Colds and fevers are frequent for children, especially during the change of seasons. The ketogenic diet is a diet with strict carbohydrate restriction, and since most of the children’s medications contain sugar, some of the medications may also induce seizures, which may lead to an increase in seizures if they are not used with care. This is why it is so important to choose the correct and reasonable medication during ketogenic diet treatment. The following is the recommendation of one of our licensed pharmacists, who is also the mother of a ketogenic patient, and I have added to it to give reference to the family members during ketogenic treatment. 1, the drip must not use glucose, try to use sodium chloride as the solvents (1) antibiotics as far as possible not to choose penicillin class, because intravenous injection of penicillin has the risk of inducing seizures. (2) commonly used cephalosporins, the first generation of cefazolin, cefadroxil, cefradine, etc.; the second generation of cefaclor, cefuroxime, cefonicid, cefoxitin, cefmetazole, etc.; the third generation of cefotaxime sodium, cefoperazone, ceftazidime, ceftriaxone, ceftizoxime, cefmetime, cefpiramide, cefotetan, cefixime, cefpodoxime ester, cefetametil, cefodizime, cefodizime, ceftibuten Cefdinir, Cefditoren, Cef Lanai, Cephalexin, Cefbuccin, Cefminox, Cefrozil. Fourth generation: cefepime, cefpirome, cefazolin. (3) commonly used macrolides: erythromycin, clarithromycin, azithromycin (4) other antibiotics: clindamycin, lincomycin, fosfomycin, vancomycin, etc. How to deal with fever according to the cold and fever children, the general blood picture leukocyte increased, blood C peptide increased before the bacterial cold, the need to use antibacterial drugs, small infants generally use cephalosporin more, relatively good safety, but pay attention to allergic reactions Nowadays, hospitals prescribe cephalosporin III for children, which is an advanced antibiotic, if not said very necessary, try to use cephalosporin I and II first, but nowadays China’s antibiotic abuse, cephalosporin I has poor effect, so cephalosporin II is optional, cephalosporin II for gram-positive bacteria, cephalosporin III for gram-negative bacteria. Again infant infection mostly by mycoplasma infection, this time preferred azithromycin, although clarithromycin in the lung concentration is high, but for mycoplasma effect is not as good as azithromycin, and azithromycin half-life is long, generally once a day to take, but remember the first dose is double, according to body weight dosing, generally give 3 days to stop 4 days of intermittent therapy, to reduce the occurrence of drug resistance, azithromycin and erythromycin is very easy to The first dose of azithromycin and erythromycin is very easy to develop resistance. If the pneumonia is severe and the cephalosporin is not effective, clindamycin can be used instead; if the cephalosporin III is not effective for gram-negative bacteria, imipenem can be used instead. All these are the drugs that can be used for ketogenic infants. 2, drug interactions: in general, macrolides such as erythromycin, azithromycin and sodium valproate have an effect, because sodium valproate is a liver drug enzyme inhibitor, it is estimated to increase the concentration of both sides in the body, and improve the effect of anti-epileptic drugs. 3, contraindicated and alcohol-containing drugs combined: for example, Huo Xiang Zheng Qi Shui contains alcohol, levocaine oral solution contains alcohol, so you must keep an extra eye. Similarly, the use of antipyretic drugs also need to prohibit the use of the above drugs. Otherwise, it is easy to cause liver damage. The normal body temperature is 36-37 degrees, generally low fever is 37,5-38 degrees, 38,1-39 is a medium fever, more than 39 degrees is high fever, because children’s fever is an autoimmune process of the body, generally low fever can be physically cooled, with warm water or antipyretic paste (recommended Japanese Kobayashi antipyretic paste), more than 38 degrees if the child’s spirit can still be, but also physical cooling. If more than 38,5 or the child’s spirit is not good, immediately use antipyretic drugs (ketogenic children remember to use fever suppositories that acetaminophen suppositories, or oral ibuprofen tablets, or oral adult acetaminophen tablets, according to the weight to calculate the required dose). 4, Chinese medicine to reduce fever: please choose sugar-free Chinese medicine, it is not recommended to use Chinese medicine and Western medicine together to reduce fever. General viral colds are a process, there is no special drugs, like ribavirin, interferon is not very effective, viral colds have a self-healing process, generally takes a week, but many children are often accompanied by nasal thia, sore throat, this time you can give your child the use of Chinese medicine preparations, Qing Kai Ling granules can relieve the discomfort brought about by the cold, in addition, you can add Shi Bao Li Tong tablets, Chinese medicine ingredients In addition, you can add Spironolactone tablets, a herbal ingredient, which is useful for both viral and bacterial infections. However, the clinic generally prescribes anti-viral oral liquid, Pudilan oral liquid, Shuanghuanglian oral liquid and so on, which generally contain sugar and are not recommended. 5, children with colds and fevers during the attention to drink more water: for ketogenic children with colds and fevers, there is no limit to the amount of water you can drink, but you must ensure a minimum water intake and limit the amount of water you drink each time. 6, cough: medication cough is the development of a disease, ketogenic children cough with phlegm choose aminobroxol tablets, bromine has new tablets can (aminobroxol is bromine has new metabolites in the body, the effect is better there is a nebulization treatment is the least affect the blood ketone, the top one (choose aminobroxol injection with sodium chloride injection, budesonide with terbutaline) general nebulization up to 5 days, serious 2 times a day, with more Bronchial dilatation more than the effect is also poor. If other children who are not ketogenic choose Hong Kong Monkey Jujube San, this is really praised by many people, it is medicine, we all adhere to the most important care. (1) cough without phlegm dry cough: use dextromethorphan tablets (the best cough at night, with the anti-allergy drug ketotifen or cyproheptadine, triclopidine), pentoxifylline tablets, or benadryl tablets (the best effect of severe cough during the day), of course, these use must consult professionals. (2) Cough accompanied by wheezing and phlegm can be taken with the Sunflower Brand Oral Liquid for Children with Lung Fever and Asthma, a sugar-free, purely herbal preparation that is safe and effective for children.