radicalducati Chapter 634
Chapter 634
The little boy's mother was confused by Lin Feng's bunch of explanatory science.
Dazed.
"Doctor Na Lin... I don't even understand what you say... I want to ask, under what circumstances do I need to give him antipyretic medicine? "
Lin Feng: "Then we have to talk about the role of antipyretic drugs, which cannot prevent febrile seizures, nor can it shorten the process of illness... Its only purpose is to cool down, that is, to make the child more comfortable. "
"However, it should be noted that children are more tolerant of fever than adults, and some children can play at 39°C."
"So, according to the above theory, the time to use antipyretics is: when the child feels very uncomfortable."
"Because antipyretics can also have side effects, it is generally not recommended for children without other underlying medical conditions below 38.5°C (as described in the Fever Guide)."
"By the way, does your son have any special illness? For example, cardiorespiratory insufficiency, anemia, diabetes, or inherited metabolic diseases? "
Lin Feng asked.
The mother hurriedly said: "My son has type 1 diabetes..."
Lin Feng suddenly frowned: "In that case, you may have to give him antipyretic medicine for low-grade fever." "
Because of this group of people (cardiorespiratory insufficiency, anemia, diabetes, or inherited metabolic diseases...). etc.), the physical condition is not so good.
Fever in the human body speeds up metabolism and also increases oxygen consumption, produces more carbon dioxide, and increases the power of the heart.
This will be prone to heart failure, metabolic instability... and so on.
Therefore, this type of child can be used before 38.5 ° C.
In addition, children with epilepsy should also be given the drug earlier, because fever can trigger epilepsy.
Mom asked another question:
"Now, there are two kinds of medicine, one is "ibuprofen" (the trade name is common "ibuprofen") and "p-acetamidophenol" (the trade name is common "Tylenol"), which medicine is better?"
Lin Feng smiled.
This is also what many parents are stupid and can't tell.
Although both are recognized worldwide (Fever Guide), ibuprofen and p-acetamidophenol are considered relatively safer antipyretics for children.
However, ibuprofen can generally only be used for children over 6 months old, and should not be given to children with frequent vomiting and dehydration to avoid kidney damage. (Also, it uses more liquid each time (3 times more than acetamidophenol), making it not suitable for babies who cry and don't take medicine.) ）
The acetamidophenol (usually "Tylenol") can be used for children over 3 months old, and the dosage is less.
Therefore, if the child has a fever, acetamidophenol (Tylenol) is the first choice.
(PS: Tylenol is a trade name, not an ingredient name.) ）
(PS: In the latest "Fever Guidelines", it is not recommended to use these two antipyretics together or alternately, because this increases the risk of dosage.) Therefore, it is recommended to use only one. ）
Lin Feng briefly told the little boy's mother about the difference between the two.
Mom: "In other words, buy that "p-acetamidophenol", right?" "
Lin Feng nodded: "Yes." "
"By the way, one more point... Fever is only a symptom, it is not the cause, at present I have not seen what cause of your baby's fever is now, so after going back, you observe him more, rash, vomiting, headache... All discomfort, pay attention to it in time... And then seek medical attention in time..."
"Thank you Dr. Lin for your patient answer..."
The little boy's mom was grateful.
Looking at the time, 15 minutes have passed.
"Delay Dr. Lin, you saw a doctor..."
"It's okay..."
Lin Feng pressed the call button for the next patient.
Another mother and daughter.
The patient is a 6-year-old girl.
After 10 minutes of questioning, physical examination and diagnosis by Lin Feng:
The results are as follows:
Diarrhea...
Pale skin that feels like anemia...
・ Like to bite things, active...
The final preliminary conclusion is: "lead poisoning".
"Go check the 'blood lead'..."
Lin Feng opened the single road.
The young mother was stunned for a moment: "What? Check blood lead? "
Then he asked with a strange face and a little questioning.
"Dr. Lin, I see that the news seems to say that there is no point in checking trace elements, has the state begun to prohibit routine examination of trace elements for child protection? Why did you still suggest that I look it up? "
Lin Feng sweated furiously.
"It seems that you often follow this kind of news... Your question, in fact, many mothers have asked ... However, the blood lead test and trace elements I mentioned are not the same thing, there is a fundamental difference..."
"Trace elements refer to the elements present in the human body that are less than 1/10,000 of the human body weight and the daily requirement is less than 100mg (participating in the active center of enzymes or coenzymes, hormones, vitamins. ）。 "
"Attention, it's a must!"
"But what!"
"Lead, as a heavy metal, not only can not constitute an essential component of our body after ingestion, but also play a physiological role; Instead, it causes damage to our blood system and nervous system. "
The young mother looked confused.
It turned out to be such a thing.
"But I used to check my daughter for trace elements, and there was 'lead' in it?"
The young mother is still a little confused.
Lin Feng explained with a smile: "That's because in the past, many hospitals would set the test as a "package", and blood lead was often bundled with trace elements for testing, so let you think that blood lead and trace elements are the same thing. "
"And now what I mean by "blood lead test" is actually a separate "blood lead test", without other element tests..."
Now, the young mother finally understood.
"Thank you, Dr. Lin."
Lin Feng opened the bill.
Then the young mother took the little girl to get blood.
Just take blood from the fingertips, without needles.
......
......
Shake, by noon.
Work.
Lin Feng came to the duty room, today Lin Feng is ordering food, so the aunt sent the lunch box over early.
Eat to the point and chat with a group of doctors and nurses about gossip.
At this time,
The cleaning aunt walked in with a smile on her face.
"Doctor Lin..."
"What's wrong? Auntie..."
"That's right, my grandson, I've had a cough in the past two days, and I want to ask Dr. Lin some questions..."
The aunt said embarrassedly.
"Ask, it's okay..." Lin Feng smiled.
"It's like this, my grandson coughs, can I drink honey? My wife brought back a bottle of honey from my hometown, and there is also a custom in my hometown that it is popular to treat coughs... But my daughter-in-law didn't quite agree. "
"Honey? Yes," Lin Feng said with a smile, "There is no safe and effective medicine for children's cough (adults have it), so it is okay to drink honey." "
Why is honey recommended?
Because there is some evidence that honey has a relieving effect on children's cough, even stronger than diphenhydramine (a drug that can be used to suppress cough, prevent motion sickness, and inhibit nerve effects).
However, this kind of evidence is not very 'scientific'.
It came from an RCT trial in Israel with a total sample size of 270 people.
The sample size is too small to support.
However, honey is safer for children over 1 year old, can well meet the wishes of some parents to do something, and is also very cheap and easy to obtain, so it has become a more common choice.
"By the way, how old is your grandson?"
"9 months..."
“.................."
Lin Feng sweated.
Quickly said solemnly:
"The baby is too small to drink honey!"
Children under 1 year of age who drink honey are at risk of botulism, so they cannot drink it.
What is Botox?
Bees often bring the pollen and honey back to the hive, so that the honey is contaminated with botulinum toxin, and the very small amount of botulinum toxin can poison the baby, whose symptoms are similar to tetanus
The botulinum spores are highly adaptable and can still survive at temperatures of 100 °C.
As for babies and adults over one year old, the gastrointestinal function is strong, and the liver's detoxification function is strong, so they are not afraid of this botulinum.
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