introduce
How can people not get sick when they eat whole grains? After getting sick, the most common treatment is taking medicine. Antibacterials, regarded as "panacea", have been on the list of patients' first choice drugs. However, can antibacterial drugs really cure all diseases?
The report issued by the World Health Organization pointed out that the drug resistance of antibacterial drugs has posed a serious threat to human health. At present, it is necessary to prevent the abuse of antibacterial drugs, reduce the occurrence of bacterial drug resistance, and help the public establish the concept of scientific and rational drug use.
With the increase of age, the immune function of human body is declining, and the body's resistance is declining. Older people are more prone to bacterial infections and the probability of using antibacterial drugs is higher than that of young people. At the same time, the old people's organ function declines, their sensitivity and tolerance to antibacterial drugs decrease, and they are more prone to adverse reactions than young people.
therefore
When the elderly use antibacterial drugs,
Be careful
It must be reminded that the elderly are not allowed to use antibacterial drugs without authorization. If the illness requires medication, it must be used reasonably under the guidance of a doctor. Do not increase or decrease the dosage at will, and take the medicine according to the course of treatment.
When taking medicine, you must pay attention to observe the symptoms of physical discomfort and stop taking medicine when necessary; Pay attention to monitoring the function of liver and kidney when taking medicine, and adjust the dosage in time; Gatifloxacin is prohibited in diabetic patients.
? 4 kinds of antibacterial drugs, used with caution by the elderly! ?
It is clearly listed in the Criteria for Judging Potential Adverse Drug Use of the Elderly in China that the adverse drug use of the elderly involves 72 drugs in 13 category, including 28 high-risk drugs and 44 low-risk drugs. Among these high-risk drugs, there are four kinds of antibacterial drugs, including aminoglycoside antibiotics, gatifloxacin, clindamycin and vancomycin. The potential risks of drugs should be closely monitored when the elderly take drugs. The risks of these drugs are as follows:
1
Aminoglycoside antibiotics
Include gentamicin, tobramycin, etimicin, netilmicin, amikacin, kanamycin and streptomycin. Its potential risks include kidney injury and ototoxicity. When kidney is injured, serum creatinine and urea nitrogen may increase, and ototoxicity is manifested as obvious hearing loss and even deafness.
2
Gatifloxacin
Potential risks include abnormal blood sugar (hyperglycemia or hypoglycemia) and neurological abnormalities (dizziness, convulsions, syncope, confusion, epilepsy, etc.). ), as well as heart abnormalities (palpitations, bradycardia, etc.). ).
three
clindamycin hydrochloride
Potential risks include allergic reactions (anaphylactic shock, high fever, chills, laryngeal edema, dyspnea, etc. ) and urinary system problems (hematuria, acute kidney injury, etc. ).
four
vancomycin
Potential risks include toxic epidermal necrosis, exfoliative dermatitis, liver injury, kidney injury, shock, allergy and so on.
The elderly should be cautious in using the above antibiotics, and should choose penicillin, cephalosporin and other antibiotics with low potential risk.
? Old people use antibacterial drugs, remember four words! ?
The gastrointestinal peristalsis of the elderly is slow, weak and weak, and the intestines are very sensitive. Once antibiotics are used or used for a long time, it will cause drug-induced diarrhea. At present, the main drugs causing antibiotic-associated diarrhea are amoxicillin, cephalosporin, lincomycin and clindamycin. Remember the following four words before taking them.
tell
Patients should take the initiative to tell doctors about their illness, medication, and whether they have a history of drug allergy, so as to help doctors fully understand their physical condition.
attempt
Patients who really need to use antibiotics, it is best to do the sensitivity test of antibiotics first to judge whether they are suitable for use and choose the most suitable antibiotics.
observe
When taking antibacterial drugs, the dosage, time and course of treatment must be in accordance with the doctor's advice, and it is not allowed to increase or decrease at will to ensure the safety of medication.
observe
When taking medicine at home, patients should pay attention to the changes of stool. If they can, they can keep a medication diary. If the condition changes, you should go to the hospital in time, especially for patients with long-term diarrhea.
end
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Wonderful review of the past
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Four inspection bureaus of the US Food and Drug Administration in Chongqing were established, and the State Pharmaceutical Products Administration deployed a "net-net" campaign for medical devices to focus on cracking down on these illegal acts. A man in Chongqing ate a plate of scrambled eggs with Toona sinensis and suffered from multiple organ failure! Blanch these dishes before eating!