Is it possible to drink liquid glucose. How much to pay a nurse for intramuscular injections at home. Postpartum complications. Health problems after childbirth

How to drink glucose correctly?- sooner or later, all patients with porphyria ask such a question. It would seem, what is simpler, glucose, the same sugar, dilute and drink. In fact, everything is not so simple. If we use sugar in order to literally sweeten your life, then glucose is needed to save a life, or, if not so loudly, to relieve an attack.

It has been proven many times that use a large number carbohydrates reduces the severity of an attack, and sometimes stops the attack. Glucose is almost 100% absorbed by the body, so it is ideal for this role.

In the American practice of treating porphyria, even with a strong attack, normosang is not immediately administered, but dripping for three days concentrated solution glucose. Read more about glucose infusion solution here. Often, this can help stop an attack.
Dry glucose, sold in pharmacies, is rather home method relieving an attack of porphyria, which can help with early warning signs of an attack or a sluggish attack. She will not be able to remove a strong attack. Treatment strong attack- This is the case of doctors in a hospital setting.
So, how to drink dry glucose? Therapeutic daily dose glucose is the amount of 200-600 gr. Accordingly, a couple of teaspoons added to tea 3 times a day will not do here.
The most convenient and simple method is to prepare a glucose solution immediately for a day. We need about 2 liters of concentrated solution per day. Therefore, we take a 2-liter jar, we fall asleep inside 200-600 gr. (depending on the severity of the attack, but it is better to stick to average values. For example, 400g is optimal) and fill it all boiled water. Everything - the solution is ready. It remains to evenly distribute it among the glasses. During the day, you can drink a little every hour, at night it is also better to drink a glucose solution. At least a couple times a night. With a more or less uniform intake of glucose into the body, it has a better therapeutic effect.
You can go a more complicated way by calculating the percentage of glucose in each glass. You can pour 400gr. glucose in separate dishes and, adding it to the liquid during the day, achieve the same effect. In fact, this is not so important, quantity and uniformity are important.

And finally, when you drink glucose solution for the first time, and even when you are very afraid of a repetition of the attack, it is drunk quite normally. Afterwards it becomes difficult. In order not just to be treated, but to be treated tasty, you can add different juices to the solution or cook unsweetened compote, and then add glucose to it.

To replenish energy by the body, nourish tissues and organs, it is necessary to receive fats, carbohydrates, proteins, microelements, and vitamins with food. The main energy component is carbohydrates, including natural glucose, galactose, raffinose, starch. Often with increased loads glucose is prescribed in tablets, it can be used as a detoxifying agent, but there are contraindications to the drug - cerebral edema, diabetes.

Glucose tablets

The carbohydrate is a colorless, odorless, highly water-soluble crystalline powder with a sweet taste. Glucose is sold in a pharmacy in the form of tablets, powder for oral administration. For parenteral use, solutions are intended with a concentration of the active ingredient of 5, 10, 20, 40% in glass or plastic containers of 200, 250, 400, 500, 1000 ml, which is used for infusion (using droppers), or in ampoules of 5, 10, 20 ml - for intravenous administration.

Composition and form of release

Tablets taste sweet White color, round shape, a flat surface with beveled edges and a dividing strip. Active ingredient is dextrose monohydrate. The composition of glucose and other components in one tablet is presented in the table:

pharmachologic effect

Glucose (dextrose) is a monosaccharide. It is found in the juice of grapes and other berries, therefore it received an additional name - grape sugar. Disaccharides (maltose, lactose, sucrose) and oligosaccharides (cellulose, starch, glycogen) are composed of glucose units. AT digestive tract complex saccharides break down to glucose and fructose. As a monosaccharide, the substance is present in the blood, lymph, brain, skeletal muscles and myocardium.

The glycogen deposited in the body also serves as a source of energy - if necessary, it is broken down into dextrose. Regulation of the balance of monosaccharide and oligosaccharide is carried out with the help of enzymes. Insulin lowers the level of glucose in the blood, and its antagonists increase the concentration of sugar: glucagon, adrenaline, thyroxine, triiodothyronine. In violation of the activity of the endocrine or central nervous system an excessive increase in sugar levels and hyperglycemia may occur or sharp drop its concentration is hypoglycemia.

Dextrose is involved in carbohydrate metabolism and has an effect on metabolic processes:

1. Glucose in the body is necessary for the complete breakdown of fats; with a deficiency, substances accumulate fatty acid(observed acidosis, ketosis).
2. In the process of glucose metabolism, adenosine triphosphoric acid is formed, which is the body's energy source.
3. Hypertonic saline dextrose is able to: “squeeze” fluid into the bloodstream from organs and tissues, and with it toxins and remove from the body; increase the amount of urine; enhance the activity of the heart muscle; dilate blood vessels.
4. Isotonic solution can replenish fluid loss.
5. The substance is used for carbohydrate nutrition brain and muscles - the assimilation of glucose occurs quickly, mental and physical performance increases.

What is useful Glucose

The properties of the substance to have a positive effect on metabolic processes are used in the treatment of ailments. Pregnant women are prescribed dextrose for suspected small fetal size, as well as to reduce the risk of miscarriage and premature birth. It helps during this period to overcome fatigue and improve well-being when sugar levels drop and hands tremble. During pregnancy and lactation during the use of the drug, it is necessary to constantly monitor the level of sugar. According to the instructions, the drug is prescribed:

• with a deficiency of carbohydrates, with hypoglycemia;
• with intoxication due to liver disease (with hepatitis);
• for the treatment of poisoning;
• with decompensation of cardiac activity;
• to replenish fluids after surgery, with diarrhea or vomiting;
• with shock, collapse (a sharp drop in pressure).

How to drink glucose

Glucose tablets should be taken orally sublingually - by resorption under the tongue. The drug should be taken an hour or an hour and a half before eating, because the use of dextrose reduces appetite. The dosage depends on the age, weight and condition of the patient. It is impossible to prescribe the drug on your own, since there are a number of contraindications to taking it.

In case of poisoning

The drug is used as a detoxifying agent. During the treatment of poisoning hydrocyanic acid, arsenic, carbon monoxide, aniline, paracetamol, along with other drugs, glucose tablets are prescribed to improve the patient's condition. The drug is effective in intoxication of the body due to impaired liver function. Patients are advised to take 2-3 tablets with an interval of 2 hours until the condition improves.

With diabetes

Due to severe emotional overstrain or taking a large dose of insulin, if the necessary intervals between meals are not observed, diabetes can occur a sharp decline sugar level. To normalize it, it is necessary to take chewable tablets. In severe hypoglycemia, take 1-2 pieces every 5 minutes to eliminate weakness, sweating, trembling.

For milder conditions, use 3-4 tablets every 30 minutes. Dextrose is stopped after disappearance characteristic features. It is important not to confuse the symptoms of hypoglycemia with the signs characteristic of hyperglycemia and to control the sugar concentration with the help of devices. Otherwise it will happen sharp rise its level, the patient's condition will worsen and shock may occur.

Glucose for athletes

Athletes are prescribed pills during increased physical exertion - with intense training. Dextrose is necessary for the muscles of athletes to quickly replenish energy reserve organism. It is not worth taking the drug before training, because there will be an increase in insulin levels, and then a sharp drop in sugar concentration. It is better to use the drug 1-2 hours before physical exertion. To receive, dissolve 7 tablets of 1 gram in a liter of water and drink 4 glasses of liquid with a minute interval.

Glucose for children

Often, children are prescribed pills along with taking ascorbic acid. With this combination of drugs, the synthesis of corticosteroids is enhanced, so you need to monitor kidney function, blood pressure, insulin levels. Daily rate for a child older than 6 years is not more than 500 mg of dextrose. This dose can be divided into 3-5 doses. In children with high energy consumption of the body, a sharp decrease in sugar levels is observed, therefore, fat begins to break down to obtain energy, and acetone is formed.

Such conditions may be accompanied by vomiting. When acetone appears, the child is given several tablets at once and plentiful drink. Children under 3 years old are not prescribed glucose tablets - they need to be given ready-made 5% solutions or dissolve the drug in water on their own. You should not give your baby sugary liquids before feeding because they may refuse milk.

Side effects

The instruction contains warnings about the possibility of an offensive side effects after taking dextrose. The use of the drug causes an increase in cholesterol levels, which can lead to the formation of blood clots and inflammation of the veins - thrombophlebitis. Rarely after taking the pills can be observed:

• loss of appetite;
• hypervolemia;
• left ventricular failure;
• nausea, thirst, dyspepsia, flatulence.

Overdose

If the norms recommended by the instruction are exceeded side effects are observed more often. At simultaneous reception excessive doses dextrose with ascorbic acid headaches, irritability, mucosal damage may occur gastrointestinal tract, bloating, rarely - insomnia. With an overdose of the drug, it is possible: a decrease in insulin synthesis, the onset of hyperglycemia; decreased appetite. In such conditions, it is necessary to stop taking dextrose and consult a doctor for a prescription. symptomatic treatment.

Contraindications

The instruction contains information about existing contraindications to taking the drug. Do not use glucose for:

• individual intolerance to the contained components;
• hyperglycemia;
• diabetes mellitus;
• high level lactic acid;
• swelling of the brain or lungs;
• impaired glucose utilization after surgery;
• acute left ventricular failure.

Terms of sale and storage

Tablets are packaged in a contour or non-cell blister of 10 pieces. Contour blisters can be placed in carton boxes 1, 2, 5 plates per pack. In pharmacies, tablets are dispensed to the consumer without a prescription. You can store the medicine without access solar lighting at temperatures below 25 degrees for no longer than 4 years from the date of issue.

Analogues

In pharmacies, you can buy analogues of tableted glucose. Them active ingredient is dextrose monohydrate, so the drugs have similar properties. These funds include:

• Glucose Bief;
• Glucose Brown;
• Glucose-Vial;
• Glucose-E;
• Glucosteril;
• Dextrose;
• Dextrose monohydrate;
• Dextrose-Vial;
• Likadex PF dextrose monohydrate.

The price of glucose tablets

You can buy tablets in a pharmacy. It is convenient for the consumer to order the delivery of the drug via the Internet. The cost of the medicine depends on pricing policy retail network and packaging. The prices of tablets in pharmacies in Moscow are presented in the table:

Video

Glucose tablets - indispensable tool for many people. First of all, it acts as a source of energy that nourishes cells and tissues. Functionality cells will depend on how much the body can absorb the compound.

Glucose enters the body with food. It is broken down in the digestive tract to the simplest molecules, which then enter the bloodstream and spread throughout the body. excretory system will help to remove all unnecessary from the body, so do not worry about dosages. How to take glucose tablets? What should the patient know?

Substance characteristics

Instructions for use can familiarize the patient with the main pharmacological action, which manifests itself as an integral part of most body processes. Glucose in tablets helps a person regain strength in as soon as possible and improve your efficiency.

But these functions are not fundamental. The presented drug is directly involved in redox processes, improving the antitoxic perception of the liver - the main filter of the body.

Medicine can help a person who has water deficit. A 5% solution can have not only a detoxifying, but also a metabolic effect. In addition, this drug can be safely given to children, because it is easy to digest. metabolic processes, flowing in the body, lead to the production of such an amount of energy that will be necessary to ensure all life processes. All systems and organs will function normally with a sufficient level of the above component. Glucose is also a drug that helps to increase the contractile function of the myocardium, normalizing metabolic processes. If used regularly, diuresis can be increased, etc.

Ascorbic acid with glucose does not stay in the body for a long time. The drug is excreted during the day through the kidneys. Why is glucose useful? It is an indispensable component in case of detection of hepatitis, vomiting, diarrhea, infectious process. Patients should understand that this component cannot cure all problems. It is advisable to use it as part of full image life. In this case, it will only add benefits.

Instructions for use indicate the sublingual route (resorption) of the use of the presented agent. The course of use and dosage will depend on the current clinical picture and forecast. If hypoglycemic reactions are detected, it is necessary to dissolve 1-2 tablets every 5 minutes until completely eliminated. negative manifestations hypoglycemia ( excessive sweating, weakness, etc.).

07.08.2009, 22:21

07.08.2009, 23:43

I specifically ordered glucose in powders at the pharmacy, because. in a 5% glucose solution there is some kind of stabilizer - this is what the pharmacist at the pharmacy told me, and therefore it is not recommended to give the solution to babies. 1 powder per 100 ml of water.

08.08.2009, 01:04

I ordered a solution in the prescription department and drank 20 ml per day. Keep more sun. We had a very protracted jaundice and drank more galstena.

08.08.2009, 01:30

I specifically ordered glucose in powders at the pharmacy, because. in a 5% glucose solution there is some kind of stabilizer - this is what the pharmacist at the pharmacy told me, and therefore it is not recommended to give the solution to babies. 1 powder per 100 ml of water.:010:
And you get a 5% solution? The pediatrician told us to buy a solution and 5 ml each and drink 6 times a day. It is possible to pour from a syringe without a needle into the cheek, or from a spoon. I drank from a bottle (I poured all 30 ml and drank about 5 ml each).
And they also prescribed Galsten, we continue to drink.

silk heart

08.08.2009, 01:30

Girls, tell me how to drink a 5% glucose solution? Today I bought a bottle, and it says on it that for infusions, intravenously and intramuscularly, now I'm afraid to give it.
The doctor simply said that you can drink a glucose solution so that the jaundice passes quickly, but she didn’t say how to give it: 010:
Maybe someone gave, tell me, plz

1
the same question is tormenting.
The pharmacy said that this solution contains a preservative to keep it longer. You can give. The doctor wrote that 3 times a day for a teaspoon. I give, but it turns out 1-2 times a day

spring happiness

08.08.2009, 01:33

08.08.2009, 01:38

We are also drinking galstena now ... let's see if it helps or not ..

08.08.2009, 01:52

The main thing is to stay in the sun more often, it destroys bilirubin well.
We sunbathe in one diaper right in the stroller, the diaper and below the waist are covered, if possible after 6 pm for half an hour (if it is warm and there is no wind).
Can you have closed window move the crib closer to the window in the sun, we have a balcony :(
Everyone hides children from the sun, but I'm the opposite :)) Tanned, I like it.

silk heart

08.08.2009, 01:56

We also ordered a doctor's prescription in the prescription department, ask the doctor for a prescription, do not buy ready-made. How to take, too, the doctor should write in the prescription. We drank 10 ml 3 times a day. The jaundice has gone.

If you have a child, 1-2 ampoules of 40% glucose 20 ml should always be in the house:

Let you never need it - such an ampoule costs about 4 UAH, it is stored for a long time - 3 years, so you will not lose a large amount of money. But if suddenly ... then the presence of glucose on hand will help prevent an acetone crisis.

Most often, pharmacies offered me glucose produced by Farmak (Kyiv, Ukraine). I once worked as a medical representative in this pharmaceutical company, their quality is good, so I buy without a doubt. Although glucose is such a product that is difficult to spoil, so the manufacturer big role does not play.

The package contains 10 ampoules of 20 ml, the whole package costs about 37 UAH, but you can buy ampoules individually.

And these ampoules are not only for intravenous administration, you can drink glucose! Most often, this is recommended with an increase in acetone in children.

I have used glucose to increase acetone so many times and made sure that this is the most effective remedy!

REASONS FOR INCREASING ACETONE.

Why does acetone increase in children? Most common causes – heat, influenza, viral infection, poisoning, stress, physical exercise. The fact is that Our body needs energy in the form of glucose. It's like fuel for a gas tank. Glucose accumulates in reserve in the liver and muscles (in the form of glycogen), but children's energy reserves are small, and if there is an increased consumption of this very energy, then the body runs out of "fuel". Then he begins to burn fats (which come with food, or his own), and fats break down into glucose and ketone bodies (acetone).

Lead to lack of energy all processes mentioned above:

Heat

Infection ( viral infections, influenza, intestinal infections)

Stress (and even positive ones - guests, parties, holidays, going to the circus)

Physical activity - the child ran, jumped, swam a lot

Too much long breaks in the meal (for example, lunch 6-8 hours after breakfast without snacks).

This does not happen to all children.

It all depends on how large / small the child's glycogen stores are, how quickly his kidneys remove acetone, how well the liver breaks down fats. And this is not a disease! With age, energy reserves increase, the liver and kidneys cope with increasing loads, and everything goes away most often up to 5 years, and after 13-14 years, acetonemia practically does not occur.

When acetone rises in the blood (and later in the urine), sometimes parents can detect the smell of acetone from the child's mouth. This smell is reminiscent of apple-fruity. When I hear this smell from the mouth of a child, I know thaturgent need to give glucose!

My child was just one of those in whom acetone most often rises: thin and very energetic, as they say, "with an awl in the pope." This does not mean that acetone does not increase in chubby children, but it is much less common in them.

And so, as soon as my son ran up - he jumped, he urgently needed to be given a sweet drink. Yes, he asked for sweets. But if this moment was missed and the smell of rotten apples appeared from the mouth, I already knew: acetone had risen. Then one ampoule of glucose (how to give, read below) completely removed the problem, and the process did not develop further.

If you do not give glucose, what happens?

The child can be capricious, irritable, and then becomes lethargic, drowsy. Appetite decreases or disappears. Your stomach may hurt, your head may hurt. If this moment is missed, an acetone crisis may begin with repeated vomiting. The child will vomit everything that is given to him, even water - and then it will not be possible to give him glucose to drink.

In such cases, doctors advise either glucose droppers or an injection. special means to stop vomiting, and half an hour after the injection urgently need to give an ampoule of glucose to drink.

Why an ampoule and not glucose tablets?

Acetone most often rises in children, starting at 10 months of age (sometimes earlier). You won’t give a pill to such a crumb, and even in a year old - two won’t work either. And there is often simply no time to grind and dissolve it in water, or to prepare a concentrated glucose solution yourself.

Therefore, glucose in ampoules, as a means of first aid, is most convenient.

How it works?

Glucose provides rapid replenishment of energy costs, acceleration metabolic processes and activation of the cleansing function of the liver, promotes the speedy removal of toxins from the body, provides proper nutrition of tissues.

It is necessary to give glucose, not fructose!

Where to keep the ampoule in glucose?

In the first aid kit, you can in the refrigerator (optional).

HOW TO GIVE GLUCOSE TO A CHILD.

- I kept the glucose in the refrigerator, in which case the ampoule needs to be heated to body temperature, then it is absorbed very quickly. To do this, put it for a few minutes in a mug of warm (not hot) water.

If the ampoule was stored in the first aid kit, you can simply hold the ampoule in your hand, warming it with your warmth.

Then, holding the ampoule in one hand, with the other hand you need to break off the tip “away from yourself”, preferably through a towel, so as not to accidentally cut yourself.

You don’t need to wipe the ampoule with anything, you won’t give an injection.

Turn the ampoule upside down and, tapping the bottom with your finger (or flicking the ampoule with your finger), shake out - pour the contents into a glass, or a small cup. It is not much, 20 ml is 4 teaspoons. Glucose is as clear as water and tastes like a very sweet sugar syrup:

Give your child 1 teaspoon every 5 minutes. Can be given directly from a spoon:

If the child is stubborn, use a measuring syringe from under the antipyretic, or a regular syringe - five without a needle. Fill it up to the "5" mark and pour it into the child's mouth, holding the syringe so that the glucose enters from the side, behind the cheek, and not directly into the throat.

And so every 5 minutes, only 4 times.

Remember: if you fail to pour glucose into your mouth, you will have to infuse it intravenously!

I was convinced that if everything is done correctly, the child's condition improves very quickly, he comes to life just before our eyes!

WHAT DRINK AND HOW MUCH.

After the child has drunk glucose, wait 10-15 minutes and start drinking. It is best to give raisin compote. Steam raisins at the rate of 1 tablespoon of raisins per 1 cup (250 ml) of boiling water, preferably in a thermos, let it brew for half an hour and drink. While the raisins are infused (or, if there is none), drink sweet tea (for 1 cup - 3 teaspoons of sugar). It's sugar, not honey! Tea can be black, green (only very weak), or chamomile (but also not strong).

Sugar is the same glucose, only your tea, of course, is not a 40% solution, and you don’t need it anymore.

Alternate compote and sweet tea. Let's drink every 15 minutes.

How much should you drink?

It depends on the weight - the liquid needs 120 ml per 1 kg. That is, if your child weighs 15 kg, he needs to drink 1.8 liters per day (120 times 15 = 1800 ml, or 1.8 liters).

WHAT IS.

DIET.

It's easier to say what is NOT.

When your child has elevated acetone, you need to temporarily exclude animal fats (butter, sour cream, cream, hard "Dutch" cheeses, processed cheese, fatty homemade milk, cottage cheese(purchased skim cheese, up to 1% fat - you can).

Do not give products containing trans fats (margarine) - these are many purchased sweets, exclude mayonnaise. Vegetable fats also for a while to exclude - until recovery.

Remember, fried, smoked, sausages, sausages, canned food, mushrooms are not children's food at all, and even more so if acetone is elevated.

It is also strictly forbidden to give frying in soup (for example, fried on vegetable oil onions, carrots). This is not useful for an adult either, as it loads the liver and pancreas, and for a child, such food is poison! If dumplings are, as it were, boiled food, but you pour them with onions fried in oil - this is already fried! Or, if the stuffing contains potatoes / minced meat with fried onions - this is also fried.

What then is possible?

Porridges on water, or on 1% - 1.5% milk with sugar, you can with raisins

Low-fat 0-1% kefir, low-fat 0-1% cottage cheese

Boiled potatoes, you can puree, only without oil (you can add a decoction in which the potatoes were boiled, or 1-1.5% milk in the puree)

Eggs boiled or steamed scrambled eggs (one per day)

Vegetable soups, with noodles, potatoes, carrots, rice, buckwheat, you can add diced chicken or turkey fillet, or lean meatballs. But not rich broths!

Boiled meat (but not pork, or fatty chicken), better beef, chicken / turkey fillet, rabbit;

Meatballs, or steam cutlets, but not from purchased minced meat - it has a lot of fat!

Sea fish (hake, pollock) boiled or baked / steamed

DIAGNOSTICS.

If you cannot catch the smell of acetone from the child’s mouth, use special test strips for acetone (they are called test strips for the determination ketone bodies). They are sold in pharmacies and determine the acetone in the urine. Pay attention to the expiration date of the strips after opening the vial and do not use expired strips. You can use test strips that simultaneously detect both sugar in the urine and acetone (they are called test strips for determining glucose and ketones). If both glucose and acetone are elevated on an empty stomach, you urgently need to see a doctor! If only acetone is in a child acetonemic syndrome described above, and you need to give glucose!

PREVENTION.

If your child has the flu, a fever, or is tired, jumped up - ran in - overdone, or has an overabundance of impressions, or a tantrum - a lack of energy can quickly set in. In all these situations, children need glucose. Do not wait until the smell of acetone from the mouth appears, or, even more so, vomiting! Let's have a sweet drink - juice / tea with sugar, because sugar is glucose. If your child wants sweets - do not refuse!

Remember, when viral diseases(flu, SARS), especially with fever, you need to drink a lot!

And then you, most often, will not know what elevated acetone is.

Acetone may increase if the child has diabetes. But then the sugar in the urine rises at the same time.

Acetonemic syndrome can also be a sign of such diseases as diabetes mellitus, thyrotoxicosis, infectious toxicosis, hemolytic anemia, starvation and others. Therefore, if acetone has risen for the first time, you need to determine the level of sugar in the blood, pass biochemical analysis blood, and if necessary, consult a child with a gastroenterologist, pediatric endocrinologist.

Health to you and your loved ones!

Here. Come in, I'll be happy to answer all your questions!