If the smell of acetone appears from a child’s mouth, it is necessary to take immediate measures, and first of all, provide the child’s body with fluid.
Article on the topic: Acetone in a child. How to act as parents
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Tell me how to give glucose in ampoules with acetone?
Girls, tell me how to give glucose in ampoules with acetone? Do I need to dilute it or not, and if so, in what amount of water and how to give it, for how long??
- Thank you 1
And the doctor forbade us to give glucose with acetone. You didn’t donate blood for sugar, did you? if at the time of giving glucose the sugar is elevated, you can artificially make diabetes mellitus((((
We donated blood, it was normal!
It's funny what kind of diabetes-hyperglycemia yes! BUT not diabetes - write too.
I wrote the words of the doctor)))
we give Borjomi and rehydron, it seems to help
the best advice. what glucose?
It is the lack of glucose that causes an increase in acetone in 50% of cases. If there is a lack of glucose (a child jumped, or there was a fever for several hours), the body begins to break down fats, resulting in glucose and ketone bodies (what we call acetone). Acetone stimulates the vomiting center in the brain, thereby preventing any liquid from entering the body. How to give a child a liquid that he really needs if he is vomiting (even a teaspoon of rehydron will be torn out by the child)? It is GLUCOSE that blocks the vomiting center in the brain, thereby stopping vomiting.
If vomiting occurs due to increased acetone, the child should be given Glucose 400 mg/ml as soon as possible. In small portions (2-5 ml) 2-3 times every 10 minutes, the glucose should be 36 degrees (this way it will be absorbed faster. You can heat it while holding the ampoule in your hand). The vomiting should stop and the child will be able to drink. After this, you need to give the child a raisin decoction, rehydron, atoxil, or just water if the child refuses the above medications.
If you are stalling for time and the child is unable to drink 5 ml of glucose, will you go to the hospital where glucose will be infused intravenously (and without a blood test for sugar), do you need it?
Indications and contraindications for glucose treatment
Glucose - used in medicine for:
- strengthening and restoring the body
- normalization of the gastrointestinal tract in case of poisoning of the body
- enhancing the metabolic process
- vasodilatation
Treatment with glucose for acetonemic syndrome gives positive results:
- quickly regenerates dehydrated cells
- prevents further intoxication of the body
- fills the body with energy and tone
- normalizes blood pressure
Unfortunately, glucose treatment is contraindicated for:
- Diabetes mellitus
- Allergic reactions
- Edema of the brain and lungs
- Chronic heart and kidney failure
For some diseases, taking the drug is possible in consultation with your doctor.
In case of illness, the main thing for parents is to give dextrose to the child at the right time, then vomiting and diarrhea will be avoided. Dextrose should be used systematically until complete recovery and for prevention, even when in remission.
Dextrose. Internet discussions
Glucose with acetone. How to give glucose during an acetonemic crisis
If acetone is elevated in a child’s urine, the doctor will explain how and in what proportions the child should be given medications and what to do next. Parents are nervous and at a loss about what is best for the child - a pill, a drink or an enema. The choice depends on the child's condition. If the child swallows and does not vomit, give the tablet and ensure plenty of fluids. When there are no breaks between vomiting, a glucose drip or an enema will help.
In the fight against acetone, glucose is administered to the child in 4 ways:
- Orally. Glucose tablets - 1 piece every hour with plenty of water, you can simply dissolve under the tongue
- Subcutaneous injections of glucose up to 300-500 ml per day
- Enema. Dilute two ampoules with 0.5 liters of water and pour in up to 2 liters at a time
- Drink. Drink the contents of an ampoule 5 mg per kilogram of weight
There are other opinions like this on the Internet.
Smecta instructions for use
How to dilute and take Smecta?
The powder is diluted in 100 ml of water to obtain a homogeneous suspension. This is done immediately before taking the drug. Don't cook it ahead of time! As a rule, it is better to take drugs before meals or between meals, separately from other medications and food, keeping an interval of 1-2 hours. If a person is diagnosed with esophagitis or heartburn, the medicine is drunk immediately after meals.
The effect of Smecta develops after 6-12 hours for diarrhea, after 2-3 hours for poisoning, and after 30 minutes for esophagitis.
The regimen and dosage of Smecta depends on the diagnosed disease, the nature of its course and the age of the patient. The daily dose of the drug is divided into 2-3 doses.
For acute diarrhea
Children under one year of age: 2 sachets per day for 3 days. Then another 2-4 days, 1 sachet per day. Children 1-12 years old: 4 sachets per day for 3 days. Then another 2-4 days, 2 sachets per day.
Adolescents over 12 years of age and adults: 6 sachets (maximum daily dose) per day for 3 days. Then another 2-4 days, 3 sachets per day.
For any other conditions
Children under one year of age: 1 sachet per day;
Children 1-2 years old: 1-2 sachets per day;
Children 2-12 years old: 2-3 sachets per day;
Adolescents over 12 years of age and adults: 3 sachets per day.
The duration of the therapeutic course is from 3 to 7 days. It all depends on the disease itself, on how quickly improvement occurs, on the need to consolidate the result and on the individual characteristics of the person taking Smecta. So, those who suffer from chronic constipation should take Smecta with caution and only until the symptoms disappear, no longer. If after a week the symptoms remain and no improvement is observed, abdominal pain appears during administration, and the temperature rises, then stop taking Smecta. In this case, you need to see a specialist.
Glucose release form in pharmacies
For intravenous use, two types of solutions are used:
- Isotonic 5% - designed to restore internal organs and replenish fluid reserves
- Hypertonic 10% - 40% for liver resuscitation, restores water balance between cells. Use a 5% solution for infusor administration of the drug, a 40% solution is administered intravenously slowly
- Powder
- Tablets in a package of 0.5 g
- 400 ml bottles with 5% solution
- Ampoules of 40% solution, 10 pieces each
It is better to take glucose to combat acetone on the advice of a doctor in the form of the drug that, in the doctor’s opinion, solves the problem faster.
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Candy babies
08/28/2019 admin Comments No comments
Acetonemic conditions occur in children with infectious diseases, diseases of the digestive system or in stressful situations. They are provoked by excessive physical and mental stress and dietary errors. When the need for glucose as an energy source exceeds its supply, glycogen stores in the liver are converted into glucose and are quickly depleted. Nervous and active children do not have enough glycogen reserves for high metabolic demands and fats are included in the exchange, and when they break down, ketone bodies are formed.
Due to the imperfection of the enzyme system in children (deficiency of the enzyme that metabolizes ketone bodies), their accumulation occurs. Acidosis develops (a shift in the blood to the acidic side) and endogenous intoxication, which is accompanied by bouts of vomiting and weakness. Acetone is excreted in the urine, when breathing in the air, and through the skin of the child. The main complaint is attacks of nausea, vomiting (3-8 times a day), agitation turning into weakness, abdominal pain, smell of acetone from the mouth, and sometimes fever.
Acetone syndrome is not a disease, but a statement of the fact that the body’s glucose reserves have been exhausted. Therefore, the only treatment method is sweet drinks and proper nutrition after an attack.
The diet for acetone syndrome in children should contain:
- Easily digestible carbohydrates and consist of sweet cereals, curds, fruit purees, compotes and sweet jelly.
- Sufficient amount of fluid (1-1.5 liters per day).
- Products that support the alkaline reaction of urine: lemon juice, prunes, dates, figs, sweet berries and fruits, beets, carrots. Eggs, meat, fish, wheat bread cause acidification and are introduced only for 2-3 days. You should limit sour fruits (kiwi, rosehip decoction, currants).
For children subject to frequent acetonemic conditions, long intervals between meals are unacceptable. You need to know that this condition can be caused by any infection or cold, so for acute respiratory infections, the diet should be light and contain mainly simple carbohydrates.
What foods can you eat after an attack? Immediately after vomiting stops, you can give a sweet drink (tea, compote, juice, glucose solution). When the child is able to eat, and this may be on the second day, a gentle diet is prescribed, rich in carbohydrates and food portions should be small:
- liquid porridges (buckwheat, rice, corn, oatmeal) without sugar and salt;
- fruit mousses and jelly;
- biscuits;
- baked apple;
- vegetables and sweet fruits.
From the third or fourth day:
- vegetable soups;
- skim cheese;
- meat soufflé, turkey, rabbit, sea fish dishes;
- chicken eggs (omelet, soft-boiled);
- fermented milk products without preservatives and dyes.
Prevention
After recovery, prevention is needed. Otherwise, a syndrome may develop and the disease will enter the chronic stage. You can avoid this if you follow a diet in the first days and avoid spicy and fatty foods. And after the end of dietary abstinence, carefully introduce low-fat foods into the menu .
Eating healthy food is also important. When the diet includes different foods, the syndrome will not threaten health. If you provide your baby with an active lifestyle, strengthen the immune system, avoid stress, and maintain microflora, then the likelihood of relapse will be minimal.
Nutrition
The diet of a child who has an increase in acetone levels should consist of the following products:
- light soup with vegetable broth;
- porridge;
- lean meat, fish;
- fresh fruits, dried fruits;
- boiled, baked, raw vegetables;
- honey, marmalade without artificial colors, hazelnuts and walnuts;
- lemonade, green tea, berry compotes, fresh fruits.
When does acetone appear?
Acetonemia is a typical childhood problem, and children who are thin, emotional and active are at much greater risk of increased acetonemia.
The release of ketone bodies, which contain acetone, occurs when the child’s body overuses available energy. As we know, the main fuel for us is glucose, which comes from food, and excess carbohydrates are partially deposited in the liver and stored there until needed, and some are converted into fat deposits.
During violent games, a strong emotional outburst, a sharp increase in temperature and other unforeseen situations that require energy consumption, glycogen stored in the liver is used. But the child’s reserve of this is too small and runs out very quickly, and then energy begins to come from fat deposits, and when fat is broken down, in addition to glucose, those same ketone bodies enter the blood. The danger is that ketone bodies can irritate the vomiting centers in a child's brain, causing severe uncontrollable vomiting with a high risk of dehydration.
Diagnostics
In case of acetone syndrome, blood and urine tests are mandatory
Diagnosis is made based on history, physical examination and a series of clinical tests. The child should undergo general and biochemical blood tests and a urine test. A blood test reveals hypoglycemia, changes in uric acid levels, and signs of impaired water-salt metabolism. A urine test for acetone syndrome shows ketonuria (the presence of ketone bodies in the urine).
Differential diagnostics must be carried out with diseases such as diabetes, intestinal infection, poisoning, and brain diseases (meningitis, encephalitis). To undergo an examination and diagnosis, you should contact your family doctor and endocrinologist.
How to deal with acetone
The main method of treatment for the onset of an acetonemic crisis is proper feeding of the child.
- As soon as you smell a characteristic fruity smell from a child’s mouth, go to the pharmacy and purchase test plates for determining acetone in urine and glucose, in any available form. Possible options are a forty percent solution in ampoules, a 10 or 5 percent solution in bottles, or tablets. A ready-made solution of any concentration can be given a teaspoon every 15-20 minutes; glucose tablets can be dissolved in a small amount of water. If the child does not want to drink a concentrated glucose solution, add a little water. Thanks to the timely supply of glucose, acetonemic vomiting can be prevented.
- If vomiting begins, continue to give glucose, but it is important to prevent dehydration. This task is best accomplished by rehydron (a pharmaceutical powder that is diluted in water) or a homemade rehydration drink: per liter of water, 1 teaspoon of salt, 2 tablespoons of sugar and 0.5 teaspoon of baking soda.
- A decoction of dried fruits is suitable for drinking; it is advisable that it contains more raisins, since they are an excellent source of glucose and potassium. Compote of fresh fruits and frozen berries is also good for feeding a child.
- A weak sweet regular black or green is also suitable, the main thing is that the infusion is not too strong. All tea, like most juices, contain tannins, which can interfere with protein metabolism and complicate rehydration
- It is better not to give herbal teas to a child during an exacerbation, since any herbs have biological activity and can act unpredictably
- Sweet cranberry juice is an excellent drink for a child with acetonemia. In this case, it is better to add sweetness to the drink with sugar or glucose, rather than honey.
But it is better not to offer fruit juices, freshly squeezed or store-bought, during times of crisis and vomiting. It is better to leave these healthy drinks for the period of the child’s recovery.
Treatment
The treatment of the syndrome should appeal to kids, as it is quite tasty. The main remedy for eliminating glucose deficiency is sweet drinks and sweets. A child with acetone syndrome should receive them in sufficient quantities. Therefore, at the first suspicion, as soon as the parents smell acetone from the child, they should start giving him glucose. This can be a drug in tablets or in solution. The main thing is to give him water often - a teaspoon every five minutes if we are talking about a baby, a tablespoon or two tablespoons at the same intervals if the child is already quite large.
It is advisable to give the child a cleansing enema with soda (a teaspoon of soda and a glass of warm water), and prepare a supply of Regidron in case it is necessary to restore the water-salt balance.
If parents manage to seize the initiative in time, then this will all end. If the slightest delay is allowed, a more severe manifestation of the syndrome - vomiting - is likely to occur.
With acetonemia, it is usually so intense that it is no longer possible to give the child sweet tea or compote. Everything he drank immediately ends up outside. Here Komarovsky recommends acting quickly. You should call a doctor, preferably an ambulance. To stop such vomiting, in most cases it is necessary to administer a large amount of sweet liquid - pharmaceutical glucose - to the child through a dropper.
In addition, the baby could benefit from an injection of an anti-vomiting drug (usually Cerucal is used). When the gag reflex subsides under the influence of medications, you need to start actively feeding the child with sweet water, tea with sugar, and glucose. The main thing is to drink really plenty. It should be remembered, says Komarovsky, that Cerucal and drugs like it last on average 2-3 hours. Parents only have this time to fully restore fluid loss and glucose supply, otherwise vomiting will start again and the child’s condition will worsen.
It will be better if the baby suffers a severe attack of the syndrome not at home, but in a hospital. Self-medication, Evgeniy Olegovich emphasizes, can cause great harm, so it will be better if the treatment is carried out under the supervision of specialists.
