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如果儿童口服药物后呕吐,我们是否应该重新给药?

If a Child Vomits After an Oral Medication-Should We Re-Dose or Not?

作者信息

Garnemark Christiane A, Lernfelt Gustaf, Dahlander Magnus, Diep Lisa, Eriksson Anna L, Kindblom Jenny M

机构信息

Paediatric Drug Therapy Group, Division of Paediatrics, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.

Department of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.

出版信息

Acta Paediatr. 2025 Oct;114(10):2506-2510. doi: 10.1111/apa.70121. Epub 2025 May 15.

Abstract

Vomiting after oral administration of medication is common in children. Despite this, there is a lack of formal guidelines and recommendations on this topic. This article is intended for doctors and nurses who treat children to support the management of this everyday clinical dilemma. This article describes the development of a decision support tool and provides an overview of factors to consider. The decision support tool provides advice for making informed decisions. It was based on a literature search combined with an informal consensus discussion in a group of paediatricians, clinical pharmacologists, and clinical pharmacists, followed by an internal review. The decision support tool is now in clinical use.

摘要

儿童口服药物后呕吐很常见。尽管如此,关于这个主题仍缺乏正式的指南和建议。本文旨在为治疗儿童的医生和护士提供帮助,以应对这一日常临床难题。本文描述了一种决策支持工具的开发过程,并概述了需要考虑的因素。该决策支持工具为做出明智决策提供建议。它基于文献检索,并结合了一组儿科医生、临床药理学家和临床药剂师的非正式共识讨论,随后进行了内部审查。该决策支持工具现已投入临床使用。

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