Injections with bronchitis

Appointment of injections for adults with bronchitis

Injections in bronchitis adults are appointed very rarely and in especially severe cases or when there is no possibility to take the medicine through the mouth.To date, almost all drugs exist in tablet form. Therefore, the expediency of this method of treatment can be determined only by a doctor.

Preparations for the treatment of acute bronchitis

The disease occurs suddenly. Within a few hours or 1-2 days, the patient develops a dry or wet cough with phlegm, the mucous membranes of the bronchi become inflamed. With inflammation of small bronchi, the patient may have shortness of breath.

The disease is caused by viruses and bacteria, dusty and gassy atmosphere of enterprises, severe hypothermia or, conversely, overheating in hot dry air. Viral and bacterial bronchitis, as a rule, is preceded by ARI.

Acute bronchitis without complications is treated mostly out-patient. People who have cardiovascular diseases, lung diseases, elderly people with chronic ailments are subject to hospitalization. Weakened people during treatment are prescribed a bed rest.

Treatment of acute bronchitis includes the use of drugs that lower the heat (if available), on the sternum to the patient put mustard plasters, from medicines, drugs that dilute sputum, and anti-inflammatory drugs (amidopyrine, pyramine, indomethacin, prodectin, acetylsalicylic acid). In the presence of purulent sputum in the drug complex, antibiotics are mandatory. Expectorants play a huge role in the treatment of bronchitis. Bronchicum, lazolvan, ambroxol, bromhexine contribute to the excretion of sputum. There are preparations from dry and wet cough.

Preparations for the treatment of chronic bronchitis

If inflammation of the bronchi with accompanying symptoms is observed annually, lasts for a total of three months or more, then the doctors diagnose the patient with chronic bronchitis. This is an infectious and noninfectious bronchial lesion, which is expressed by coughing, secretion of thick mucus (sputum), and shortness of breath. Chronic bronchitis is a disease of adults, which is rare in childhood.

Chronic bronchitis is divided into primary and secondary. The primary form of bronchitis is not associated with a previous lung injury. The secondary form is manifested as a complication of an already existing lung injury (including pneumonia), larynx, trachea or bronchi.

Treatment of chronic bronchitis in adults is complex, it involves the use of a large number of medicines and procedures. This disease disrupts the activity of the epithelium layer of the bronchi, a decrease in its plasticity and an increase in the viscosity of the moist secret. As a result, the overall secretion of mucus is increased, the drainage capacity of the bronchi decreases.

The cause of the disease can be bacterial and viral infection of the mucous membrane, irritation dust, mechanical particles and reactive substances in the air, tobacco smoke.

When observing patients, doctors often note uneven, focal lesions of the bronchi and lungs. Treatment improves the condition of patients, but the disease is gradually worsening and is steadily progressing from year to year. The periods of remission, initially long, are becoming shorter. If the patient is not under constant medical supervision and does not take medication, then in a few years he may develop severe respiratory failure.

The disease therapy includes a large set of measures. This is the reception of medicines, physiotherapy procedures, sanitation of the lungs, treatment of the patient for a healthy lifestyle and therapeutic physical training.

Preparations for the treatment of chronic bronchitis

1. antibacterial drugs;
2. anti-inflammatory drugs;
3. bronchodilators;
4. expectorants;
5. fortifying preparations, vitamins and food additives.

Antibacterial and antiviral drugs are prescribed in the period of exacerbation, with purulent phenomena in the bronchi, with an increase in temperature. If a test for bacterial sensitivity to an antibiotic (antibioticogram) was not made before the start of treatment, the patient is prescribed penicillin intramuscularly. This antibiotic acts very effectively against the hemophilic influenza bacillus and pneumococci. If the antibiotic image was taken, then one of the following drugs is prescribed: azithromycin, sumazid, zitrolide, sumamed, hemomycin, azithrox, ampicillin, oxacillin, levomycetin, oletetrin, tetracycline, other antibiotics (1.5-2 g per day). Also appoint rondomycin (-1.6 g per day). Antibiotics can be combined with sulfonamides of prolonged action.

Drugs the patient takes in the form of tablets or injections, the purpose of which is preferable, since injections give the best result. Injections in bronchitis to adult patients are done both in the hospital and in the treatment room. The duration of antibiotic treatment depends on the severity of the patient's condition and the degree of neglect of the disease. On average, recovery occurs in 8-12 days.

Obstructive chronic bronchitis occurs if ordinary bronchitis is not treated (or poorly treated) for more than one year. This complication is characterized by shortness of breath and changes in bronchial tissue. In this case, the use of antibiotics has less effect, as in the bronchi change mechanical properties of tissues, their structure, as a result of which the amount of mucus increases and bronchospasm. Obstructive chronic bronchitis can be further complicated by pulmonary emphysema, hypertension and chronic pulmonary heart.

Running chronic bronchitis is a life-threatening disease. In order to increase the body's resistance, the doctor can prescribe drugs methyluracil, potassium orotate and pentoxyl.

Anti-inflammatory effect is given by such drugs as sodium salicitate and presocil. Stimulant and fortifying effect gives ascorbic acid, galaxorbine and askorutin.

In therapy, the aloe extract (as a resolving agent), the vitreous body, the FIBS preparation (extract containing coumarins and cinnamic acid) proved to be excellent. Injections of bronchitis based on these drugs are done subcutaneously, the course in all cases includes 30 to 35 injections.

A good therapeutic effect on the patient's condition is provided by adaptogens: ginseng, magnolia vine, pantocrine.

As a bronchodilator in the presence of asthma, which is not amenable to treatment with bronchospasmolytic drugs, drugs are used:

1. atropine;
2. belladonna;
3. atrovent;
4. ephedrine;
5. beta-adrenostimulators;
6. eufillin.

Euphyllin also stimulates the respiratory center.

With neglected obstructive bronchitis, corticosteroids may be prescribed, especially if there is an asthmatic syndrome. Hydrocortisone is administered intravenously, starting at 125 mg per day. After the patient's condition improves, the dose of the drug is reduced by 25 mg every two or three days, adding aerosol irrigation to the pharynx.

Expectorants play a huge role in the treatment of diseases associated with the accumulation of thick sputum. The best sputum discharge is obtained by the action of 3% potassium iodide, tincture of the althaea root, thermopsis terpinhydrate, mucaltin. Broncholitin, bronchicum, bromhexine, lazolvan, ambroksol - new modern drugs with mucolytic and expectorant action.

A good therapeutic effect is provided by inhalations with proteolytic enzymes (substances that break down proteins to amino acids and promote the dilution of sputum). This terpelitin, trypsin, chymostripsin, chymopsin, which are dissolved in a small amount (about 5 ml) of saline or in a solution of novocaine (0.25%), followed by inhalation.

With severe purulent bronchitis and severe dyspnea, the patient undergoes bronchoscopy, during which the bronchial tree is flushed, antibiotics and expectorants are administered.

People who have undergone bronchitis should avoid hypothermia and stay in a polluted atmosphere of the premises. A good prevention of the disease will be exercise therapy and special massage of the chest.

Be healthy!

respiratoria.ru

How to treat bronchitis? What injections and pills did you take? Give effective methods.

Answers:

Lana

The most effective way is the chloride chloride! At least 3 pricks and you're ok!!! The syrups will also go up!

Albert Galiauv

When I was ill with bronchitis (for a very long time) I used "Broncholitin" this is something like a syrup.

Elena Golikova

Erespal 1 tab. 2 times a day for 3 days, azithromycin 1 capsule per day for 6 days, tincture "Tussamag" for 20 drops of 3 rub., At high temperature aspirin 1 tab., Hot drink hot.

V.V.V.

Many doctors do not see the difference between acute bronchitis, exacerbation of chronic bronchitis, pneumonia and viral infections of the respiratory tract. Therefore, most patients prescribe antibiotics, even if the disease is viral by nature. "Acute bronchitis" is a clinical diagnosis that is usually given to a patient with symptoms: cough, purulent sputum, a small fever and a feeling of discomfort in the chest (sometimes this is preceded by symptoms of infection VAR). If previously people. was healthy and there were no lung diseases, then in 95% of cases the cause of acute bronchitis is a viral infection. And the disease quickly passes, although cough can last up to 3 weeks in 50% of patients and more than 4 weeks. in 25%. Unreasonably widespread use of antibiotics leads to the development of dysbacteriosis, allergic reactions, forms the resistance of microorganisms to the antibiotic.
(Azithromycin is taken only by X-ray. Indications if there is a bucket. inf. and if the temperature is above 38 ° C for more than 3 days, 500 mg / 2 caps. / once a day on an empty stomach 3 days). Drink broth of wild rose + Lazolvan. Get right!)

Antibiotics for bronchitis

The thunderstorm of the autumn-spring period is bronchitis. Often it begins with a common cold and other respiratory diseases - sore throat or sinusitis. How to treat bronchitis correctly, only the doctor will say. Many people avoid using strong medicines and are treated with folk remedies. Often this is the reason for the transition of manifestations of bronchitis in the chronic course of the disease. Antibiotics for bronchitis should not be taken alone - be sure to contact your doctor.

Scheme of treatment of bronchitis and pneumonia with antibiotics

Treatment of inflammation of the respiratory tract is carried out in a hospital or outpatient. Light bronchitis is successfully eliminated at home, chronic or acute manifestations require hospitalization. Bronchitis and pneumonia are insidious diseases, so do not self-medicate. For adults and children, doctors prescribe different antibiotics and apply different healing procedures. Thus, antibiotics for bronchitis and the treatment regimen depend on:

• age;
• having a tendency to allergies;
• the nature of the disease (acute, chronic);
• type of pathogen;
• parameters of the drugs used (speed and spectrum of action, toxicity).

Antibiotics powerfully affect the human body, and their thoughtless use can harm, not help. For example, the use of strong drugs in the prevention of bronchitis can have the opposite effect. The constant intake of antibiotics inhibits immunity, promotes the emergence of dysbiosis, adaptation of strains of the disease to the drugs used. Therefore, it can not be said that antibiotics are the best remedy for bronchitis. Treatment of obstructive bronchitis with antibiotics is prescribed in the case of:

• if there is a high temperature (more than 38 degrees), which lasts longer than 3 days;
• purulent sputum;
• protracted nature of the disease - treatment for longer than a month does not bring recovery.
• manifesting severe symptoms during exacerbation.
• if the analysis of sputum revealed pathogens, bacterial or atypical nature.

In adults

What antibiotics to drink in adults with bronchitis? A specific treatment regimen is used based on the severity of the disease, its course and the age of the patient. With bronchitis of acute type, drugs of penicillin group are prescribed - Amoxicillin, Erythromycin. With chronic it is possible to use Amoxiclav, Augmentin. If this group of drugs does not help, they switch to the use of Rovamycin, Sumamed and others.

For the elderly, Flemoxin, Azithromycin, Suprax, Ceftriaxone are prescribed. If sputum analysis was not performed, then a wide range of antibiotics are preferred: Ampicillin, Streptocillin, Tetracycin, etc. After the analysis, the doctor prescribes directed drugs. The decision on what antibiotics to take when bronchitis in adults is taken by the attending physician. In any case, the following treatment principles should be adhered to:

1. Drugs are taken strictly according to the instructions (dosage, schedule) at regular intervals.
2. It is unacceptable to skip the reception of tablets.
3. If the symptoms of bronchitis have disappeared - you can not arbitrarily stop treatment.

Children

Unlike adults, the treatment of bronchitis in children with antibiotics is extremely undesirable and dangerous. It is allowed to use drugs only if there is a suspicion of an infectious type of disease. Children should take penicillin group drugs. For children with asthma, the use of azithromycin, erythromycin is allowed. In the rest the treatment scheme of the child is standard and is aimed at eliminating symptoms. Assign:

• bed rest, child care;
• drugs to reduce temperature;
• means for eliminating cough and sore throat;
• application of traditional medicine.

Groups of antibacterials of new generation

Penicillins (oxacillin, ampicillin, ticarcillin, piperacillin). The group of drugs includes such as "Amoxiclav "Augmentin "Panklav etc. They have a bactericidal effect, they affect the formation of the protein wall of a harmful bacterium, as a result of which it dies. Preparations with it are considered the safest. The only negative is the ability to excite allergic reactions. If the disease is started and the drugs with penicillin do not have the proper effect, then they switch to strong drugs.

Macrolides. An extensive group of drugs, which include erythromycin, oleandomycin, midecamycin, dirithromycin, telithromycin, roxithromycin, clarithromycin. The brightest representatives of macrolides on the pharmacological market are preparations "Erythromycin "Claricin "Sumamed". The mechanism of action is directed to the disturbance of the vital activity of the microbial cell. In terms of safety, macrolides are less harmful than tetracyclines, fluoroquinols, more dangerous than penicillins, but they are good for people who are allergic. In combination with penicillins reduce their effectiveness.

Fluoroquinolones (pefloxacin, lomefloxacin, sparfloxacin, hemifloxacin, moxifloxacin). On the market, the drugs are presented by "Afelox "Afenoxin and medications that are of the same name with the main active substance, for example, "Moxifloxacin". This group is used as a medicine for bronchitis. It is prescribed only if the previous two groups of antibiotics did not affect the causative agent of the disease.

Cephalosporins (active substances - cephalexin, cefaclor, cefoperazone, cefepime). According to the type of pathogen, the patient is prescribed "Cefalexin "Cefuroxime axetil "Cefotaxime". Limited to the effect on some pathogens. For example, such antibiotics absolutely do not affect pneumococci, chlamydia, microplasmas, listeria. Preparations of the first generation are practically not absorbed into the blood, and therefore are administered in the form of injections.

Which antibiotics are the most effective?

Amoxicillin. Form release - capsules and granules. Adults take 500 mg (1-2 capsules) 3 times a day, if the bronchitis in severe form is doubled to 1000 mg. The child is prescribed from 100 to 250 mg per day, depending on the age. To facilitate admission for children, a suspension is prepared - in half a glass of water, the antibiotic is diluted and shaken. The method of intake is only oral, by injection the drug is not administered.

Sumamed. It is used for bronchitis and pneumonia. It is not used by patients with liver and kidney dysfunction. Produced by tablets, capsules, powder for suspensions. Dosage for adults - 500 mg per day, course 3-5 days. Children dose determined by weight - 5-30 mg of medicine per 1 kg. More accurate and correct dosage will be told only by a specialist, do not neglect medical opinion.

Levofloxacin and Moxifloxacin. They are positioned as antibiotics for chronic bronchitis in adults (over 18 years of age). Highly effective in pneumonia, sinusitis, pyelonephritis, infections of various etiologies. The use of this antibiotic is accompanied by a plentiful drink. Avoid direct contact with ultraviolet light of any origin. The form of release - tablets. Dosage - 1-2 times a day for 500 mg.

Cefazolin. Produced by powder for the preparation of infusions and injections. Methods of administration - only intravenously and intramuscularly. For adults, 3-4 injections per day on, 5-1 g. Therapeutic course - 7-10 days. The child's dose is determined proportionally to the weight of the child - 25-50 mg per 1 kg. Stabbing - 3-4 times a day. If patients have renal dysfunction, dosage adjustment is performed.

Side effects

Antibiotics because of their nature have an extensive list of side effects. From the gastrointestinal tract - is diarrhea, vomiting, dysbiosis, constipation, abdominal pain, dyspepsia, flatulence, dry mouth. From the urogenital organs - itching, impotence, kidney failure, blood in the urine. On the part of the locomotor system - dizziness, arthritis, muscle weakness, numbness of the limbs, paralysis. Skin reactions are hives, itching, allergic reactions.

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What is a "hot shot"

The hot prick got its name due to the fact that during the procedure the patient feels a feeling of intense burning or spreading heat. A similar effect is given by injections of calcium and magnesia preparations.

Why do "hot pricks" of calcium preparations

A "hot shot" of calcium gluconate is prescribed to compensate for a lack of calcium in the body, as well as for the treatment of allergic, skin, cardiovascular and inflammatory diseases. The injections are performed in three ways: rapid injection, intravenous drip introduction, intracardiac injection (it is introduced into the space of the ventricle).

The injections of calcium chloride help in the deficiency of this trace element in the body, as well as in the period when a person needs an increased amount of calcium (during lactation, pregnancy). Such injections can be administered at low levels in the diet or if the absorption of this trace element in the intestine is impaired. "Hot shot" is used to eliminate the symptoms of intestinal, biliary, renal colic, with the coping of inflammatory processes, to reduce the permeability of blood vessels, allergies. This injection is also included in the resuscitation complex as an anti-shock drug.

Injections of calcium preparations with caution are prescribed for renal, respiratory and heart failure, as part of the course of glycosidic drugs. "Hot" injections are contraindicated with a significant excess of calcium in the body, with stable ventricular fibrillation. When the drug is injected into an unsuitable blood vessel, a chemical burn of the mucous membranes of the inner walls of the veins may occur. Subsequently, at this point, the development of thrombophlebitis (inflammation of the vein wall) is possible. In rare cases, accidental ingestion of calcium chloride under the skin produces necrosis of subcutaneous fat, inflammation begins with suppuration. Too rapid administration of the drug may cause acceleration of ventricular contractions, this condition can lead to cardiac arrest.

Hot shot of magnesia

A "hot shot" of magnesium (magnesium sulfate) is performed intramuscularly. Such injections are usually prescribed to pregnant women to reduce the tone of the uterus when there is a threat of miscarriage or premature birth. The injections of magnesia are done in large clusters of muscles (in the buttocks). Magnesium sulphate must be introduced very slowly, not allowing it to stagnate in the muscle tissue. It should also be ensured that the needle of the syringe does not enter the small arteries, blood vessels.

A "hot shot" will be easier to tolerate if the patient after a procedure stays in a horizontal position for a while. Sometimes an injection of magnesia requires anesthesia, while novocaine is administered in parallel. Injections of magnesium sulfate are contraindicated in hypersensitivity to components, with an elevated magnesium content in the body, with oppression respiratory center, low blood pressure, severe bradycardia, renal failure, AV-blockade, as well as in prenatal period.

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