Las Vegas Review-Journal (Sunday)

Tips to follow to prevent poisoning in children

Parents must beware: Kids are curious — even about meds

- DR. ELIZABETH MURRAY ASK THE PEDIATRICI­AN Dr. Elizabeth Murray is boardcerti­fied in pediatrics and pediatric emergency medicine. She is an assistant professor in Pediatrics and Emergency Medicine at the University of Rochester.

EVERY year, about 50,000 U.S. children visit the emergency room because they swallowed something potentiall­y dangerous. The good news is that most of those children go home without having suffered any serious harm. The scary news is that about 9,000 children need to be hospitaliz­ed, and some die from poisoning.

Today, opioids are the most common substance contributi­ng to fatal poisonings among children age 5 and under. The proportion of opioid-related poisonings are on the rise, contributi­ng to 52.2 percent of deaths in 2018 compared with 24.1 percent of poisoning-related deaths in 2005, a new study shows.

Children are curious. Exploring what objects feel and taste like is part of how they learn about the world around them. There are some steps that caregivers can take whether at home or visiting others to help prevent a tragedy.

Some tips to keep medication­s out of the hands of children:

■ Store all medication­s in a cupboard or on a high shelf, well out of a child’s sight. In about half of overthe-counter medication poisonings, the child climbed onto a chair, toy or other object to reach the medication.

■ Keep medicines in their original containers, with child-safety caps.

■ If there are controlled substances (such as prescripti­on pain medication­s or ADHD medicine) consider using a locked box for extra safety.

■ Keep track of how many pills are in the bottle and write the start date on the label. This way, if a spill occurs, you’ll know if any are missing.

■ When giving your child medicine, lean over a counter or table. This helps contain any accidental spills.

■ Any medication can be dangerous, so treat all products with the same respect. We worry about opioids, but some blood pressure and diabetes medication­s can be fatal to a toddler who swallows only one pill.

■ If a medication spills, vacuum or sweep the area as an extra precaution to ensure nothing is missed.

■ Dispose of unused medication­s — especially opioids — at pharmacies, drug “take back” programs or doctors’ offices.

■ Know basic first aid and keep the Poison Center Number (800-222-1222) stored in your phone.

■ Get into the practice of safe medication storage, starting as soon as your baby is born.

Sometimes children are prescribed painkiller­s for an injury or medical concern. While many people believe opioids work best for pain, recent studies show that nonopioid medicines such as ibuprofen and naproxen, as well as nonmedical approaches, can be just as effective.

If children continue to have severe pain, a doctor may prescribe a pain reliever that contains an opioid. If your child is prescribed an opioid, it is important to monitor your child’s use of it. It should be taken exactly as prescribed, and for the shortest time necessary. Also consider talking with the doctor about co-prescribin­g naloxone, which can prevent opioid overdose deaths, whenever an opioid is prescribed.

Children who learn about medication safety at home are less likely to use drugs than those who don’t learn this at home. Start talking about medication safety early by advising young children not to take any pills without asking you first.

 ?? Getty Images ?? Store all medication­s in a cupboard or on a high shelf, out of a child’s sight.
Getty Images Store all medication­s in a cupboard or on a high shelf, out of a child’s sight.

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