows.
During pregnancy, pregnant mothers change quite a lot in appearance. Many people seek to improve their beauty, but they encounter beauty accidents.
Myths about the prevention of corona virus are spread online: corona virus is transmitted by pets, from mother to child, taking vitamin C to prevent nCoV
7 Wuhan female nurses taking weaning pills to focus on fighting Corona virus at the hospital. The lofty dedication is appreciated and admired by the whole online community.
Is dry hand sanitizer good? In terms of ingredients, dry hand sanitizer can also help you prevent disease in part based on the following factors.
A lot of women feel a physical and psychological change before their period. It is a sign of premenstrual syndrome (PMS).
Signs of infertility in men and women how to recognize fertility malfunction? Let's find out in this article!
Beautiful skin is the dream of all women, but not everyone knows what time to sleep for beautiful skin. The article will provide women with information on this.
Is clumping sperm like a jelly dangerous? Why is this happening and what is the effective treatment?
