Monday, May 30, 2011

Method of medication errors in the top ten horror !

! we just do not pay attention to drug contraindications, but in our country, every year 500 million people were admitted to a hospital medication error method, of which 20 million Therefore, also died; 500 million a year also has 500,000 deaf children is due to this reason. In addition, there are many do not know is the wrong way as a result of taking the risk of always happens around us. Ping An Health Network Health Channel to make health care expert mission, the statistics of daily medication contraindications spread out to allow more people to benefit.

drugs become smaller, the effect getting stronger, getting better and better taste, shape, more and more, more and more attractive packaging can be a manual on the method of presentation is taking few decades, it is always 8 characters: a × tablets a day × time, or together with a - before meals.

do not say anything else, alone, and the introduction of side effects compared to more than briefly. In fact, drug taking and drug side effects is also a need to focus on important issues. If the manner, time is not correct, and diet with unreasonable, not conducive to the efficacy of the play, you may cause a variety of unexpected dangers. The following are the ten most photographed common method of medication errors.

wrong one: three meals a day with simple medication

as a simple written instructions on drugs, medication. Wrong!

Only regular medication to ensure a stable plasma concentration in vivo (blood concentration of the drug), to achieve therapeutic effect. If the medication 3 times during the day time arrangements will result in high blood concentration during the day, dangerous to the human body; the night and reach therapeutic concentrations.

If you just eat a lot before dinner snacks, and that at this time

and Similarly, if you eat a lot of snacks just before dinner, do not have to wait until after dinner before the dogma of the medication.

Here are some of the need to take fasting or satiety when the drug commonly used:

● fasting

ampicillin, penicillin G, amoxicillin, erythromycin, Lee Fu Ping, Astemizole, Wei Shuping, most of the traditional Chinese medicine or Chinese medicine and so on.

● fullness of penicillin V potassium

, aspirin, stability, and cotrimoxazole, SASP, ciprofloxacin, chlorpheniramine, such as pepsin to help digest.

Error II: lay lay

taking medication, drugs easily adhere to the esophageal wall. Not only affects the efficacy may also stimulate the esophagus, causing coughing, or local inflammation; serious injury or even esophageal wall, planted the hidden risk of esophageal cancer. Therefore, the best medication to take sitting or standing.

Error three: dry swallowing

some people to save, do not drink, drugs directly to dry swallow, and this is very dangerous. Like the one hand, medication may damage the esophagus lying down, or even more severe; the other hand, there is not enough water to help dissolve some substances form stones in the body easily, such as cotrimoxazole and other sulfa drugs.
Error four: breaking off pieces to eat or dissolved in water

some people eat their own will increase not only affects the efficacy of adverse drug reactions.

to aspirin enteric-coated tablets, for example, breaking off pieces of protection after the enteric coating is not safe arrival of intestinal drugs can not, in the stomach to be dissolved, not only can not play effect, but also stimulates the gastric mucosa . After taking the drug dissolved in water have the same adverse effects.

Therefore, unless a doctor orders special instructions on the written or drugs, or do not. However, when taking the medicine

different. For example, the common large grain pills, you should use a clean knife or hand after the pills into pellets with warm water. To speed up production efficacy, with a little warm water can also trace the pills after transfer into a thin paste with warm water.

Error Five: drug delivery with a drink

the correct way is to use moderate white water temperature drug delivery. As milk, juice, tea, cola and other beverages will interact with drugs that may affect efficacy, or even dangerous.

acidic drinks such as fruit juice, or compound delivery service such as anti-inflammatory drugs and aspirin, berberine, such as sugar-coated acetylspiramycin antibiotics, will accelerate the drug dissolution, gastric mucosal injury, and might lead to gastric hemorrhage; delivery of basic government services such as aluminum hydroxide, stomach medicine, would be acid-base and the drug is totally ineffective; delivery service, such as co-trimoxazole sulfa drugs, reduce drug solubility, causing urinary tract stones.

delivery service with tea iron treatment of anemia, the tannins in tea and iron-binding will weaken the effect. However, the following special cases but help to play a pharmacodynamics:

● Green Tea

delivery service blood pressure, diuretic medicine.

● light salt delivery service

Liu Wei Di Huang Wan, Qi Ju Di Huang Wan, Zhibai Dihuang Wan and other proprietary Chinese medicines.

● hot ginger

delivery service Huoxiangzhengqipian, Xiangshayangwei medicine balls.

● hot rice

delivery service spleen and stomach in Chinese medicine.

error VI: facing the mouth of the bottle to wash down medicine

This is particularly prevalent in the drink syrup or mixture. On the one hand easily contaminated liquid, accelerating its deterioration; on the other hand can not accurately control the intake of the drug, or fail to efficacy, side effects or overdose increased.

error Seven: Multidrug the same clothes the same clothes

multi-drug, drug interaction is difficult to avoid, or even cause some unexpected trouble you.

● cause of unwanted pregnancies may not miss a pill, but taking the pill at the same time anti-TB drugs or drugs to prevent stroke, resulting in contraceptive failure.

● not control the symptoms of depression are not necessarily bad or individual differences in drug efficacy, but in taking the drug treatment of depression while taking the allergy medication.

● lead to treatment failure may be caused by heart disease drugs are those used to treat cough licorice pieces.

● supplementary thyroxine in a low magnesium and if they make that thyroxine in vain.

but we have to admit, few physicians prescribe the time for us, or pharmacists to sell drugs when we asked what we are taking the drug. So, if you suspect you are or will be taking several medications for possible adverse interactions, be sure to take the initiative to consult a physician or pharmacist, but can not remember their own arbitrary withdrawal or dressing.

Error Eight: drinking too much water after taking too much

not OK?

Yes, because it would dilute the acid, is not conducive to the dissolution of drug absorption . Drug delivery service generally solid cups warm water 1 small enough.

for syrup preparations for this special, especially the cough syrup, need for drug coverage in the inflammation of the pharyngeal mucosal surface to form a protective film to reduce mucosal inflammation, blocking the stimulation, relief cough, therefore, recommended drinking the syrup, do not drink water within 5 minutes.

error Nine: medication immediately after exercise and after eating the same

, not immediately after taking exercise. Because the drug after taking it normally takes 30 to 60 minutes to be dissolved gastrointestinal absorption, the role of participation during the need for adequate blood circulation. The immediate cause gastrointestinal and other organs Games insufficient blood supply, greatly reduced the natural effect of drug absorption.

error X: medication not pay attention to food taboos

not only pay attention to food taboos only medicine, Western medicine is the same. An inadequate diet during the medication will reduce the efficacy, may also be a serious life-threatening.

Here are some commonly used drugs during the taking of any dietary restrictions

● blood pressure drugs, anti-angina drugs

taking avoidance of drinking grapefruit juice, Jichi with high salt foods.

as naringenin in grapefruit juice can affect the role of certain enzymes in the liver, and this enzyme just with lower blood pressure and anti-angina drug metabolism. Drugs for the treatment of angina pectoris flat fee music, for example, a glass of grapefruit juice can make up the body's blood concentration of 134%, equivalent to 2 times the service of medicine, was excessive, greatly increased side effects. The salt will cause high blood pressure, reduce the efficacy of antihypertensive drugs, while increasing the degree of angina.

● taking treatment of headache medicine

avoidance of alcohol.

because alcohol enters the body needs to be oxidized to acetaldehyde, and then further oxidized into acetic acid metabolism away. The oxidation of these drugs would prevent acetaldehyde into acetic acid, leading to accumulation of acetaldehyde in the body, increasing headache. At the same time, alcohol is also easy to make people sleepy, with most of these drugs in efficacy with the barbiturate component overlap.

● antidepressants, furazolidone, anti-TB drugs, antineoplastic

Jichi cheese, banana, avocado, milk, beer, more food containing tyramine.

mechanism of action of antidepressants is to inhibit the body's monoamine oxidase (MAO). But this is easy and tyramine MAO inhibitors react to produce norepinephrine, a mass of abnormal blood pressure would increase, showing nausea, vomiting, abdominal pain, diarrhea, difficulty breathing, dizziness, headache and other adverse symptoms, And the purpose of anti-depressants can not be completed. Furazolidone, some anti-TB drugs (such as Remy letters, etc.) and anticancer drugs (such as procarbazine, etc.), also contain MAO inhibitors, tyramine containing foods encountered, are prone to trouble.

● bitter stomachic, Zhuxiaohuayao, Chinese

avoid sugar or sweets.

as bitter stomachic and Zhuxiaohuayao mainly through stimulation of peripheral nerves, reflex secretion of saliva, gastric juice and other digestive juices in order to achieve aid digestion, promote appetite. Mask the bitter taste of sugar or sweets, reduce the efficacy.

for traditional Chinese medicine, the sugar or sweet foods and drugs is also easy to react with many components, reduce the effective ingredients, reduce the efficacy.

● Calcium supplements

not eat spinach contains oxalic acid-rich, tea, almond and so on. Because oxalic acid in the small intestine combined with calcium to produce insoluble material can not be absorbed in the same time hinder the absorption of calcium may also form stones.



not eat too much iron supplements animal or vegetable fats and oils. Because fat inhibits gastric acid secretion, of ferric ion into ferrous ion, not conducive to the gastrointestinal tract of iron absorption, reduced iron blood results.

● iodine supplements

not eat spinach, peaches, pears and so on.

because these foods will prevent iodine into the thyroid gland.

we just do not pay attention to drug contraindications, 500 million each year there are 50 million deaf children is also due to this reason

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