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And we fed every 45 minutes ...


Elizabeth N. Baldwin. I fed my first child every 45 minutes - who would have thought? Anyone but me I never expected my child to be so demanding. He needed to be applied every 45 minutes, otherwise he could scream until the end of ages. At least it seemed so to me; did not check. In the end, if you feed him every 45 minutes, he was in seventh heaven, so why would I complain? Hmm ... complain. But what about all these books on child care, decorated with beautiful signs and graphs about when children sleep, eat and stay awake? When I read them, being a pregnant lawyer, I was sure that I could squeeze my work during the prescribed periods of "sleep." The book did not say anything about a child who wants to eat every 45 minutes, and then sleep with a baby in her mother’s arms. Was it my fault? Wasn’t the fact that my son started to sleep all night was a sign that I’m doing everything right? Ha! He slept all night exactly until I recorded this fact in my diary. After that, he began to wake up every two hours! You know, I am not superstitious, but I must confess that I immediately crossed out my first record and wrote that he was not sleeping all night. Did not help; he continued to wake up every two hours to eat. What is it, I thought, is it really because of me that he wakes up so often? Am I tempting him with the equivalent of warm chocolate chip cookies in the middle of the night? Maybe it is necessary to deprive him of feedings in order to push him to fit into the proper framework limits? To torture him a little bit, but to bring him back to normal, described in all the books? Discoveries Fortunately for my son, I trusted the very instincts that I thought I didn't have, and fed him during the day, allowing him to sleep in my arms, and feeding him at night when I wanted, putting him to sleep next to me. Instincts, however, were not so easy to distinguish from beliefs that were stored in memory from childhood. These beliefs were sunk into the consciousness so deeply that it seemed like instincts, but in reality they more resembled old broken record sounding over and over again, criticizing, judging, blaming at every opportunity. Instincts told me to keep these thoughts with me. And I learned not to listen to them, but to be guided precisely by instincts. Instincts told me that my precious baby needs to be fed when he wants. In the end, he spent nine months inside of me and knows nothing but me. When I saw his pacified happy sucking face, I understood that at that moment he feels the same as in the womb - the sound of my heart, the rumbling of my stomach, the sound of breathing, we were once again one whole! Yes, instincts told me that if the child is well in my arms, then there is the place for him. When I dealt with my instincts, I had an even more difficult task: to learn to trust them. How difficult it was in the midst of all the advice that came from friends, relatives, even doctors and hospital staff. "It can not be that he was hungry again - you probably do not have enough milk!" - told me. "Maybe he would not have time to get hungry so quickly if you had increased the interval between feedings." Almost all of their exhortations went against my instincts and hinted that I was doing something wrong. I wonder why society pushes the mother away from trusting their instincts? (1) Why, despite the fact that development specialists emphasize the importance of timely responding to the needs of babies (2), mothers are still encouraged to ignore the very instincts that help to respond ? Is it because human beings are programmed to repeat with their children the same things that they did with them? (3) Were the “arguments” brought to me by friends, relatives, and specialists just to justify the heat and responsiveness they did not receive? Guided by the best of intentions, people explained to me that I do harm to the child, feeding him whenever he wishes, especially so often. Actually, our doctor said that frequent feedings cause colic to the baby, and if I could take breaks of three to four hours, and between feedings I would give water, he would calm down and be quite pleased. In the meantime, I made my discoveries. I learned that breast milk is digested in two hours, rather than three or four, as a mixture. (4) I learned that many babies require breast more than every two hours, (5) and also that often-fed babies get a lot milk, because frequent feedings stimulate more milk production. (6) Studies show that increasing the intervals between feedings reduces not only the amount of milk from the mother, but also its fat content (7) - as a result, the child is undernourished and cries a lot. (8) I also learned that, unfortunately, children who are fed after four hours may not chat required. One girl, who was fed 15 minutes from each breast six or seven times a day, sucked less and less milk and died of exhaustion after a few days. Her parents were accused of murder. Fortunately, the charge was subsequently dropped, because the parents had no idea that they were doing something wrong. (9) They simply followed the advice of a society that knows little about babies. I decided that my child himself knows what he needs, when and how. Any authoritarian decision on my part — even about a change of breasts — seemed to end with nothing good. How could I know what his body needs? Indeed, I later learned that babies themselves understand everything; they take what they need, not only at each feeding, but also from each breast. (10) Moreover, many feeding problems - including those that occur when "too much milk" or "not enough milk" - are solved more frequent attachments. (11) So, I continued to follow the prompts of my child. And soon I discovered that his “colic” was directly related to my hidden food allergies and excessive consumption of dairy products. (12) A friendly girlfriend assured me that I was depriving my child of a good night's sleep and I “should” teach him to sleep alone all night. And according to my calculations, our joint sleep deprived him of sleep much less than if he had been left to cry, until he realized that no one would respond to his screams. I did not know then that our nightly schedule reduced the risk of SIDS (Sudden Infant Death Syndrome) for him, (13) and that was exactly what his body needs. (14) I only knew that mothers slept with their babies from the creation of the world. How can something so natural for any mother harm a baby? Relatives claimed that I was teaching the child to cry. “If you rush to them at every cry,” they said to me, “they will realize that this is the only way to attract attention and sit on the neck.” In this I did not see the point from the very beginning. I reasoned like this: if a child cries to make me come, then that is exactly what he needs? In addition, my son already realized that in order to call his mother, it is not necessary to cry; it was enough for him to grumble, and I was already there or woke up. I already knew that my child could communicate with me with her signs or cry when she was upset, but I still didn’t know that later he would express his requests with words, not with a cry. Weeks later, the charges continued. My father-in-law did not let us into his house for three months, because I too often jumped up from the table during family dinners to my baby. He said that my son does not get the slightest idea about the delayed reward, he becomes too dependent on me and apparently he will grow up to be a “mama's son”, always holding onto my skirt. However, my instincts suggested that it was still too early for him to study delayed encouragement, and that if I now satisfy his dependence, then his independence will be able to blossom independently. It was a relief to learn that the opinions of specialists coincide with my instincts (15), I came to the conclusion that my son depended on me, because it should be so. Only a caring, predictable environment can help him to perceive this world full of warmth and love. I found that the idea of ​​pushing children for independence comes from the ancient belief that children are born evil, and the task of parents is to break their will and make them behave decently. And I, on the contrary, believe that children are born wonderful, and subsequently behave according to the way they were treated. Some critics questioned my health. Some have argued that our constant feeding will make me nervous and restless, and this will affect the rush of milk. Others believed that if I would not pass the child on to someone else from time to time, I would begin to experience stress and depression, which would cause hormones to disperse. However, I was only depressed by disobedience to my “hormones”; nature itself seemed to cry out to listen to my child. Stress has greatly diminished as soon as I realized that for him to need me, and for me to respond to his needs is normal. If something unnerved and bothered me, it was their comments. It seemed to me absolutely correct to respond to the needs of the child - the most correct thing that I had ever taken in life. And of course, I was accused of martyrdom, of suffering for the sake of a child. It even amused me, looking at non-nourishing girlfriends who were sterilizing bottles, preparing the mixture, carrying a mini-camp kitchen in children's bags, treating diarrhea, constipation, and other side effects of artificial feeding. On the other hand, I was accused of finding easy ways, because what is so easy for a mother cannot be useful for a child! As far as the son fell asleep at the chest in 30 seconds, it was concluded that I was feeding from laziness. Many have suggested that I deprived my husband of an active role in raising and caring for a child. Admittedly, I really was irreplaceable for my son, and when he was hungry or upset, it happened that she could not even run to the toilet. However, when everything was in order, he was very fond of the society of the pope. I lay with pleasure on my father's chest, climbed the cabinets, sat in his arms, took walks in the backpack and in the car past the pillars of the gear lines, while being sure that as soon as I needed him, my father would take him home in an instant. With age, their relationship developed. Outbreaks of enthusiasm from his arrival from work shifted to a variety of requirements, including his presence when he went to bed. (Dad was telling cosmic stories better than mom!) Naturally, one of the reasons for their closeness was that these relationships were built on the basis of a reliable connection between the child and the mother. Of course, then I did not know all this. Feeding every 45 minutes leaves mom little opportunity to analyze their methods, and even more so to protect against criticism. This came later. Understanding After a while, I realized that if I had not responded immediately to the cry of my child, he would not have continued to cry endlessly.
At some point he would have given up, realizing that calling was useless. He would feel that he had neither the right nor the slightest clue about what he needed. He would decide that he should not be hungry when the body needs food, and to feel what he feels, he should not - this is wrong. I also understood that in our society they do not understand newborns and it is not customary to sympathize with their needs and feelings. Feeding on demand, in my understanding, is no different from caring for a helpless family member. Wouldn't we have given the invalid father food, just because “not the time”? Or would they leave the paralyzed spouse alone in the room to “scream” —checking every 10 minutes to say, “It's all right” —is not even trying to figure out what bothers him and how to help? If he wanted only to embrace him, would we really refuse his loved one so as not to spoil him? How can someone argue that legal or religious dogma require denying babies comfort and food “for their own good”? Even medicine is insensitive to the suffering of babies. Until recently, many doctors did not consider it necessary to give a newborn anesthetic during operations; only paralyzing drugs were administered in order not to move. It was believed that babies do not feel pain. (16) Of course, one day our society realizes that babies are people too - with rights, feelings, and most importantly, needs. Then the public will protect their rights, knowing that mothers who are nursing on demand do not pamper their babies, do not create bad habits, do not allow children to sit on their necks, and don’t go on about the children, but do exactly what is intended by nature. Mothers are created to be close to the babies - facilitating their transition into this large, wide world. Teach them love and trust, learn to enjoy life. Until then, I came to the conclusion that a mother has a choice of two ways. You can rely on the advice of others and make it clear to your child: “Shit, little one, I have more important lessons than you and your hunger (thirst, longing for contact) - I, you know, have my own life.” Or you can listen to your instincts and To convey a completely different idea: “I’m there for you to know that you are in safe hands and you can get everything you need.” As for me, I continued to listen to my instincts. I left aside the unwashed dishes, work and friendly communication, knowing that they will not go anywhere, unlike my child. I spent nights with varying amounts of sleep and days without a sense of accomplishment. Now, looking back, I want to shout for joy that I did just that. My glorious baby, fed every 45 minutes, grew up, grew up - and grew up in an independent, happy, self-confident young man of nine years old, with compassion in his heart and love in actions. Notes (1) One of the reasons for feeding support by medicine according to the regimen can be the cultural process of the factory feeding model. In the first decades of the twentieth century, new factory workers hardly got used to the strict regime required for work; There were ideas in the literature that schooling with the regime from birth would help children grow up to be responsible people and good working factories and plants. Other factors that triggered the transition to feeding under the regime were the high availability of professional assistance in family affairs, the transition to obstetric care and the establishment of feeding from non-professional midwives to doctors, general distrust of the signals of the female body (for example, a sense of tide as a signal for feeding), and distrust to the signals given by the child. See AV Millard, "The Place of the Clock in Pediatric Advice: Rationales, Cultural Themes, and Impediments to Breastfeeding," Soc Sci Med 31, no. 2 (1990): 211-221, which suggests that breastfeeding problems in the United States are specific to the local culture and are the result of pediatric feeding regimens. (2) Mothers who are not separated from their children — who are easier to live later — are more susceptible to the feeding and crying signals of their children and can reassure them with great success. MDS Ainsworth and SM Bell, “Attachment, Exploration, and Separation: Illustrated by the Behavior of One Year of the Olds in a Strange Situation,” Child Development 41 (1970): 49-67. (3) Alice Miller, Thou Shalt Not Be Aware (New York: Penguin Books, 1986). (4) The digestion time of breast milk is 60% of the digestion time of the mixture. See B. Cavell, Gastric Formula, Human Body Formula, Acta Paedia Scand 70 (1981): 639. (5) William Sears, The Fussy Baby (Franklin Park, IL: LLLI, 1985). (6 ) Lely League International, The Womanly Art of Breastfeeding (Franklin Park, IL: LLLI, 1991); and SEJ Daly et al., "The Short-Term Synthesis and Infant-Regulated Physiol 78" (1993): 209-220. (7) DA Jackson et al., "Circadian Variation of the Breast-Milk in the Northern Thai Population," Jr Nutr 59 (1988): 349-363. (8) See Note 1. Millard indicates that feeding regimes of the 20th century led to malnutrition as a result of a long break between feedings.This malnutrition was mistaken for milk shortage - the prevailing reason for switching from breastfeeding for artificial feeding. (9) Commonwealth v. Carol A. Michaud, Normand R. Michaud, 389 Mass. 491, 451 NE 2nd 396 (Mass., 1983). (10) See Note 6, Daly. (11) See Lactation Consultant Department of LLLI, The Lactation Consultant Series, pub. no.288: 1-17. (12) If the mother has a mild allergic reaction to cow's milk and dairy products (even without obvious symptoms), excessive consumption of dairy products often causes a reaction in the infant. For a remarkable discussion of food intolerance in infants, see Maureen Minchin, Food for Thought (North Sydney, NSW, Australia: Alma Publications, 1986). (13) James McKenna, "An Anthropological Perspective of the Sudden Infant Death Syndrome (SIDS)": The Role of the Parental Breathing Cues and Speech Breathing Adaptations, "Med Anthropol 10 (1986): 1; and J. McKenna et al., "Sleep and Arousal Patterns among Co-Sleeping Mothers-Infant Pairs: Implications for SIDS," Am J Phys Anthropol 83 (1991): 331-347. (14) James McKenna, "Rethinking Healthy Infant Sleep," Breastfeeding Abstracts 12, no. 3 (Feb 1993): 27-28. (15) FL Ilg et al., Child Behavior (New York: Harper & Row, 1981); and other books from the Gesell Institute of Human Development. (16) Jill R. Lawson, "The Politics of Newborn Pain," Mothering, no. 57 (Fall 1990): 40-47. One father's opinion about feeding at the request of Kenneth A. Friedman. I always wanted the best for my child. However, then, as now, there was a question: who will control whom? I didn’t care if my child was fed every 45 minutes or every 45 days. I did not have to be constantly and around the clock ready. In the morning, before leaving for work, I arranged for my wife and child to “feed and doze” in a rocking chair. Оставлял в пределах досягаемости телефон, книги, блокнот, стакан сока, чистые подгузники и прочие необходимые предметы. По ночам от меня не было никакой пользы и скоро я научился даже не просыпаться. Однако давление, оказываемое на меня по поводу контроля над моим ребенком, было огромным. Друзья, знакомые, родственники и даже незнакомые люди требовали, чтобы нашего ребенка контролировали. Намекалось, что если мы не будем регулировать его запросы на наше время и энергию, он вырастет донельзя избалованным, а то и вовсе станет вторым Гитлером. Для отцов проблема контроля особенно тяжела. Большинство из нас было приучено ограничивать себя при каждой возможности. В детстве и отрочестве нас учили быть сильными, поскольку мир жесток. Таким образом, став отцами, мы чувствуем, что обязаны позаботиться о том, чтобы жизнь нашего потомства не была слишком легкой, чтобы дети учились самоконтролю, ответственности и решительности. В совокупности, эти факторы могут легко перевесить стремление отца поддержать кормление по требованию – процесс, который контролируется самим новорожденным. В конце концов, не придет же нам в голову позволить младенцу управлять нашими армиями, боевым оружием, дипломатическими инициативами и всей остальной жизнью. Неудивительно, что, когда моя жена кормила нашего первенца по требованию, я чувствовал эти побуждения подогнать наши методы воспитания под некие общепринятые стандарты. Самым тяжелым было отсутствие поддержки в наших усилиях делать так, как мы считали, лучше для ребенка. Даже самые «либеральные» из моих друзей считали необходимым контролировать собственные отношения с детьми, а не позволять ребенку указывать путь. Когда жена кормила по требованию младшего сына, я снова боролся, с переменным успехом, со стремлением контролировать свое потомство. Сколько раз я мечтал, чтобы кто-нибудь сказал мне, что мы поступаем правильно, и мои дети не вырастут «размазней». Когда наши дети выросли из подгузников и перестали кормиться грудью, я постепенно осознал, что проблема контроля распространяется не только на младенчество и грудное вскармливание. Пристально за ними наблюдая, я все больше сомневался в социальной традиции навязывания строгих ограничений, пока не пришел к выводу, что контроль моим детям не полезен. Я своими глазами видел, что они не «избалованы донельзя» и тем более не размазни. Ими не нужно было манипулировать, чтобы сделать из них нормальных людей; они уже были нормальными людьми, каждый со своим неповторимым набором чувств и нужд, которые необходимо уважать. Тем более не было нужды заставлять моих детей страдать «для их же блага», чтобы самому чувствовать себя хорошим родителем.(1) Теперь мои дети еще старше, а мои перспективы еще шире. Трезво глядя на мир, переполненный насилием, ненавистью и страданием, я не могу удержаться от сомнений – а так ли уж правильна общепринятая система воспитания детей, стремящаяся закалить и укрепить их для жизни в жестоком мире? Нет ли в таком образе мышления фундаментальной ошибки? Не в наших ли методах контроля над детьми заключается львиная доля проблемы? Интересно, кормили ли Саддама Хусейна по требованию. . . Или профессиональных преступников, или заключенных в камере смертников... Примечания (1) Идея о том, что заблуждения в вопросах воспитания детей приводят их к депрессиям, страданию и склонности к насилию, отражена в книге Alice Miller For Your Own Good: Hidden Cruelty in Child-Rearing and the Roots of Violence, 2nd ed., trans. by Hildegarde and Hunter Hannum (New York: Farrar, Straus & Giroux, 1984). Кеннет А. Фридман и его жена, Элизабет Н. Болдуин – практикующие адвокаты из Майами. Дети - Дэвид (9) и Билли (5). Перевод Алекскандры Казачок
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= Go to tutorial content =

И кормились мы каждые 45 минут...

  1. Почему нужно брать обязательство по отношению к другим людям? Не легче ли подождать до последней минуты и принимать решение, руководствуясь побуждением момента? Тогда не приходилось бы освобождаться от обязательства.
    Ни в одном законе не говорится о том, что вы непременно должны брать на себя обязательство. Просто необходимо посмотреть, что вам нравится и что вы хотите пожать в своей жизни. Когда вы обращаетесь к кому-то за помощью, когда приглашаете друга в гости или хотите пойти в кино с другим человеком, а он вам постоянно говорит: «Пока не знаю, я скажу тебе об этом в последнюю минуту», то как вам
  2. Aneurysm and aortic dissection
    Шифр по МКБ-10 I71 Диагностика При установлении диагноза Обязательная Уровень сознания, частота и эффективность дыхания, АД, ЧСС УЗИ, КТ органов брюшной полости Консультация хирурга Дополнительная (по показаниям) Аортография В процессе лечения Мониторинг, согласно п.1.5 Лечение Обеспечение адекватной вентиляции легких, контроль давления и ЧСС Нитропруссид натрия - начальная
  3. УРОГЕНИТАЛЬНЫЙ ХЛАМИДИОЗ
    Урогенитальный хламидиоз - инфекционное заболевание, передавающееся половым путем. Основные возбудители Вызывается С.trachomatis. УРОГЕНИТАЛЬНЫЙ ХЛАМИДИОЗ У ВЗРОСЛЫХ Выбор антимикробных препаратов Препараты выбора: азитромицин - 1,0 г внутрь однократно; доксициклин - 0,1 г внутрь каждые 12 ч в течение 7 дней. Альтернативные препараты: эритромицин - 0,5 г внутрь каждые 6 ч в
  4. ВЕНЕРИЧЕСКАЯ ЛИМФОГРАНУЛЕМА
    Это заболевание в России встречается эпизодически, за счет так называемых "привозных" случаев. Основные возбудители Вызывается С.trachomatis, серовары L-1, L-2, L-3. Выбор антимикробных препаратов Препараты выбора: доксициклин - 0,1 г внутрь каждые 12 ч в течение 21 дня. Альтернативные препараты: эритромицин - 0,5 г внутрь каждые 6 ч в течение 21 дня.
  5. 4.3. CHRONIC PYELONEPHRITIS
    Antibacterial therapy is prescribed in the presence of clinical data and the identification of the pathogen of the inflammatory process of the kidneys with the determination of sensitivity to antibiotics, the average course of 7 -10 days. E. coli - amoxicillin / clavulanate (tab. 0.375 and 0.625 g; fl. 0.6 and 1.2 g) inside 0.625 g or / in 0.6-1.2 g every 8 hours; gentamicin (amp. 4% -1 and 2 ml) in / in 3-4 mg / kg 1 p / day.
  6. Left ventricular failure (cardiogenic pulmonary edema)
    Шифр по МКБ-10 I50.1 Диагностика При установлении диагноза Обязательная Уровень сознания, частота и эффективность дыхания, ЧСС, пульс, артериальное давление ЭКГ R-графия органов грудной клетки Лабораторные исследования: гемоглобин, газы крови, показатели КОС, электролиты (K, Na, Mg, Ca, Cl), глюкоза крови, лейкоциты, формула крови, ферменты (КФК), мочевина, креатинин Дополнительная
  7. Acute transmural myocardial infarction
    Code for ICD-10 I21.0 Diagnosis When making a diagnosis Mandatory Level of consciousness, frequency and effectiveness of respiration, heart rate, pulse, blood pressure, ECG, history, physical examination Laboratory tests: coagulability (APTTV, PTV platelets), hemoglobin, blood gases, CBS indicators, electrolytes (K, Na, Mg, Ca, Cl), blood glucose, leukocytes, blood formula, enzymes
  8. Paroxysmal ventricular tachycardias
    Diagnostics. Учащенное сердцебиение свыше 140 уд/минуту. При это!У все сокращения представляют собой желудочковые экстрасистолы. Эпизодическое появление "пушечного" 1 тона при совпадении систол предсердий и желудочков Безуспешность "вагусных проб". На ЭКГ - все сокращения экстрасистолы, комплекс С*К.8 уширен до 0,12 - 0,14с и более, деформирован. При желудочковой тахикардии, осложненной
  9. 2.4. ОСТРЫЙ КОРОНАРНЫЙ СИНДРОМ БЕЗ ПОДЪЕМА СЕГМЕНТА ST (ОКС БП ST)
    Если в ближайшие 48 часов больной перенес длительный (более 15 минут) приступ боли, заставляющий подозревать развитие ОКС показана экстренная госпитализация, предпочтительно в ПИТ Если в ближайшие 48 часов диагностирована впервые возникшая или прогрессирующая стенокардия показана госпитализация в кардиологическое отделение. Тактика ведения больных: • Аспирин (табл.0,5 г) по 0,025-0,5 г
  10. 2.5. НЕОСЛОЖНЕННЫЙ Q-ИНФАРКТ МИОКАРДА
    Аспирин (табл. 0,5) разжевать %-1 таб (250-500 мг) препарата, не покрытого оболочкой. Поддерживающая доза для длительного лечения 75-150 мг, 1 р/сут. При непереносимости аспирина - клопидогрель (табл. 75 мг) - 4 табл. (300 мг) нагрузочная доза, затем в последующие сутки по 1 табл. (75 мг) 1 р/сут. В настоящее время показаны преимущества комбинированного приема Аспирина и Клопидогреля, если не
  11. Anaphylactic shock, unspecified
    ICD-10 code T78.2 Diagnosis When making a diagnosis Mandatory Level of consciousness, frequency and effectiveness of respiration, heart rate, pulse, blood pressure, skin condition, blood glucose level Additional (if indicated) R-graphy of the chest organs If possible, tryptase level mast cells in the blood plasma (within 1 hour after the development of the reaction) In the process of treatment
  12. Acute pulmonary edema caused by chemicals, gases, fumes and vapors of increased permeability of the alveolocapillary membrane (inhalation of corrosive liquids, anaphylaxis)
    ICD-10 cipher J68.1 Diagnosis When making a diagnosis Mandatory Level of consciousness, respiration rate and efficiency, heart rate, pulse, ECG BP R-graphy of the chest organs Laboratory tests: hemoglobin, blood gases, KOS values, electrolytes (K, Na, Mg, Ca, Cl), blood glucose, leukocytes, blood formula, enzymes (CK), urea, creatinine Additional (if indicated) ultrasound
  13. Pulmonary edema. Severe protein-energy deficiency, unspecified
    Code for ICD-10 Pulmonary edemaJ81 Severe protein-energy insufficiency, unspecified E43 Diagnosis When making a diagnosis Mandatory Level of consciousness, frequency and effectiveness of respiration, heart rate, pulse, blood pressure, ECG, R-graphy of the chest organs Laboratory studies: hemoglobin, blood gases, indicators KOS, electrolytes (K, Na, Mg, Ca, Cl), blood glucose, leukocytes, formula
  14. ФАРМАКОЛОГИЧЕСКИЕ ПРОБЫ
    Проба с адреналином или инсулином Используется для оценки реактивности обоих отделов ВНС. Методика проведения пробы: Утором, не раньше, чем через 1,5 часа после приёма пищи после 15-минутного отдыха произ- водится запись ЭКГ в течение 1 минуты с определением средней ЧСС (ЧССфон). Then, 0.3 ml of a 0.1% solution of adrenaline or insulin at a dose of 0.15 U / kg is injected under the skin of the shoulder. Регистрируют
  15. Антибиотики, антимикробные препараты
    I. Педиатрические дозировки антимикробных препаратов Препарат Возраст Клинический Доза Acyclovir < 12 лет Неонатальный HSV, HSV гинги- востоматит HSV энцефалит Ветряная оспа (тяжелая) (менее 10-15 мг/кг в/в через 8 часов (30-45 мг/кг/день) 5 мг/кг в/в через 8 часов (15 мг/кг/ день) Amentadine 1 -9 лет 2,2 мг/кг per os каждые 12 Amikacin 0-7 дней 10 мг/кг, далее по 7,5 мг/кг
  16. Atrial fibrillation and flutter (atrial fibrillation, extrasystole high gradations)
    Шифр по МКБ-10 I48 Диагностика При установлении диагноза Обязательная Уровень сознания, частота и эффективность дыхания, ЧСС, пульс, артериальное давление, ЭКГ, анамнез Лабораторные исследования: гемоглобин, газы крови, показатели КОС, электролиты (K, Na, Mg, Ca, Cl), глюкоза крови, лейкоциты, формула крови, ферменты КФК, АлАТ, АсАТ, а-амилаза Дополнительная (по показаниям)
  17. Status epilepticus grand mal (convulsive seizures). Convulsions unclassified in other rubrics
    Шифр по МКБ-10 Эпилептический статус grand mal (судорожных припадков) G41.0 Судороги, неклассифицированные в других рубриках R56 Диагностика При установлении диагноза Обязательная Уровень сознания, размер зрачков, неврологический статус, менингеальные симптомы, тщательный осмотр для исключения травмы, АД Лабораторные исследования: глюкоза крови, показатели КОС, газы крови, гемоглобин,
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