Recently, a rumor article that < < infusion = suicide finally went on CCTV > > went viral on WeChat. Its alarmist views and arguments must have frightened many people. Today, the author will refute his absurd remarks one by one from a professional point of view.
The following quotations are all from the original rumor.
First of all, [China Safe Injection Alliance] is no longer in existence.
According to statistics from the China Safe Injection Alliance, the number of deaths caused by unsafe injections in China is over 390,000 each year.At present, in order to cheat money, some village clinics or hospitals have a very serious phenomenon of hanging bottles for all diseases. Even minor diseases such as toothache, cold and cold, they have to hang bottles.Experts found that more than 95% of the people do not know the harm of abuse of infusion and unsafe injection. According to the statistics of the World Health Organization, more than 70% of infusions are unnecessary.
The “China Safe Injection Alliance” mentioned in the original text has stopped its operation as early as 2007. However, several groups of key data in the picture are groundless and cannot be found at all. This kind of data that cannot be verified to the source cannot be believed, just like food without quality inspection certificate cannot be eaten.
Second, you need to understand these concepts better.
Medical experts at home and abroad call for: [When a doctor chooses medication, It is necessary to follow the non-injection that can be taken orally. The principle that intramuscular injection is allowed but not intravenous injection is allowed]. If the doctor violates this principle, Abuse of infusion can cause adverse consequences to patients and even endanger their lives. This is because forcibly instilling drugs and water into the blood is more risky than taking oral drugs. Clinically, it is found that the more drugs are added to the [infusion bottle], the greater the toxic and side effects will be, and the particles will increase sharply. If the [infusion bottle] is combined with seven drugs, the toxic and side effects will increase by more than 50%.Some drugs are not properly combined and can cause chemical reactions to precipitate when entering blood vessels. For example, ampicillin combined with norepinephrine can present brown precipitates. Some doctors often inject large amounts of vitamin C to patients. In fact, continuous large amounts of vitamin C infusion can cause poisoning reactions to patients. Indiscriminate infusion reactions from [infusion bottles] are also very serious.Statistics from a scientific research unit: 326 cases of infusion reactions occurred in 6 medical units in one year, including 7 deaths.
1. Administration mode
Oral administration, injection and infusion are all ways of administration and treatment. The difference is that different ways of administration will affect the absorption and distribution of drugs, thus achieving different curative effects. Just as cucumbers can be eaten or applied on the face for beauty treatment, different usage methods determine different effects.
If we do not consider the disease situation and stick to the so-called principle of “taking orally but not injecting”, we will not relieve the pain, but may aggravate the disease.
For example, magnesium sulfate, if taken orally, will produce cathartic and cholagogic effects, while intravenous administration will produce sedative and antihypertensive effects. If a patient who originally needed to be injected with magnesium sulfate takes the medicine, he will not reduce blood pressure but will have diarrhea.
2. Incompatibility
As for improper drug coordination, the correct clinical name is [incompatibility], which refers to the phenomenon that different drugs are mixed together to produce reactions and lose their efficacy. Drugs that are taboo to each other must not be mixed together. This is the most basic medical common sense of all medical personnel.
One of the nurses’ duties is to check whether the drugs prescribed by the doctor have incompatibility, and the drugs with incompatibility will not be put together on the doctor’s advice at the beginning. How can they merge into turbid precipitate and be delivered to the patient?
3. Vitamin C poisoning reaction
Another so-called [vitamin C poisoning reaction], the author can only say that regardless of the dosage, the results are all hooligans. If you eat too much, you will die.
As the saying goes, drugs are divided into three parts and the curative effect is entirely controlled by the dosage. Does a doctor who takes curing diseases and saving lives as his duty not even know the minimum safe dose of a drug? If you know clearly that poisoning will occur in large doses, wouldn’t the doctor be flawed to prescribe a prescription for the patient?
Third, the infusion reaction has nothing to do with [abuse] [zero particles]
The patients with mild infusion reaction have headache, low fever, drug eruption and palpitation, while the patients with severe infusion reaction have high fever, chills, joint soreness, dysphoria, convulsions, shock and even death. Indiscriminate beating [infusion bottle] can also cause disturbance of water and electrolyte balance in human body. Any injection with good quality cannot reach the ideal [zero particle] standard.
There is no what problem in the above description of symptoms of infusion reaction, but it is another matter to put infusion together with [abuse] [zero particles] and change the concept secretly.
[Infusion reaction] is mainly divided into four types: fever reaction, cardiopulmonary overload reaction, phlebitis and air embolism.
There are three reasons for the fever reaction: the quality of the drug is not up to standard, allergy to some components in the liquid medicine, or infection with germs during infusion.
First of all, every drug is through strict inspection, in line with the national drug quality standards, just in the market circulation. The country is also constantly strengthening the management and monitoring of drugs. Therefore, the drugs you use basically do not have this kind of quality problems, but you have to go to the small alley, the certificate is not complete small Yiguang to play the bottle when don’t say anything else.
Secondly, the problem of drug allergy, It can happen in any way of taking medicine. For injections, drugs that are prone to allergic reactions will be tested before infusion and will only be used after negative confirmation. If the test shows positive, the doctor will use alternative drugs for the patient. If there is a history of allergy to other drugs, the doctor should be informed in advance when seeing a doctor.
Finally, all kinds of infusion sets and needles are disposable aseptic medical devices, and all nurses will examine aseptic operations when examining operations, in order to minimize the possibility of infection.
Cardiac overload is associated with drug injection, infusion rate and patient’s physical condition. Some drugs, the elderly and patients with bad heart infusion speed cannot be too fast, otherwise it will cause too heavy a burden on the heart. The situation of each patient is different, the medication is different, and the dripping speed required is also different, so the nurse will tell the patient that the dripping speed of infusion must not be adjusted casually.
As for phlebitis and air embolism, the incidence of these two reactions is very low, because they can be effectively prevented and treated through strict operation. Phlebitis occurs because some liquid medicine is strong in irritation, causing inflammation in the vein wall. Therefore, clinical treatment will dilute the irritant liquid medicine and slowly inject it.
However, air embolism can be completely avoided through the correct operation of nurses, and the current infusion set is very advanced and can already filter small bubbles in the infusion tube. Therefore, air embolism has the lowest incidence of all infusion reactions.
Fourth, is it really good to despise < < Chinese Pharmacopoeia > > with data without sources?
A hospital in Beijing found 598 particles with a particle size of 4 ~ 30 microns in 1 ml of 20% mannitol liquid medicine. 542 particles with a particle size of 2 ~ 16 microns can be detected in 1 ml of 50% glucose added to penicillin liquid medicine. One ml of liquid medicine contains so many particles, and there will be 200,000 particles in 500 ml of liquid medicine.
According to the provisions of the 2005 < < Chinese Pharmacopoeia > >, unless otherwise stipulated, the intravenous injection solution of 100 ml or more shall not contain more than 25 particles of more than 10m in each ml, and the particles of more than 25m in size shall not exceed 3 particles.
It can be seen that the total number of particles in a box of rehydration is not as large as that inhaled by smog for one day.
However, there are 598 particles in 1 ml mannitol in this article. This exaggerated and horrible unqualified product will be found out as early as the quality inspection. How can it be sent to the hospital? Fabricating evidence, confusing the public and sensational.
To sum up, the logic of this article is: if walking may be killed by a car, then taking to the streets = committing suicide.
Now, do you still believe that infusion is equivalent to suicide?