Summer to prevent drug-induced heatstroke

Qin Gongqun The Dali in yunnan province people's hospital

China's traditional Chinese medicine to

        Under normal circumstances, the human body under the influence of the temperature regulating center to make the body maintain a constant temperature and produce heat and heat dissipation in a dynamic balance. The body's heat mainly by radiation, conduction, convection and skin and respiratory moisture evaporation. When the outside temperature is close to or higher than the skin temperature, the evaporation of skin and respiratory tract becomes the main or even the only cooling way. If the patient application of certain drugs, the influence of the temperature regulating center, inhibit the secretion of sweat glands, prevents the evaporation of the sweat glands, the heat produced by the body's metabolic accumulation in the body, destroyed the balance of heat production and heat loss, can easily lead to heat stroke.

        Diuretic diuretics is by promoting urination, too much water and salt in the human body eduction body outside, to lower blood pressure, relieve edema. But need to remind everybody is, in the hot summer, people who eat diuretic urine and sweat will increase, the body prone to dehydration and electrolyte imbalance, trigger heatstroke. Therefore, in the hot summer take diuretic drugs must pay attention to supplement moisture. In general, every 4 hours should be 250 ml of water intake.

        Anticholinergic drug people suffer from gastrointestinal symptoms such as abdominal pain diarrhea, nausea, vomiting or appeared bradycardia, often taking atropine, scopolamine, anisodamine and reuben sheen, belladonna, metoclopramide and other drugs. They have lifted the role of smooth muscle spasm, can alleviate the symptoms of abdominal pain, also can speed up the heart rate, avoid bradycardia brings is unwell. But in the hot summer, when temperatures close to human skin temperature, should be careful with this class of drugs, otherwise easy to cause drug-induced heatstroke. Because the drugs have a common characteristic, is the inhibition of body of gland secretion, especially in inhibiting the secretion of sweat glands, salivary gland effect is more apparent, can reduce the body discharges sweat, unable to effective heat dissipation caused heatstroke. Is the use of anticholinergic drugs, therefore, patients need to be careful heatstroke and collapse.

        Mental disorder drug resistance study found that mental patients after taking certain medications, even causes a high body temperature and heat stroke. Investigate its reason, mainly as a result of these antipsychotic drugs itself has the role of the interference of the temperature regulating center. Clinical observation found that patients with commonly used chlorpromazine, perphenazine, trifluoro pull lamictal, resistance to mental disorders such as medicine, namely in the morning began to appear a low-calorie, 3 ~ 5 in the afternoon, the body temperature rise gradually, until the evening temperatures reduce or after dealing with the cool, it gradually returned to normal. To nip in the bud, we should improve the living condition of mental patients, under the guidance of strict control and the variety of drug and dose.

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