Traditional Culture Encyclopedia - Traditional virtues - Infusions work fast? No, it's actually the most dangerous way to give medicine!

Infusions work fast? No, it's actually the most dangerous way to give medicine!

The term "infusion" is used by the general public to refer to a large dose of injectable fluid that is given into the body by intravenous drip. It is used to replace fluids, electrolytes, or provide nutrients by adjusting the rate of the drip through an infusion set and into a vein in a continuous and steady manner.

As a method of drug delivery, infusion naturally has its irreplaceable role. But I don't know when, whether it is adults or children, but there is a headache, brain fever, body weakness, people tend to think of the first to go to the infusion.

Infusion is only for emergency patients, patients with serious illnesses and patients who can not eat the use of "the last way to give medicine", in China, but infusion has become a kind of culture of medical treatment, as if not infusion can not be cured. In the clinic, we often encounter parents who ask for their children's fluids, and even when the doctor explains that they don't need fluids, the parents still ask, "Can I get some fluids to get better faster?

People are endlessly infusing fluids on the one hand, but on the other hand, they know very little about the risks of doing so. In contrast to adults,children are more likely to be at risk with infusions, and intravenous infusions are widely recognized as the most dangerous way of administering medications.

Disadvantages of Intravenous Infusion

(1) The operation of infusion is complicated, requiring certain skills and equipment, and strict sterilization, and can cause pain to the child, especially the child will be psychologically rejected medical treatment;

(2) The needle has to puncture the skin, muscles, and blood vessels, and a little inattention may cause problems, such as infection, puncture of nerves, or injury to blood vessels. Infusion needles penetrate the skin barrier and directly enter the medicinal solution into the bloodstream, requiring strict asepsis. If the medication is contaminated during production or storage, or if disposable needles are not used, or if the skin at the site of the needle is not sterilized, it is possible for viruses and germs to enter the body, which can cause local inflammation, or in severe cases, the pathogens can spread throughout the body with the blood and cause sepsis, which is life-threatening.

(3) During infusion, a large number of patients stay in a space for a long time, especially patients with poor resistance, it is easy to cross-infection, and even the risk of intravenous infusion may occur, such as infusion reaction: the patient's sudden chills, chills, fever, and accompanied by nausea, vomiting, headache, rapid pulse, and peripheral discomfort and other symptoms. Infusion reactions cannot be absolutely avoided in the course of clinical treatment.

(4) Any good quality injection can not reach the ideal "zero particles" standard. Intravenous fluid in the presence of insoluble particles, these particles are invisible to the human eye, into the body's circulatory system, can not be metabolized in the body, may cause blockage of small blood vessels, granulomas, and other varying degrees of impact. Prolonged infusion often leads to venous inflammation, redness, swelling and pain, localized temperature increase, and even sclerosis.

Whether a child needs an infusion should be judged by a doctor

In reality, some parents know that it's not good for a child to have an infusion, but because of the lack of medical knowledge about whether a child needs an infusion, it's often better to have an infusion.

In fact, whether to choose the infusion, mainly depends on two aspects : one is to look at the nature of the selected drugs , such as some antibiotics or some other need to liquid dilution dissolution of intravenous drugs; two is to look at suffering from what kind of disease , for example, severe infections require large doses of drugs, and the other is to look at the disease. A serious infection that requires high doses of antibiotics, or a high fever, diarrhea, etc. leads to loss of body fluids and symptoms of severe dehydration, the need to replenish fluids and loss of electrolytes, and so on.

Children need fluids in the following situations

(1) Emergency situations that require resuscitation: For example, if a patient is in a coma or has serious injuries and can't take his medication, he will be given a needle for an infusion at the time of admission to the hospital, which is a channel for injecting medication or nutrients into the patient.

(2) Severe allergies: For example, severe skin allergies, the patient will feel the whole body itchy, very uncomfortable, this time the need to infuse to help relieve the symptoms.

(3) Severe bacterial infections: such as purulent tonsillitis, otitis media, pneumonia, meningitis, scarlet fever, appendicitis.

(4) Emergency illnesses: For example, laryngitis, which is a more urgent condition that requires an infusion of antibiotics or hormone medications into the body as soon as possible to prevent the condition from worsening.

(5) Severe dehydration: For example, if the child has gastrointestinal discomfort, severe diarrhea and vomiting, and can't eat, in order to avoid dehydration, this is the time to infuse fluids.

(6) Attack of asthma: When a child has an asthma attack, the situation is more urgent, and if you don't use the medication in time, you will be in danger of suffocation, so you need to inject some medication into the body immediately to calm down the asthma.

Misconceptions about pulse infusion

Misconceptions about infusion

A lot of parents have a misconception, as if the child has been hung up on the water, the cold or fever will be quickly relieved. In fact, no matter what the disease, especially the common cold, fever has a cycle, with the end of the cycle, the cold and fever will be slowly healed. There is no need to hang up fluids without special circumstances.

If the child's gastrointestinal tract is functioning normally, orally administered medications should be the first choice. Intravenous fluid therapy should only be chosen if the child has difficulty swallowing, a severe absorption disorder, or a very urgent acute illness.

Whether or not your child needs fluids should be followed by the doctor's advice, and parents don't ask for fluids on their own initiative, or simply refuse. In addition, it's important to get your fluids at a formal medical facility so that any problems that may arise can be addressed in a timely manner.

Myth 2: Adjusting the speed of your own infusion

Generally speaking, the speed of infusion in adults is 40-60 drops per minute. Children due to organ underdevelopment or reduced function, the infusion rate should be slowed down, children's infusion rate of 20-40 drops / min, if the heart function is not very good children, more need to strictly control the infusion rate.

The speed of infusion is too fast or too slow, may affect the therapeutic effect. The speed of infusion is too fast, easy to increase the burden on the heart, causing heart failure or pulmonary edema and other adverse reactions. Patients with severe dehydration and shock often need rapid rehydration, and too slow an adjustment may not have the corresponding effect.

Remember not to adjust the speed of infusion, and if palpitations and panic occur during infusion, be sure to report it to your healthcare provider in a timely manner and do not hide it.

Longcat Pharmacist Warm Tips

The World Health Organization (WHO) has established the principle of rational use of medication: No intramuscular injection if it can be taken orally, no intravenous injection if it can be taken intramuscularly.

As a parent, the most appropriate thing to do is to follow the doctor's instructions and seek medical advice in a scientific and rational manner.

Regardless of the treatment, the choice should be based on the nature of the disease and the drug, and not one-sidedly think that the treatment is good.

Don't take the initiative to ask for fluids when your doctor suggests they are not needed; and don't be overly resistant to fluids when your doctor suggests them.