Enterosorbents for children during poisoning
The child's organism is less resistant to the effects of disease-causing factors. Poisoning in children is more common than in adults, and is more severe. The most common food poisoning and intoxication are the accidental ingestion of various poisons into the body: drugs, household and industrial chemicals. When a toxin gets inside one of the measures for first aid is the intake of enterosorbent - a drug that fixes the toxin in the intestine and removes it from the body into the external environment.
Enterosorbents for children with poisoning practically have no contraindications, since the medicine acts at the local level, in the intestine, and does not enter the systemic bloodstream. And yet, each drug has its own characteristics. With care, you should apply the medication to the newborn. Let's consider what sorbents exist for children under one year and older, and when to apply this or that drug.
Preparations sorbents for children
For infants, the following preparations can be prescribed from the group of intestinal sorbents:
- Polysorb MP;
The same medicines are also used in other age groups. Activated charcoal does not have age restrictions according to the instructions, but pediatricians do not recommend giving it to children who are under seven years old.
How to apply Polysorb MP to children
One of the most effective enterosorbents for children is Polysorb MP. This is a preparation of Russian origin, its unique formula has no analogues. The main active ingredient is highly dispersed silicon dioxide.
The benefits of using Polysorb for children are as follows.
- The drug has a high adsorption capacity. It forms about 300 square meters of active-absorbing surface per 1 gram of powder. At the same time, the surface area of the human intestinal mucosa is about 200 square meters.
- Unique mechanism of sorption: fine particles of the drug surround the toxin from all sides, completely isolating its effect on the body even before removal from the gastrointestinal tract. This property of Polysorb is most important in the phenomena of food allergy.
- Does not affect the motor function of the intestine - peristalsis.
Powder is available in bags for one-time use and in a plastic jar. Before use, it must be diluted in a small amount of water to obtain a suspension. Doses for children at one time:
- at a body weight of the child up to 10 kg - 0.5-1.5 teaspoons (daily dose);
- 10-20 kg - 1 teaspoon;
- 20-30 kg - 1.5 teaspoons;
- 30-40 kg - 2 teaspoons;
- 40-60 kg - 1-1.5 tablespoons.
"Polysorb MP" is taken 3-4 times a day for 3-5 days.
Of side effects (rarely), allergic reactions and constipation are possible.
Another effective and safe sorbent that will suit children in poisoning is the drug Enterosgel. It is a silicone substance called polymethylsiloxane polyhydrate. "Enterosgel" has selective adsorption, does not affect intestinal motility and has a large working surface (150 square meters per 1 gram). One of the advantages over other sorbents is a convenient dosage form in the form of a gel.
Enterosgel for children is applied without age restrictions.
- The dose for infants: 2.5 grams (½ teaspoon), divided into 6 receptions.
- Children under 5 years: 22.5 grams for three meals (½ tablespoon);
- Children from 5 to 14 years: 15 grams for three meals (1 tablespoon).
"Smecta" for children is an excellent antidiarrheal remedy. The active substance is a natural natural mineral - diosmectite. Analogues of "Smekty":
- "Neosmectin" (powder and suspension);
"Smecta" possesses good sorption qualities (100 square meters per gram of substance) and has practically no contraindications. The main advantage - in addition to adsorbing properties has also a wrapping effect. Stabilizing the intestinal mucosa barrier, diosmectite prevents irritation of the mucous membrane and protects it from the harmful effects of bacteria and toxins.
"Smecta" in children is used for poisoning with severe diarrhea (diarrhea). Doses for admission:
- at the age of one year - 1 sachet per day for 6 doses;
- children 1-2 years - 1-2 bags;
- children over 2 years - 2-3 bags per day.
Overdosing of this sorbent can lead to constipation.
"Polyphepan" is available in the form of powder, granules and tablets. This medicine has analogues:
The active ingredient is a natural lignin polymer of plant origin. It does not have very high sorption properties - the active surface area is 16-20 square meters per 1 gram. But "Polyphepan" is cheaper than other enterosorbents.
Doses for children at one time:
- for babies - ½-1 teaspoon;
- children from 1 year to 7 years - 1.5 teaspoons;
- from 7 years - 1 tablespoon.
"Polyphepan" is taken 3-4 times a day for 3-5 days. With chronic intoxications and allergic diseases, the course of treatment is extended to 2 weeks. In case of appointment to children of the first year of life, care should be taken - the drug may cause constipation and heaviness in the stomach.
Can I give activated carbon to children?
Activated charcoal for children is used as a one-off measure. Give it from the calculation of 1 tablet for 5 kg of the child's weight. Before use, the tablet should be crushed into powder and diluted in a small amount of water (a suspension is formed).
Of all the sorbents listed, activated carbon has the lowest adsorption capacity. It has no selective effect and removes from the intestine not only toxins, but also nutrients. It is also not the best sorbent for babies, as solid particles of coal injure the wall of the intestine. Do not give activated charcoal for chronic inflammatory diseases of the stomach and intestines.
The advantage of activated carbon is low cost and universal adsorption.
Adsorbents for children are used as part of complex treatment for poisoning, allergic diseases, digestive disorders. Most of them have no other contraindications, except for individual intolerance and atony of the intestine.
To young children, a daily dose of enterosorbent is given in 5-6 steps, diluting the powder immediately before use. Also take into account that between giving other medicines and taking intestinal sorbent it is necessary to observe a break not less than one hour.
Sorbents are chosen depending on the clinical signs: with a strong diarrhea it is better to give "Smektu", since it has an additional enveloping action and protects the intestinal wall from irritation. If the child is poisoned by any strong substance, for example, drugs, then it is better to give him a drug with a high adsorption capacity - Polysorb MP or Enterosgel. Breast children give any medicine only after consulting a pediatrician. In addition, with diarrhea it is important to remember that dehydration and loss of electrolytes occur. To fill the balance in the body, you need to drink plenty of fluids and take rehydration medications.