Boys are at risk for taking paracetamol: Warning for signs of poisoning that everyone needs to know

Phu Tho Children's Center (under the General Hospital of Phu Tho Province) said that it has just received TVD patients (2 years old, in Thanh Son, Phu Tho) hospitalized with signs of paracetamol poisoning due to overdose use .

According to information from family members, patients with high fever every 4 days, accompanied by wheezing, the mother gave Paracetamol fever-reducing medicine 500 mg x 4 tablets / day and drank all 4 day.

When you see him D. have signs of drowsiness, exhaustion, difficulty breathing, fever 38 degrees C . the family has taken to emergency hospital. In the hospital, through the examination, the doctors found that the patient's heart was beating fast, lungs were poorly ventilated, the liver was 2 cm below the ribs and was diagnosed with severe metabolic acidosis in patients with pneumonia, followed Paracetamol poisoning.

After the initial first aid, the patient is transferred to the Department of Active Resuscitation - Toxic, where the patient is intubated, mechanical ventilation, gastric lavage, alkaline compensation . Two hours after hospitalized, patients falling into a coma, bilateral bilateral contractions, poor light reflexes, tachycardia, low blood pressure, symptoms of acute liver failure, severe coagulopathy, elevated liver enzymes .

Judging that this is a severe case, the prognosis of death if it is not a liver transplant, so when adjusted for basic life functions, the child will be transferred to the Central Children Hospital to continue treatment.

Paracetamol is very popular but not many people know that overdose can cause special poisoning in young children.

Signs of child poisoning for paracetamol fever 500mg

In young children, the use of paracetamol for pain relief should be more careful. When paracetamol poisoning occurs, signs in young children are also heavier than adults.

Children with poisoning with antipyretic paracetamol 500mg showed abnormalities after only a few hours of taking the medicine. Children start feeling restless, nausea, anorexia, and fatigue. These manifestations may not be obvious due to mixed symptoms of common flu.

Children have worse symptoms from the next 18 to 72 hours: abdominal pain due to enlarged liver, palpable liver pain. This is a manifestation of poisoning of the liver. If not handled promptly, it can lead to liver failure.

Manifestations of liver failure: jaundice, coma, scattered intravascular coagulation, bleeding, . if not emergency, will lead to hypoglycemia, death.

In fact, patients are ignorant in the use of antipyretic analgesics, so they themselves are not aware even when there are signs of poisoning. Many cases of hospitalization are in severe liver failure or liver transplantation.

How to treat children with paracetamol poisoning 500mg

Parents after giving their child a 500mg paracetamol antipyretic medication, notice abnormal signs that need to be considered with paracetamol poisoning.

Doctors recommend parents to be very careful when using antipyretic medicine for children.

When the child shows restlessness, nausea and vomiting parents need to quickly induce vomiting by giving plenty of water. When children cannot vomit, parents can give their children activated carbon, salt water or solid tea to reduce the absorption of toxins into the liver. Then quickly take your child to the nearest medical facility.

Doctors recommend parents to be very careful when using antipyretic medicine for children.