FUNDAMENTALS OF FIRST AID
Dyspnea. Medical care for a child Directory / Fundamentals of First Aid Under shortness of breath understand rapid breathing, which can be observed at rest. The severity of shortness of breath can be different. In some cases, the child calmly plays with shortness of breath, he has a good appetite, he feels normal. But at the slightest physical exertion, shortness of breath intensifies, blueness appears at the nose and around the mouth, intercostal spaces are retracted. At the same time, the child's well-being worsens. The causes of shortness of breath can be a viral infection, inhalation of allergens (house dust, pollen, pet hair and feathers, food odors), sometimes increased physical activity and inhalation of cold air. Children with some chronic diseases of the central nervous system are also susceptible to shortness of breath. During shortness of breath, there is a spasm of the smooth muscles of the bronchi and swelling of the bronchial mucosa with increased secretion by the bronchial glands. This disrupts the patency of the bronchi. An attack of shortness of breath can occur in a child at any time of the day or night, parents should be able to help him even before the doctor arrives. Home care for a child with first-time shortness of breath 1. Reassure the child without panicking, as your anxiety will increase the allergic reaction and the child's condition. 2. Open the vents and windows so that fresh air enters the room. 3. Humidify the air in the room. To do this, hang wet towels on the batteries. 4. Remove clothing from the child that tightens the chest and stomach. 5. Place a warm heating pad at his feet or give him a hot foot bath. 6. Give your child a warm drink. 7. Give your child an inhalation with an alkaline solution. To do this, dilute 1 teaspoon of soda in a glass of boiling water and ask the child to inhale the vapors. Medication for a child with shortness of breath caused by a chronic illness ATTENTION! Medicines can be used after consulting a doctor or if the child has already undergone such therapy. Ephedrine hydrochloride has an adrenaline-like effect and is available in tablet and aerosol forms. It is used orally in a daily dose: for children under 1 year old - 0,006-0,009 g, from 2 to 5 years old - 0,01-0,03 g, from 6 to 12 years old - 0,03-0,06 g, over 12 years old - 0,06-0,08 g; The daily dose is divided into 3 doses. If the dyspnoea lasts more than 2 hours, or the medications have not been effective and have previously been used to relieve dyspnea prednisolone, then before the arrival of the doctor after consulting with him by phone, you can enter aminophylline. Eufillin available in the form of powders, tablets and solutions for injection (2%, 4%, 12% and 24%). The maximum daily dose for children of the first year of life: 1,25 x (0,3 x age in weeks + 8). At the age of over one year, the maximum daily dose increases and reaches a maximum by 3 years - 30 mg / kg, remains at this level up to 8-9 years, and from 9 to 12 years - 25 mg / kg, after 12 years is 22 mg / kg . The indicated doses are used only for severe, life-threatening attacks of shortness of breath. In milder cases, doses of 50-60% of the maximum should be used. The appointment of the drug in the form of a powder or tablets begins with a minimum daily dose, which is divided into 6 doses. ATTENTION! Both the appointment and the withdrawal of the drug are carried out at the direction of the doctor! Alcohol mixture with aminophylline: aminophylline, marshmallow syrup, 12% ethyl alcohol. Children over 5 years old are given 5-10 ml (depending on age) 2-3 times a day for 5 days. Solutan - liquid preparation for oral administration and inhalation. Consists of ephedrine, novocaine, potassium iodide and a mixture of plant extracts (belladonna, dope, primrose). It is taken 1-2 drops (in milk) for a year of life. Inhalation is carried out in the same dose (using saline). ATTENTION! Use Solutan with great caution in bronchial asthma caused by hypersensitivity to plant pollen. Bronchodilator - syrup containing ephedrine hydrochloride, glaucine hydrobromide and basil oil. Children over 3 years old are prescribed 1 teaspoon 3 times a day, over 10 years old - 2 teaspoons 3 times a day. Ipratropium bromide (a drug from the atropine group) - has a bronchodilator effect 20-30 minutes after inhalation. Available as a proprietary aerosol inhaler. One aerosol dose contains 20 mg of the drug. Children under 7 years old are prescribed 1 inhalation dose (1 breath) 3-4 times a day, over 7 years old - 2 doses 3-4 times a day. Author: Basharova N.A. We recommend interesting articles Section Fundamentals of First Aid: ▪ Bleeding after tooth extraction See other articles Section Fundamentals of First Aid. Read and write useful comments on this article. Latest news of science and technology, new electronics: Traffic noise delays the growth of chicks
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