Как пък и от медицина взе да разбираш?
Има ли изобщо нещо, с което не си наясно? АМАН!
А от медицина не разбирам изобщо. Това е форум на майки, а не на лекари и всеки казва онова, което му е известно по определена тема, включително по отношение на здравето. Хубав ден!
ПП Ето каква информация дава по въпроса защо не се дава калциев глюконат на деца лекраят и потребител тук Birdie
Цитат на: Birdie в Четвъртък, 04 Май 2006, 12:02
В официалният фармацевтичен наръчник който се прилага към
Harrison Textbook of Internal Disease ( един от най-авторитетните учебници по вътрешни болести в света)->USP Drug Information се посочва изрично:(нямам за съжаление линк, тъй като аз притежавам учебника закупен със CD-то)
"CALCIUM GLUCONATE
Summary of Differences
Category: Injection may also be used as an electrolyte replenisher, a cardiotonic, an antihyperkalemic, and an antihypermagnesemic.
Additional Dosing Information
See also General Dosing Information .
Calcium gluconate injection is for intravenous use only; it is not to be administered intramuscularly, intramyocardially, subcutaneously, or permitted to extravasate into any body tissue; may cause severe tissue necrosis and/or sloughing, and abscess formation.
Calcium gluconate contains 90 mg of calcium ion per gram."
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И се посочват формите за приложение пер ос:
"CALCIUM GLUCONATE TABLETS USP
Usual adult and adolescent dose:
Hypocalcemia (prophylaxis)-Oral, amount based on normal daily recommended intakes.
Hypocalcemia (treatment)-Treatment dose is individualized by prescriber based on severity of deficiency.
Usual pediatric dose:
Dosage form not appropriate for use in children."
Единствено подходяща за орално приложение при деца се посочва третата форма:
"CALCIUM GLUCONATE TABLETS (CHEWABLE) USP
Usual adult and adolescent dose:
Hypocalcemia (prophylaxis)-Oral, amount based on normal daily recommended intakes.
Hypocalcemia (treatment)-Treatment dose is individualized by prescriber based on severity of deficiency.
Usual pediatric dose:
Hypocalcemia (prophylaxis)-Oral, amount based on normal daily recommended intakes.
Hypocalcemia (treatment)-Treatment dose is individualized by prescriber based on severity of deficiency."
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Както виждате
Ампулната форма не се прилага орално (първият цитат), нито калциевият глюконат таблетки е изобщо използваем в педиатричната практика (вторият цитат), а само третата форма->таблетки за дъвчене са приложими, и то само като профилактика и лечение на калциев дефицит и за нищо повече (трети цитат).
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Давам пълното извлечение за Калциев глюконат ампулна форма:
"CALCIUM GLUCONATE INJECTION USP
Usual adult dose:
Hypocalemia (prophylaxis)-Intravenous infusion, as part of total parenteral nutrition solutions, the specific amount determined by individual patient need.
Hypocalcemia (treatment) or
Electrolyte replenisher-Intravenous, 970 mg (94.7 mg of calcium ion), administered slowly at a rate not to exceed 5 mL (47.5 mg of calcium ion) a minute. The dosage may be repeated, if necessary, until tetany is controlled.
Note: For use in cases such as hungry bones syndrome, some clinicians recommend that calcium gluconate be diluted in isotonic solution and given by continuous intravenous infusion at a dosage of 0.5 to 1 mg per minute (up to 2 or more mg per minute). The rate and/or concentration can be adjusted until oral calcium supplements can be given.
Antihyperkalemic-Intravenous, 1 to 2 12 grams (94.7 to 189 mg of calcium ion), administered slowly at a rate not to exceed 5 mL (47.5 mg of calcium ion) a minute, the dosage being titrated and adjusted by constant monitoring of ECG changes during administration.
[Antihypermagnesemic]-Intravenous, 1 to 2 grams (94.7 to 189 mg of calcium ion), administered at a rate not to exceed 5 mL (47.5 mg of calcium ion) a minute.
Usual adult prescribing limits:
15 grams (1.42 gram of calcium ion) a day.
Usual pediatric dose
Hypocalcemia (prophylaxis)-Intravenous infusion, as part of total parenteral nutrition solutions, the specific amount determined by individual patient need.
Hypocalcemia (treatment)-Intravenous, 200 to 500 mg (19.5 to 48.8 mg of calcium ion) as a single dose, administered slowly at a rate not to exceed 5 mL (47.5 mg of calcium ion) a minute, repeated if necessary until tetany is controlled.
Exchange transfusions in newborns-Intravenous, 97 mg (9.5 mg of calcium ion) administered after every 100 mL of citrated blood exchanged.
Copyright© 2001 Micromedex, Inc. All rights reserved."
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Никъде като показание за приложение на калций не се включват алергични състояния, атопичен дерматит, болести на дихателната система, детски бронхити.