Butler Susan M, Boucher Elizabeth A, Tobison Jennifer, Phan Hanna
J Pediatr Pharmacol Ther. 2020 Jan-Feb;25(1):7-24. doi: 10.5863/1551-6776-25.1.7.
There are a significant number of students on maintenance medications for chronic diseases or with diagnoses that may result in medical emergencies requiring administration of medications in school. With passing of legislation in all 50 states allowing self-administration of emergency medications for allergic reactions and asthma, the landscape of medication use in schools is changing. These changes have raised questions about the need for legislation or policy development relating to self-carrying and self-administration of medications for other disease states, undesignated stock of emergency medications, and administration of medications by non-medical personnel. Medication administration in the school setting has become a complex issue, and this review will discuss current legislation related to medication use in schools and provide best practices for administering medications to children and adolescents while at school.
有相当数量的学生正在服用治疗慢性病的维持药物,或者患有可能导致医疗紧急情况而需要在学校用药的疾病。随着美国50个州都通过了允许自行服用治疗过敏反应和哮喘的紧急药物的立法,学校用药的情况正在发生变化。这些变化引发了一些问题,比如对于其他疾病状态下自行携带和自行服用药物、未指定储备的紧急药物以及非医务人员给药等方面,是否需要立法或制定政策。在学校环境中给药已成为一个复杂的问题,本综述将讨论当前与学校用药相关的立法,并提供在学校为儿童和青少年给药的最佳做法。