{"id":74,"date":"2020-02-18T19:39:20","date_gmt":"2020-02-18T19:39:20","guid":{"rendered":"http:\/\/www.pediatrmohelnice.cz\/?page_id=74"},"modified":"2021-11-18T08:51:48","modified_gmt":"2021-11-18T08:51:48","slug":"prakticke-rady-a-informace","status":"publish","type":"page","link":"https:\/\/www.pediatrmohelnice.cz\/index.php\/prakticke-rady-a-informace\/","title":{"rendered":"Praktick\u00e9 rady a informace"},"content":{"rendered":"\n<p><a href=\"http:\/\/www.szu.cz\/uploads\/documents\/chzp\/zdrav_stav\/cviceni_deti.pdf\">Cvi\u010den\u00ed p\u0159i vadn\u00e9m dr\u017een\u00ed t\u011bla \/pdf\/ &#8211; zde<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/docplayer.cz\/2275777-Doporuceni-pracovni-skupiny-detske-gastroenterologie-a-vyzivy-cps-pro-vyzivu-kojencu-a-batolat-strana-17.html\">Zah\u00e1jen\u00ed p\u0159\u00edkrm\u016f  pdf ke sta\u017een\u00ed-zde<\/a><\/p>\n\n\n\n<p><a href=\"http:\/\/www.szu.cz\/uploads\/documents\/czzp\/edice\/letaky_pdf\/cviceni_ploche_nohy.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Cvi\u010den\u00ed ploch\u00e1 noha &#8211; zde<\/a><\/p>\n\n\n\n<p><span class=\"has-inline-color has-vivid-red-color\"><a href=\"http:\/\/www.pedagogicke.info\/2021\/10\/metodicky-pokyn-hlavni-hygienicky-ceske.html\">Covid 19 &#8211; hygiena karantena , izolace &#8211; zde<\/a><\/span><\/p>\n\n\n\n<p><span class=\"has-inline-color has-vivid-red-color\"><strong>Hore\u010dka u d\u011bt\u00ed <\/strong><\/span><\/p>\n\n\n\n<p>Norm\u00e1ln\u00ed t\u011blesn\u00e1&nbsp;<strong>teplota<\/strong>&nbsp;d\u00edt\u011bte se pohybuje mezi 36 a 37 \u02daC, ov\u0161em norm\u00e1ln\u00ed&nbsp;<strong>teplota<\/strong>&nbsp;u kojenc\u016f m\u016f\u017ee b\u00fdt i lehce p\u0159es 37 \u02daC. Hore\u010dkou tedy naz\u00fdv\u00e1me stav, kdy je&nbsp;<strong>teplota u d\u011bt\u00ed<\/strong>&nbsp;vy\u0161\u0161\u00ed ne\u017e 38 \u02daC. To je z\u00e1rove\u0148 hranice, od kter\u00e9 je nutn\u00e9&nbsp;<strong>teplotu u d\u00edt\u011bte<\/strong>&nbsp;sr\u00e1\u017eet. P\u0159i m\u011b\u0159en\u00ed v kone\u010dn\u00edku \/zade\u010dku\/ je t\u0159eba ode\u010d\u00edst p\u016fl stupn\u011b. \/0,5\/<\/p>\n\n\n\n<p><span class=\"has-inline-color has-luminous-vivid-orange-color\"> Jak  reagovat na hore\u010dku d\u00edt\u011bte? <\/span>B\u00fdt informov\u00e1n a b\u00fdt vybaven l\u00e9ky, to je p\u0159edpoklad spr\u00e1vn\u00e9<br>reakce na hore\u010dku d\u00edt\u011bte.<br>V\u010das podat l\u00e9ky na sn\u00ed\u017een\u00ed hore\u010dky p\u0159edpokl\u00e1d\u00e1 m\u00edt je trvale k dispozici, tedy ji\u017e doma !<br>U mal\u00fdch d\u011bt\u00ed je v\u00fdhodn\u00e9 m\u00edt po ruce jak sirupovou formu, tak i \u010d\u00edpky v p\u0159\u00edpad\u011b zvracen\u00ed.<br>Hore\u010dka je vzestup t\u011blesn\u00e9 teploty nad 38,5 \u00b0C v kone\u010dn\u00edku, tedy nad 39 st.C v podpa\u017ed\u00ed.<br>Extr\u00e9mn\u00ed hore\u010dka je teplota nad 41 \u00b0C. M\u016f\u017ee b\u00fdt p\u0159\u00edznakem z\u00e1va\u017en\u00e9ho stavu.<br>Pro pacienta p\u0159edstavuje riziko. Hroz\u00ed k\u0159e\u010de, porucha v\u011bdom\u00ed, odvodn\u011bn\u00ed organizmu.<\/p>\n\n\n\n<p><br>Zjist\u00edme-li u d\u00edt\u011bte hore\u010dku 38,5 st. C v kone\u010dn\u00edku, tedy 38 st. C v podpa\u017ed\u00ed, p\u0159\u00edpadn\u011b i vy\u0161\u0161\u00ed<br>a d\u00edt\u011b p\u0159ij\u00edm\u00e1 bez probl\u00e9m\u016f tekutiny, nem\u00e1 jin\u00e9 varovn\u00e9 p\u0159\u00edznaky (viz.n\u00ed\u017ee), pak zah\u00e1j\u00edme<br>l\u00e9\u010dbu hore\u010dky :<br> <span class=\"has-inline-color has-luminous-vivid-amber-color\">P\u0158\u00cdZNAKOV\u00c1 L\u00c9\u010cBA HORE\u010cKY:<\/span><br>-fyzik\u00e1ln\u00ed ochlazov\u00e1n\u00ed t\u011bla<br>-l\u00e9ky ke sn\u00ed\u017een\u00ed hore\u010dky (pro nejmen\u0161\u00ed je vhodn\u00fd sirup, p\u0159\u00edpadn\u011b \u010d\u00edpky)<br>-dostate\u010dn\u00e9 zavodn\u011bn\u00ed<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><span class=\"has-inline-color has-pale-pink-color\">FYZIK\u00c1LN\u00cd OCHLAZOV\u00c1N\u00cd T\u011aLA<\/span><br>Je-li tepl\u00e1 k\u016f\u017ee na ruk\u00e1ch a noh\u00e1ch p\u0159i hore\u010dce, pak je mo\u017eno podat z\u00e1bal, koupel \u010di vla\u017enou<br>sprchu.<br>Z\u00e1baly \u2013 z\u00e1bal oblasti hrudn\u00edku, b\u0159icha, t\u0159\u00edsel. Osu\u0161ku nebo prost\u011bradlo namo\u010den\u00e9 ve vla\u017en\u00e9 vod\u011b<br>(asi 25 st.C), vy\u017ed\u00edm\u00e1n\u00e9 a ponech\u00e1me p\u0159ilo\u017een\u00e9 15 \u2013 20 min. Pacienta ji\u017e nep\u0159ikr\u00fdv\u00e1me. Pak z\u00e1bal<br>rozbal\u00edme, osu\u0161\u00edme k\u016f\u017ei a p\u0159em\u011b\u0159\u00edme teplotu. Trv\u00e1-li hore\u010dka je mo\u017eno z\u00e1bal opakovat 3\u00d7 b\u011bhem<br>2 hod. Doporu\u010den\u00e1 teplota okoln\u00edho prost\u0159ed\u00ed je asi 24 \u00b0C. Nebal\u00edme d\u00edt\u011b do igelitu !<br>Na l\u016f\u017eko je vhodn\u00e1 deka nebo dal\u0161\u00ed osu\u0161ka k z\u00e1bran\u011b prom\u00e1\u010den\u00ed matrace.<br>Om\u00fdv\u00e1n\u00ed \u2013 ve vani\u010dce s mal\u00fdm mno\u017estv\u00edm vody o teplot\u011b 29 \u2013 32 \u00b0C po dobu 10 \u2013 20 min.,<br>doporu\u010den\u00e1 okoln\u00ed teplota 24 \u00b0C.<br>Sprchov\u00e1n\u00ed \u2013 sp\u00ed\u0161e u star\u0161\u00edch d\u011bt\u00ed &#8211; podobn\u011b vla\u017enou vodou.<\/li><li>*<span class=\"has-inline-color has-pale-pink-color\">L\u00c9KY KE SN\u00cd\u017dEN\u00cd HORE\u010cKY (PARACETAMOL, IBUPROFEN)<\/span><br>Vhodn\u00e9 je pod\u00e1vat jeden druh l\u00e9ku proti hore\u010dce (Paracetamol nebo Ibuprofen). V situaci, kdy<br>hore\u010dka nekles\u00e1 po spr\u00e1vn\u00e9 opakovan\u00e9 d\u00e1vce jednoho p\u0159\u00edpravku i p\u0159\u00edpadn\u011b po pokusech sn\u00ed\u017eit<br>teplotu pomoc\u00ed z\u00e1bal\u016f, nebo koupel\u00ed, pak lze p\u0159idat druh\u00fd p\u0159\u00edpravek proti hore\u010dce. Lze je pak<br>pod\u00e1vat v odpov\u00eddaj\u00edc\u00ed l\u00e9\u010debn\u00e9 d\u00e1vce st\u0159\u00eddav\u011b.<\/li><li><br><span class=\"has-inline-color has-vivid-cyan-blue-color\">PARACETAMOL<\/span> (l\u00e9ky : Paralen, Panadol, Ben-u-ron, Mexalen, Efferalgan\u2026)<br>D\u00e1vkov\u00e1n\u00ed u d\u011bt\u00ed do 10kg:  10 mg\/kg hmotnosti d\u00edt\u011bte na 1 d\u00e1vku po 6 hodin\u00e1ch.                                                           D\u00e1vkov\u00e1n\u00ed u d\u011bt\u00ed nad 10kg:  15 mg\/kg hmotnosti d\u00edt\u011bte na 1 d\u00e1vku po 6 hodin\u00e1ch                                                                  Maxim\u00e1ln\u00ed \u00fa\u010dinek za 30 minut, trv\u00e1 4 &#8211; 6 hod.<br>Paracetamol se pova\u017euje za l\u00e9k prvn\u00ed volby u novorozenc\u016f a p\u0159i p\u0159edch\u00e1zen\u00ed hore\u010dce v r\u00e1mci o\u010dkov\u00e1n\u00ed.                                                                  <\/li><li><span class=\"has-inline-color has-luminous-vivid-orange-color\">IBUPROFEN <\/span>(l\u00e9ky: Nurofen, Ibalgin, Brufen\u2026)<br>D\u00e1vkov\u00e1n\u00ed : 5 \u2013 10 mg\/kg hmotnosti d\u00edt\u011bte na 1 d\u00e1vku po 8 hodin\u00e1ch.<br>D\u00e1vka na den (24 hod.) celkem 15 \u2013 30 mg\/kg hmotnosti d\u00edt\u011bte.<br>Maxim\u00e1ln\u00edho \u00fa\u010dinku na hore\u010dku je dosa\u017eeno za 2 \u2013 4 hodiny, trv\u00e1 4 \u2013 8 hodin.<br>Doporu\u010duje se pro d\u011bti od 2 m\u011bs\u00edc\u016f v\u011bku (resp. od hmotnosti 7 kg).<br>Nepod\u00e1v\u00e1me: d\u011btem mlad\u0161\u00edm 3 m\u011bs\u00edc\u016f nebo s hmotnost\u00ed pod 6 kg, \u017een\u00e1m ve 3. trimestru<br>(posledn\u00ed 3 m\u011bs\u00edce) t\u011bhotenstv\u00ed, p\u0159i v\u0159edov\u00e9 chorob\u011b \u017ealudku, p\u0159i poru\u0161e krevn\u00ed sr\u00e1\u017elivosti.<br>Dal\u0161\u00ed p\u0159\u00edpravek proti hore\u010dce \u2013 mo\u017eno podat a\u017e od 15 let v\u011bku pacienta!<br><\/li><li><span class=\"has-inline-color has-vivid-purple-color\">DOSTATE\u010cN\u00c9 ZAVODN\u011aN\u00cd<\/span><br>P\u0159edpokladem \u00fastupu hore\u010dky je dostate\u010dn\u00e9 zavodn\u011bn\u00ed. Nab\u00edz\u00edme vla\u017en\u00fd nebo i chladn\u011bj\u0161\u00ed \u010daj,<br>p\u0159\u00edpadn\u011b \u010distou vodu nebo vodu s d\u017eusem. U mal\u00fdch d\u011bt\u00ed lze pod\u00e1vat ml\u00e9\u010dn\u00e9 v\u00fdrobky podle<br>zvyklost\u00ed. Nejmen\u0161\u00edm d\u011btem je vhodn\u00e9 p\u0159id\u00e1vat k ml\u00e9\u010dn\u00fdm d\u00e1vk\u00e1m i d\u011btsk\u00fd \u010daj. Zvrac\u00ed-li d\u00edt\u011b,<br>vynech\u00e1me j\u00eddlo, tzn. u mal\u00fdch d\u011bt\u00ed i ml\u00e9ko, pod\u00e1v\u00e1me pak lehce slazen\u00fd \u010daj, sp\u00ed\u0161e chladn\u011bj\u0161\u00ed a po<br>mal\u00fdch porc\u00edch. Stravu vynech\u00e1me p\u0159i zvracen\u00ed na l\/2- l den. Zna\u010d\u00edme denn\u00ed p\u0159\u00edjem v\u0161ech p\u0159ijat\u00fdch<br>tekutin. Pokud po t\u00e9to dob\u011b d\u00edt\u011b ji\u017e nezvrac\u00ed, za\u010dneme p\u0159id\u00e1vat dietn\u00ed stravu podle v\u011bku. M\u00e1-li d\u00edt\u011b<br>pr\u016fjem ned\u00e1v\u00e1me ml\u00e9ko. Kojen\u00ed nen\u00ed t\u0159eba p\u0159eru\u0161ovat.<br>P\u0159i hore\u010dce se pot\u0159eba tekutin nav\u00edc zvy\u0161uje asi o 12% na ka\u017ed\u00fd 1 stupe\u0148 C nad 37 st. C .<br><\/li><li><span class=\"has-inline-color has-vivid-red-color\">Kdy urychlen\u011b vyhledat l\u00e9ka\u0159skou pomoc ?<br><\/span>Je-li hore\u010dka + n\u011bkter\u00fd \u010di v\u00edce z n\u00ed\u017ee uveden\u00fdch varovn\u00fdch p\u0159\u00edznak\u016f:<br>Obt\u00ed\u017en\u00e9 d\u00fdchan\u00ed.<br>Obt\u00ed\u017en\u00e9 polyk\u00e1n\u00ed spojen\u00e9 se slin\u011bn\u00edm, odm\u00edt\u00e1n\u00ed se polo\u017eit na z\u00e1da.<br>Namodral\u00e1 barva k\u016f\u017ee.<br>Opakovan\u00e9 zvracen\u00ed a \/ nebo opakovan\u00e9 a \u010detn\u00e9 pr\u016fjmovit\u00e9 stolice.<br>Nedostate\u010dn\u00fd p\u0159\u00edjem tekutin.<br>Neprobouzen\u00ed \u010di nedostate\u010dn\u00fd kontakt (apatie).<br>Pl\u00e1\u010d neuti\u0161iteln\u00fd ani v n\u00e1ru\u010d\u00ed rodi\u010d\u016f.<br>Vyr\u00e1\u017eka typu \u201emod\u0159inek\u201c, krv\u00e1cen\u00ed do k\u016f\u017ee (\u010derven\u00e9, fialov\u00e9 fl\u00ed\u010dky) .<br>Svalov\u00e9 k\u0159e\u010de.<br>Bolesti p\u0159i p\u0159edklonu hlavy a posazov\u00e1n\u00ed, siln\u00e9 bolesti hlavy, sv\u011btloplachost.                                                                                                         <\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p><span class=\"has-inline-color has-luminous-vivid-orange-color\"><strong>Ka\u0161el u d\u011bt\u00ed:<\/strong><\/span><\/p>\n\n\n\n<p><span class=\"has-inline-color has-luminous-vivid-amber-color\">L\u00e9ky na such\u00fd ka\u0161el <\/span>\/tlum\u00edc\u00ed ka\u0161el\/<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td>N\u00e1zev<\/td><td>\u00fa\u010dinn\u00e1 l\u00e1tka<\/td><td>l\u00e9kov\u00e9 formy<\/td><td>v\u011bkov\u00e1 hranice<\/td><\/tr><tr><td><strong>Stoptussin Sinecod Tussin<\/strong><\/td><td>butamir\u00e1t (+guaifenezin)butamir\u00e1tbutamir\u00e1t<\/td><td>kapky, sirup, tabletykapky, sirup, tabletykapky<\/td><td>od 6 m\u011bs\u00edc\u016f od 2 m\u011bs\u00edc\u016f od 2 m\u011bs\u00edc\u016f<\/td><\/tr><tr><td><strong>Ditustat<\/strong><\/td><td>dropropizin<\/td><td>kapky<\/td><td>od 6 m\u011bs\u00edc\u016f<\/td><\/tr><tr><td><strong>Levopront<\/strong><\/td><td>levodropropizin<\/td><td>kapky, sirup<\/td><td>od 2 let<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><span class=\"has-inline-color has-vivid-green-cyan-color\">L\u00e9ky na odka\u0161l\u00e1v\u00e1n\u00ed<\/span>  \/vlhk\u00fd ka\u0161el\/ &#8211; nen\u00ed doporu\u010deno pod\u00e1vat u d\u011bt\u00ed do 2 let v\u011bku &#8211; nadprodukce hlenu<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><table><tbody><tr><td>N\u00e1zev<\/td><td>\u00fa\u010dinn\u00e1 l\u00e1tka<\/td><td>l\u00e9kov\u00e9 formy<\/td><td>v\u011bkov\u00e1 hranice<\/td><\/tr><tr><td><strong>Stoptussin<\/strong><strong>Robitussin expectorans<\/strong><\/td><td>guaifenezin + butamir\u00e1tguaifenezin<\/td><td>kapky, sirup, tabletysirup<\/td><td>od 6 m\u011bs\u00edc\u016fod 2 let<\/td><\/tr><tr><td><strong>Ambrobene<\/strong><strong>Ambrosan<\/strong><strong>Mucosolvan<\/strong><strong>Flavamed<\/strong><\/td><td>ambroxol&nbsp;<\/td><td>roztok, sirup, tablety, kapslekapky, sirup, tabletyroztok, sirup, tablety, kapslerotok, tablety, \u0161umiv\u00e9 tablety<\/td><td>od narozen\u00edod narozen\u00edod narozen\u00edod 2 let<\/td><\/tr><tr><td><strong>ACC sirup pro d\u011bti MucobeneNAC<\/strong><\/td><td>N &#8211; acetylcystein<\/td><td>sirup, \u0161umiv\u00e9 tablety, kapsleroztok, pastilky\u0161umiv\u00e9 tablety\u0161umiv\u00e9 tablety&nbsp;<\/td><td>pod 2 rokyod 6 m\u011bs\u00edc\u016fod 14 letod 14 let&nbsp;<\/td><\/tr><tr><td><strong>Erdomed<\/strong>&nbsp;<\/td><td>erdostein (pozn. pouze na recept, l\u00e9k pln\u011b hrad\u00ed pacient)&nbsp;<\/td><td>sirup, tablety, kapsle&nbsp;<\/td><td>od 3 let (od 15 kg)&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Cvi\u010den\u00ed p\u0159i vadn\u00e9m dr\u017een\u00ed t\u011bla \/pdf\/ &#8211; zde Zah\u00e1jen\u00ed p\u0159\u00edkrm\u016f pdf ke sta\u017een\u00ed-zde Cvi\u010den\u00ed ploch\u00e1 noha &#8211; zde Covid 19 &#8211; hygiena karantena , izolace &#8211; zde Hore\u010dka u d\u011bt\u00ed Norm\u00e1ln\u00ed t\u011blesn\u00e1&nbsp;teplota&nbsp;d\u00edt\u011bte se pohybuje mezi 36 a 37 \u02daC, ov\u0161em norm\u00e1ln\u00ed&nbsp;teplota&nbsp;u kojenc\u016f m\u016f\u017ee b\u00fdt i lehce p\u0159es 37 \u02daC. Hore\u010dkou<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-74","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Praktick\u00e9 rady a informace - MUDr. Jan Saitz<\/title>\n<meta name=\"description\" content=\"Nest\u00e1tn\u00ed pediatrick\u00e9 zdravotnick\u00e9 za\u0159\u00edzen\u00ed v Mohelnici na Okru\u017en\u00ed ulici.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pediatrmohelnice.cz\/index.php\/prakticke-rady-a-informace\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Praktick\u00e9 rady a informace - 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