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育兒攻略

家長必知!關于兒童退燒藥的十個熱點問答

2022-12-19 15:13:40
退燒藥應該怎么選?什么時候給孩子用退燒藥?兩種退燒藥可以交替使用嗎?關于兒童退燒藥,就家長關注的十大熱點問題,專家解答來了↓

問題一:退燒藥應該怎么選?

目前推薦的兒童安全有效的退熱藥物只有兩個:對乙酰氨基酚布洛芬。

  • 2—6月齡  對乙酰氨基酚

  • ≥6月齡  對乙酰氨基酚、布洛芬均可

問題二:對乙酰氨基酚和布洛芬有什么區別?

兩者均抑制環氧酶而減少前列腺素的產生起到退熱作用,退熱效果相似,給藥劑量適當時不良反應均少,選擇其一即可。

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問題三:兩種退燒藥可以交替使用或聯合使用嗎?
不建議兩藥聯合或交替使用,因有可能導致劑量錯誤或混淆給藥間隔時間,導致藥物過量或中毒。
問題四:什么時候給孩子用退燒藥?
發燒本身不是疾病,而是一個癥狀,本質是新冠病毒、流感病毒、普通病毒、細菌、支原體等感染所致??诜藷幬镏饕菧p輕發熱所致的不適,而非單純地恢復體溫,更不治療疾病。
建議≥2月齡兒童腋溫≥38.2℃或伴有明顯不適時,可口服退熱藥物。在疾病急性期口服退熱藥物體溫降不下來或者降下來4—6小時后再次發熱都可為正?,F象,如孩子精神反應尚可,我們需要多觀察,多做物理降溫,間隔4—6小時口服退熱劑。
問題五:退熱劑與含退熱劑的復方感冒藥可以同時使用嗎?
應避免同時使用。復方感冒藥中大多包含對乙酰氨基酚,與退熱劑同時服用可造成退熱成分重復使用,可導致藥物過量出現肝腎功能損害等副作用,同時部分復方感冒藥中含有偽麻黃堿、右美沙芬、氯苯那敏、金剛烷胺等成分,不推薦2歲以下兒童使用。
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問題六:兒童可以吃成人布洛芬嗎?
12歲以下兒童不能吃成人退熱劑,包括各種緩釋片、緩釋膠囊等。
問題七:口服退熱劑吐了以后要不要補喂?
需要根據藥物攝入的時間、藥物劑型、疾病狀態等綜合考慮。如服用后立即嘔吐,嘔吐物中可看到藥物,可考慮補服。如服用時間超過15分鐘,需考慮補服藥物過量后的危害。
問題八:寶寶睡著了需要叫醒喂藥嗎?
如果寶寶哭鬧后好不容易哄睡,手腳暖和,身上已經出汗,說明寶寶體溫會有所下降,可以暫時不叫起來喂藥,少穿少蓋,降低室溫,監測體溫。
如果寶寶已經睡著很長時間,手腳冰涼,或者有熱性驚厥病史,有其他基礎疾病,建議叫起來喂退熱劑,同時補充水分。
問題九:口服退熱劑與栓劑有什么區別?
口服和栓劑含有的退熱成分相同,能口服盡量口服,口服困難可以考慮使用退熱栓。
問題十:退熱藥物劑量該如何控制?
使用前需核對包裝信息,根據體重及劑型選擇合適用量,給藥前充分搖勻。

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本文來源:央視新聞微信公眾號(ID:cctvnewscenter)轉載自健康北京微信公眾號


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