What are the common medications used after surgery for precordial disease?

  Description of the number of doses: QD: 1 day 1 time BID: 1 day 2 times TID: 1 day 3 times Cardiac stimulants: digoxin Diuretics: dihydrochlorothiazide (hydrochlorothiazide), furosemide tablets, androstenedione (spironolactone tablets) Potassium supplements: 10% potassium citrate Cannot be stopped 1 month after discharge Digoxin< cardiac stimulants>: the requirement is basically the medical prescription for Qd, i.e. 1 day 1 time. Take it after meals, tablets for older children and water (elixir) for younger children. Digoxin water side, the manufacturer is with a syringe, digoxin is not more than one, how much is prescribed to drink, take the syringe to pump.  The day we were discharged from the hospital, our ward gave digoxin, because the children were picked up only after 10:00, we were sent at 8:00 in the morning, so digoxin back home must be the second day to eat again. This is a strong heart drug, usually at least 1 month to eat enough.  Individual children with large, swollen livers, but slow heart rates, digoxin can be stopped directly, regardless of how many days to eat directly stop. You should feel your baby’s pulse in the morning, and it is safer to use digoxin for more than 90 times a minute.  Digoxin should be eaten after breakfast. If a small child needs calcium supplementation while taking digoxin, he can take cod liver oil and calcium at night (calcium and digoxin should not be taken at the same time, otherwise it will easily lead to heart rhythm disturbance). Calcium supplementation alone is not useful, and cod liver oil must be added to calcium supplementation (cod liver oil contains vitamin D).  < diuretics>: Dihydroketuria (hydrochlorothiazide): A medical prescription for QD indicates that the child’s condition is relatively mild, such as a small ventricular defect of 5 or 6 mm and an atrial defect of 7 or 8 mm, and the operation is relatively quick, with less trauma to the heart and a shorter extracorporeal circulation time. In all such children, this drug is taken once every other day in the 3rd week of discharge, once every 2nd day in the 4th week, and after 1 month this drug can be stopped.  For children with more serious conditions, such as those with large septal defects (8 or 9 mm, or even more than 1 cm), including those with combined pulmonary hypertension, or large atrial septal defects (more than 1 cm), or thick arterial ducts, including tetralogy of Fallot, endocardial cushion defects, etc., such children belong to the more serious ones, we prescribe double grams of BID (2 times a day), indicating that the child The disease is more serious, eat after breakfast and before dinner, 1 month later is not to stop the drug.  If the disease is stable, it will be taken once a day for the first 5 weeks, once every other day for the 6th week, once every 2 days for the 7th week, and then stopped after the local doctor checks everything is normal for the 8th week. If the doctor hears that the child still has phlegm in the lungs, or has a particularly fast heart rate, or has a large liver and some edema, the diuretic cannot be reduced and stopped, and even has to be increased.  Furosemide (tachyphylaxis) tablets: strong diuretic, used for children with a large liver, edema and fluid accumulation, generally required to be taken at noon (QD11), individual children are taken in the afternoon (Imago: stronger diuretic, OD15 in the afternoon).  Antiseptic < spironolactone tablets, potassium-preserving diuretics>: taken at the same time with potassium-depleting diuretics such as dihydrocoumaric acid.  Children taking multiple diuretics are discharged from the hospital with stable condition and well adjusted cardiopulmonary function, starting with tachypnea reduction. In order to reduce the appearance of pericardial effusion and pleural effusion in children, it is necessary to appropriately limit the amount of water intake within 1 month after surgery, eat enough not to eat, chicken, duck and fish are not contraindicated.  10% Potassium citrate < potassium supplements>: The main role is to preserve potassium. Why should potassium, because after taking diuretics after surgery, the potassium and salt in the blood through the urine is lost away part, if the person’s blood potassium is low, the heart has no strength (beating), people have no energy, low potassium will also die. Therefore, when diuretics are used, potassium should be supplemented, and in the future, potassium can be stopped only when diuretics are stopped. Potassium supplementation should be combined with diuretics (used and stopped at the same time), so you should drink potassium on the day you take diuretics, and if you still have edema, you should continue to take them.  If the older children are able to eat steamed buns and eggs, they can eat a little bit of tofu with sauce and be relatively salty. Older children can eat fried vegetables at noon and night, all containing salt, of course, you can also drink some vegetable soup. Small children can put some salt in their rice flour.  In short, you should take potassium supplements with diuretics and eat relatively salty meals (at least 1 gram of salt a day). In the future, when the diuretics are stopped, you can resume a low-salt diet to prevent your child from getting hypertension in the future, but now you have to eat a bit saltier.  Kaipotong (captopril) < vasodilator>: lowering pulmonary artery pressure and dilating blood vessels. Used for children with pulmonary hypertension.  Riangi, Fluoride: Take Riangi< cardiac muscle nutrient> separately and alone: fructose 1,6-diphosphate. Let the postoperative baby’s cardiac enzymes return to normal as soon as possible. 1 month’s supply is prescribed for children over 1 year old, 1 dose 1 time, 2 times a day. It may cause diarrhea.  Fluoride < immune stimulant>: pidomod oral solution. Biological preparation that boosts immunity. Children over 4 years old can not take it (itself has immune function). children over 1 year old, 1 stick, 2 times a day; children under 1 year old, 1 half stick, 2 times a day. It may cause diarrhea.  Take these two medicines separately and alone, feed this medicine in this mouth and that in the next, without spacing. The other medicines can be temporarily mixed together.  If a child over the age of 1 has very bad diarrhea, more than 7 or 8 times a day, and the stool is like egg flower soup, stop taking Rui’anji and Flourish, and when the stool is back to normal, reduce the dosage the next time you give it to your child, 1/3 of a stick once, 3 times a day, that is, eat a small amount several times, and then increase the dosage when the stool is normal. The next time you give it to your child, reduce the dosage by 1/3 of a stick, 3 times a day. There are some small children who take Rui’an Ji (fructose: pediatric diarrhea also use it), once eaten, diarrhea, once you stop this medicine stool will return to normal. If you eat 3 or 4 times the child can not eat this medicine, do not waste, because this medicine is very good, can supply heat, do not throw away, can be given to the family chest tightness and breath suffocation of 70 or 80 years old, or coronary heart disease, diabetes in the elderly (the elderly will generally appear heart function decreases). Or relatives and friends who have traveled to Qinghai-Tibet because of high altitude and breathing difficulties can be used.  After 1 month of discharge from the hospital, blood will be drawn to check if the cardiac enzymes are normal, and 1/3 of the children will recover. If they recover, Riangi should not be taken. 1 or 2 of the 4 or 5 tests of the rechecked cardiac enzyme profile failed, it’s okay, not great. If they don’t work, Donvirix can be used, as can Coenzyme Q10.  Hiccuplau, Zithromax< anti-inflammatory drugs>: the older children take capsules, children take syrup. Generally, the amount prescribed is 3 to 5 days, and the child can stop after eating if he or she does not have a fever.  Ribavirin< antivirals>: taken by children with viral infections.  Mucosolvan syrup< phlegmolytic medicine>: for phlegm, so that the phlegm becomes diluted. After surgery, children usually have phlegm, but the wound is painful, and children do not like to cough, and when they cough, the wound hurts. If there is phlegm that can’t be coughed up, it tends to form atelectasis. So we make the phlegm dilute so that the child can cough it out without too much effort. If your child has phlegm in his throat, give him this phlegm medicine. If there is no more phlegm and he is not crying, Mucosolvan syrup can be stopped. Keep the rest of the medicine for later use when anyone in the family has bronchitis, when there is a lot of phlegm, when the phlegm can not cough up. Generally, children use syrup and adults use tablets (Mucosolvan tablets).