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特殊患者用药注意事项(Precautions for special patients)
特殊患者用药注意事项(Precautions for special patients)
The choice of medication should first be based on the patients specific condition, but also according to the patients age, sex and some special circumstances to consider the choice of medication and dose. The principles of medication for the elderly, children, pregnant women and liver and kidney dysfunction are presented here:
1., the elderly medication principle: the elderly due to degenerative changes in the bodys various systems, therefore, the elderly medication and adults than there is not only the amount of difference, but also qualitative changes. Only on the basis of understanding the physiological and biochemical characteristics of the elderly can we better grasp the drug treatment for the elderly.
(1) the correct choice of drugs: after a clear diagnosis, consider the advantages and disadvantages of the use of drugs, weigh the pros and cons. Some diseases are not necessary for the elderly, such as mild hypertension, mild diabetes, can generally be treated with diet and other lifestyle intervention. The young man for the drug, the elderly do not necessarily fit, such as trihexyphenidyl, barbiturates etc.. For infectious diseases, attention should be paid to the effect of drugs on liver and kidney function in the selection of antibiotics.
(2) dosage choice: Chinese Pharmacopoeia stipulates that the dosage of 60 years old and above is 3 / 4 of adult dose. In fact, some drugs (such as central nervous system depressants) should be adult doses of 1 / 2 or 1 / 3 for the starting dose. The elderly medication dose should in principle be from small to large, in order to find the most suitable dose to implement individualized doses, such as antihypertensive, anti angina drugs etc.. In the treatment of infectious diseases with antibiotics, special attention should be paid to the course of treatment so as to prevent double infection.
(3) pay attention to the compliance of the elderly: taking medicine according to doctors inst
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