What to do if your 2-year-old baby vomits in the middle of the night

If a two-year-old baby vomits in the middle of the night, parents should observe more closely and find out the real reason for the vomiting. This way, they can prescribe the right medicine and prevent the condition from getting worse. However, the most important thing is to calm the baby and not let the baby panic too much. They can also regulate their stomachs through diet.

The treatment principle of vomiting is: the treatment of nausea and vomiting is mainly etiological treatment and symptomatic treatment. Since the causes of nausea and vomiting are very wide, it is necessary to carefully find the cause in order to actively treat the primary disease and prevent and reduce complications.

1. Etiological treatment

It includes maintaining water and electrolyte balance and acid-base balance, reducing intracranial pressure, protecting the liver and reducing jaundice, removing blood toxins through dialysis, lowering blood sugar, inhibiting gastric acid, resisting infection, calming and relieving mental tension, and surgical operations to relieve gastrointestinal obstruction.

2. Symptomatic treatment

Currently, the most effective way to control nausea and vomiting symptoms is to use antiemetic drugs. The drugs commonly used for antiemetic treatment include phenothiazines (such as phenergan, diphenhydramine, etc.), dopamine receptor antagonists (such as metoclopramide, etc.), antihistamines, selective serotonin receptor antagonists (such as metoclopramide, cisapride), etc. [1]

(1) Eliminate the patient's anxiety, keep the environment clean and quiet, and express concern through words and attitude.

(2) When vomiting, help the patient sit up and spit the vomit into a container. For those who are unable to sit up due to illness, you can help the patient lie on his side with his knees slightly bent, or lie on his back with his head tilted to one side to prevent vomitus from being inhaled into the trachea and causing suffocation or aspiration pneumonia.

(3) After vomiting stops, the patient should rinse his mouth and clean the contaminated clothes, bedding and environment.

(iv) Pay attention to the nature, amount and frequency of vomitus, and record them in detail. If necessary, collect specimens for examination. If the patient vomits frequently and in large quantities, closely observe changes in breathing, pulse, and blood pressure, and give intravenous fluids in a timely manner to replenish nutrition, water, and electrolytes.

(V) For patients with frequent vomiting, acupuncture can be performed on the Neiguan, Zusanli and other acupoints, or antiemetic drugs such as metoclopramide (Metoclopramide) and domperidone (Motilium) can be given as prescribed by the doctor. After taking antiemetics, you should not relax your observation of the condition to prevent it from masking other conditions.

(VI) Oral care: Oral care should be performed daily to remove bad odor in the mouth and prevent stomatitis. During nursing, care should be taken to avoid irritating the tongue, pharynx, upper palate, etc. to prevent inducing vomiting.

(VII) Health Education

1. Let the patient maintain an optimistic attitude and a good mental state.

2. Since vomiting can have adverse effects on the body, patients should be informed of the importance of replenishing water and can be given light, delicious, less greasy and easily digestible food. Do not eat unclean food and avoid irritating food.

2. Instruct patients and their families to adopt the correct posture when vomiting to prevent vomitus from being accidentally inhaled into the respiratory tract.