How is traditional Chinese medicine injectable preparation used safely

How is traditional Chinese medicine injectable preparation used safely
The news pegging is reflecting the heat source of many cases after using parenteral solution of kidney health for the patient in a hospital of Tianjin recently. Heat source react, mean infusion caused by causing the heat source to act on the regulation center of body temperature behind entering the human body to generate heat, react in the course, at the request of country, must not contain and cause hot material in infusion medicines. The security question of traditional Chinese medicine injectable preparation has aroused the attention from people again. The intersection of academy of sciences and the intersection of Guang'anmen and the intersection of hospital and loud mere heat source Yang, Deputy Director of pharmacy dept., Chinese medicine of China, it reacts to be the intersection of medicines and the intersection of bad reaction and heat source symptom initiated to react there are a lot of, it is chilly that the patient can present suddenly, the shiver with cold, pale complexion, four limbs were ice-cold, appearance hyperpyrexia continued, the body temperature can reach over 40 ��, can be with disgusting, vomit, have a headache, the four limbs arthralgia, skin are ashen, blood pressure and dropping, shock even dying when being serious. Medicines can cure the disease but too may initiate, harmful to response, we ask the medicines bad reaction (abbreviate as ADR in English) the harmful response often . According to the relation that medicines bad reaction and pharmacology are applied, the medicines bad reaction can be divided into two kinds: A type reacts and reacts with the B type. A type react for the intersection of medicines and own enhancement or extension that pharmacology is apply, general incidence high easy to predict and mortality too low, for instance the mouth caused of atropine is dry. And B type react with the intersection of medicines and the intersection of pharmacology and function of itself having nothing to do, general incidence low mortality relatively high, who can happen on concrete patient and who can take place difficult to predict, the skin will happen to test negatively too sometimes, such as irritated response of penicillin,etc.. Suitable for kidney health parenteral solution that the chronic renal function of treatment is depleted, part such as the bad reaction including accidental ruddy while it is dripped that quiet, pain, pruritus, rash stimulate symptom. The intersection of kidney and the intersection of health and injectable preparation this appear many cases heat source react because medicines quality have problems, it is a bad incident of medicines, it is not the medicines bad reaction. The safe problem of traditional Chinese medicine injectable preparation is sent in recent years frequently, traditional Chinese medicine injectable preparation of a plurality of assortment such as Herba Houttuyniae parenteral solution, stinging five plus parenteral solution, inflammation poisonous clear parenteral solution, compound dandelion parenteral solution, fish's money parenteral solution, because there is serious bad incident or the serious bad reaction exists and is delayed selling and using. This, until clinical consumption increase and the intersection of medicines and quality problem,etc. have something to do with, unreasonable to use, have something to do with ultra dosage, ultra course of treatment, unreasonable compatibility,etc. at the same time. In order to ensure medical security and patient's administration safely, in order to make good use of traditional Chinese medicine injectable preparation rationally, Ministry of Public Health, national food medicines supervise the administration bureau, State Administration of Traditional Chinese Medicine released " notice on further strengthening injectable preparation producing and clinical use and management of traditional Chinese medicine " in December of 2008. Medical personnel want until " traditional Chinese medicine injectable preparation use the basic principle clinically ", use according to the medicines manual strictly, know function curing mainly and taboo disease strictly; Strengthen the administration to monitor, before the medical personnel uses traditional Chinese medicine injectable preparation, should carry out the administration and check the system strictly, find abnormality, out of use immediately, and press the fixed report; The clinical pharmacist should strengthen the clinical guidance that used of traditional Chinese medicine injectable preparation, the security of guaranteeing to use medicine; The medical organization should strengthen the injectable preparation bad reaction of traditional Chinese medicine ' Incident) Monitoring and report work. The doctor should grasp the situation of using the injectable preparation patient of traditional Chinese medicine accurately, do a good job of clinical observation and case history record, find the suspicious bad incident should take the counter-measure in time, should treat and cure the patient who presents the bad reaction in time, and according to the fixed report. Can take orally, can inject the intersection of skin and note sidelight " traditional Chinese medicine injectable preparation uses the basic principle clinically " require: First, select traditional Chinese medicine injectable preparation for use and should master indication strictly, choose for the medicine route rationally. Can oral administration give medicine, select for use, inject to medicines; Can injection give medicine, select the intravenous injection for use or instil to medicines in the skin. The ones that must select the intravenous injection for use or instil to medicine should be strengthened and monitored. Second, construct medicines dialectically, know strictly the function is cured mainly. Clinical should use medicine to use dialectically, cure mainly and use according to the function that the medicines manual stipulates strictly, it is forbidden to exceed the function and cure mainly and use medicine. Third, know usage consumption and course of treatment strictly. Recommend the dosage, allocate the requirement, use medicines for medicine speeds, course of treatment according to the medicines manual. Non- ultra dosage, instilling too fast and using medicine continuously for a long time. Fourth, forbid mixing the compatibility, jointly use medicine prudently. Traditional Chinese medicine injectable preparation should be used alone, the taboo mixes the use of compatibility with other medicines. The carefulness jointly uses medicine, if really needing to jointly use other medicines, should consider the question of interacting with spacing interval and medicine of traditional Chinese medicine injectable preparation etc. prudently. Fifth, should inquire irritated history carefully before use medicine, irritated physique person should careful to spend. Special crowd and patient using traditional Chinese medicine injectable preparation for the first time such as 6, old men, childrens, unusual patients of renal function of liver should use cautiously, strengthen and monitor. There are certain time intervals on the wanting. Seventh, strengthen the administration to guard. Use medicine in the course, should observe the administration and react closely, especially 30 minutes just beginning. Find abnormality, should stop medicines immediately. How the bad reaction should do to everybody to ask possibly why different persons will use the same medicine to take place, some people have bad reactions, do not others have bad reaction? This is because there is a greater individual difference on sensitiveness of medicines between men. So the person having it has bad reactions, some people do not have bad reaction. Like the medicines bad reaction take place, patients should stop using suspicious medicines which initiate the medicines bad reaction first, and to doctor's consultation. Suspicious symptom, like really belonging to the medicines bad reaction, should take this kind of medicines cautiously in the future. If the bad reaction is very serious should avoid taking the same medicine again. If the bad reaction has already happened and very serious, should go to the hospital to make a diagnosis and give treatment and treat, use and help the medicine to discharge and can protect medicines about internal organs function from the body in time.

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