The elderly are particular about medication
Author:Surabaya Rong Media Time:2022.09.20
The elderly often suffer from a variety of chronic diseases, such as hypertension, diabetes, coronary heart disease, stroke, etc., and multiple diseases often need to be used. In addition, elderly patients often have elderly syndrome such as weakness, malnutrition, sleep disorders, and decline in cognitive function, which complicate the disease. In addition, the elderly's psychological regulation ability and physiological function have declined. More cautious.
Stay away from the top ten misunderstandings
Misunderstanding 1: Do not follow the doctor's order, increase or decrease the drug without authorization
Once some elderly people find the disease, the treatment is urgent, and the drug dosage will be increased at will. Her blood pressure drops too fast or blood sugar is too low may cause insufficient brain blood supply, dizziness, fatigue, and even hypoglycemia. Once some elderly people have a stable condition, they start to reduce the medication by themselves, causing blood pressure and blood sugar to fluctuate, which may increase the condition.
Misunderstanding 2: Dao Listening, listening to other people's treatment plans
The same disease may have a variety of drugs to choose from, and the treatment mechanism is different. For the different types of the same disease, choose targeted drugs under the guidance of doctors and pharmacists. You cannot change the medicine at will because others have used good results.
Misunderstanding 3: Blind health, take a lot of tonic or health products
There are elderly patients who believe in advertising or so -called folk health secrets without identifying. If they do not consult a doctor, they will buy various tonic or health products. Some drugs are expensive and have limited efficacy. Not only are we wasteing money, but a variety of drugs may also interact, leading to delaying the condition or drug poisoning, it is not worth it.
Misunderstanding 4: Without symptoms, there is no need to take medicine
Although some elderly patients have significantly increased blood sugar and blood pressure, they do not have obvious symptoms of discomfort. They think that they feel good when they feel good. They can not take medicine until there is an accidental cerebrovascular accident that there is "feeling", which is too late.
Misunderstanding 5: It is three poisonous medicines, do not take or take less medicine
Regular drugs have undergone strict clinical trials. As long as the medicine is taken under the correct guidance of doctors and pharmacists, most of the adverse reactions are slightly controllable and can tolerate the body.
Misunderstanding 6: Random is high, and the medicine is uncertain
In order to enable the body to absorb the drugs faster and fully, and achieve the appropriate blood concentration and the best treatment effect, the constant dose should be given within the specified time, that is, the time nature of the medication is emphasized. For example, antihypertensive drugs should generally be taken in the morning. Drugs that are irritating to the stomach should be taken after meals or in rice. Bloodylipidemia should be taken before bedtime. And some elderly people do not comply with these medications and affect the treatment effect.
Misunderstanding Seven: Difficulty in taking medicine, open the research of the barrier
Some elderly patients feel that the pills are too large or the swallowing function decreases, and the pills are opened to scramble, or the particles in the capsule are taken out. Some medicines can indeed take it like this, but some of the interpretation tablets and entero -soluble drugs cannot be destroyed at will, and they need to consult a doctor and pharmacist before taking the medicine.
Misunderstanding 8: Drugs are dependent, and they need to be replaced regularly
The appropriate drug effect is ideal, less adverse reactions, and protects important organs. After choosing some drugs, if the effect is ideal and there is no adverse reaction, it is not recommended to change the medicine at will.
Misunderstanding Nine: Vitamins, antibiotics, Chinese medicine
Some elderly people believe that vitamins have no side effects. In fact, as long as the elderly have a balanced diet, they can generally take sufficient vitamins, or supplement the necessary vitamins under the guidance of a doctor. Some elderly people are over -dependent on antibiotics. As soon as they have colds and diarrhea, antibiotics are taken. In fact, antibiotics are ineffective for viruses, mainly to inhibit bacteria, and should take antibiotics according to doctors. Among the elderly groups, the view that Chinese medicine is not toxic and no side effects is common. In fact, all the drugs have a certain poison and side reaction, and the abuse of traditional Chinese medicine will also be poisoned, and Chinese medicine and western medicine cannot be combined at will. Traditional Chinese medicine emphasizes the treatment of syndrome differentiation. Please take it under the guidance of a doctor.
Misunderstanding 10: Just take medicine, do not pay attention to improvement of lifestyle
For common common diseases, such as hypertension or diabetes, in addition to taking drugs, treatment must also be combined with good lifestyles: low -salt, low -fat diet, quit smoking and restrictions, and exercise reasonably to avoid strenuous exercise. With the attitude of "you can eat and drink as long as you take medicine", blood pressure, blood sugar, and blood lipids must not be well controlled.
Keep in mind the top ten principles
★ Benefit principle
The elderly should weigh the advantages and disadvantages, fully consider the risk and benefit of the use of drugs, and ensure that the benefit/risk ratio of medication is> 1. For example, the risk of stroke and cerebral hemorrhage in patients with atrial fibrillations increase. If the clinical benefits of anticoagulant drugs are still greater than the risk of bleeding, anticoagulant drugs are not needed, and the risk of bleeding should be actively corrected.
★ Principles of caution
The elderly need to be cautious for the elderly. In addition to considering the curative effect, they must also take into account adverse reactions to avoid the use of taboos or drugs for the elderly to prevent abuse of health products.
★ The principle of individualization
The elderly patients considers the dosage of the drug according to factors such as their specific circumstances, the severity of the disease, the function of the liver and kidney, and the weight, and gradually adjusted the dose from the small dose. For some special drugs, such as Huafa and Gaoxin, the concentration of blood medicine needs to be monitored and controlled within the appropriate range.
★ Priority treatment principles
The elderly coexist in multiple illnesses. In order to avoid using different drugs, when emergencies, priority treatment principles should be determined, the main contradictions should be grasped, and the problem of life -threatening is given priority.
★ Simple principle
The elderly should use less medicine and refine, try to reduce the types of medication and control it within 5 types. If the effect is poor, drugs with poor tolerance can consider stopping the drug to reduce the type of drug.
★ Small dose principle
The elderly due to the particularity of pharmacokinetics and pharmacology, decreased liver and kidney function, increased sensitivity to drugs, decreased tolerance, and reduced safety. Effect. ★ Time -choice principle
According to the principle of time pharmacology, choose the appropriate medication time for treatment. For example, high blood pressure drugs are recommended to take an empty stomach in the morning, Akaba candy needs to be chewed with food, and the glucocorticoids have the laws of day and night secretion. Generally, take it in the morning.
★ The principle of suspension of medication
When there is no indicator of the drug, the drug should be stopped. If new problems and condition changes occur during the medication process, you should consider whether there are adverse drug reactions, and seek medical treatment as soon as possible to adjust the drugs in time.
★ Non -drug principles
Pay attention to non -drug therapy of elderly patients, including reasonable diet, exercise appropriately, strive to maintain a happy mood, quit bad habits, ensure sleep, and promote a scientific and regular life.
★ The principle of medication dependency
The compliance of the elderly is often unsatisfactory. In order to improve the compliance of the elderly's medication, the following points can be done: try to take only once a day as much as possible; use a special medicine box to pack the drugs and label it. Put the medicines in the morning, middle and night; remind and urge the elderly to take medicine on time.
In summary, reasonable and safe medication is essential for the control and rehabilitation of the elderly. It is hoped that elderly friends can raise awareness of safe medication, master the principles of reasonable medication, and avoid misunderstanding of medication. (Learn a strong country)
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