Therefore, when a child has a fever, antipyretics, ice packs and warm baths are all done at one time, and the combination of traditional Chinese and western medicine is all-encompassing.
Under the control of fear, it is very likely to make irrational choices, let children take drugs that they should not take, and bear the risk of unnecessary side effects, which is really regrettable.
Therefore, the first step to resolve "fever phobia" is to understand 12' s misunderstanding of fever and operation.
Fever is a disease.
A fever means that the child's body temperature (anal temperature) is higher than 38, or the axillary temperature is 37.5.
Fever itself is not a disease, but a symptom of a disease, the most common of which is infectious disease.
2, according to the body temperature to judge the condition.
The change law of body temperature has certain reference significance for the diagnosis of diseases, but compared with body temperature, children's mental state is more meaningful for the judgment of illness.
3, fever should be quickly reduced.
Fever is a defense mechanism for the human body to cope with infection, which is conducive to the recovery of the disease.
For normal healthy children, it is not necessary to cool down before they are obviously uncomfortable (generally, the anal temperature is 39 and the oral temperature is 38.5).
4. A fever will burn your brain.
People's body temperature is controlled by the hypothalamic thermoregulatory center, which rarely exceeds 4 1 when it is hot, so fever will not burn to the brain.
Fever affects the brain, and the culprit may be meningitis, not fever.
5, fever without taking medicine will not reduce the fever.
Children's diseases are mostly respiratory and enterovirus infections, mostly self-healing diseases, and will return to normal after the course of the disease passes the body temperature.
But most of them can heal themselves without drugs.
Antipyretics can improve children's comfort when they have a bad fever.
When serious bacterial infection occurs, the use of antibiotics according to the doctor's advice can improve the survival rate of children.
6, the child has a fever to 39 (anal temperature), to take antipyretics.
Rational drug use is mainly based on children's mental state and comfort.
If the child has no discomfort, even if the anal temperature exceeds 39, antipyretics can be used;
If the child's mental state is not good and the comfort is not good, even if the anal temperature does not reach 39, antipyretics can be used.
7. After taking antipyretics, the body temperature should drop to normal immediately.
It usually takes half an hour to 1 hour for antipyretics to take effect. After taking effect, the body temperature can generally drop by 1. 1.5, but not necessarily to normal.
The purpose of taking antipyretics is not to make the body temperature normal, but to alleviate the discomfort caused by fever to children.
8, antipyretics can prevent febrile convulsions.
Whether the child has a fever has nothing to do with the use of antipyretics, but with the child's own physique.
Current studies have confirmed that antipyretics cannot prevent febrile convulsions.
9, the child fell asleep with a fever, but also woke up to feed antipyretics.
There is no need to wake up the child to take medicine. It's better to be asleep than awake.
10, fever, blood transfusion fever soon.
Blood transfusion is mainly used for severe bacterial infection, inability to eat, hypertonic dehydration, etc. , but it is not specially used to reduce fever.
When fever needs to be reduced, oral antipyretics are the first choice.
1 1, antipyretic needle and drug enema can quickly reduce fever.
Analgin, antipyretic needle, medicinal enema, nimesulide oral preparation, etc. , are not suitable for children.
12, physical cooling is the first choice for children with fever.
According to the latest fever guide, physical cooling method is of little significance to help children reduce fever.
It is not recommended to use warm water bath to reduce fever for children, and it is not recommended to use ice water or ethanol bath to reduce fever.
Fever usually goes through three stages:
Heating period-high fever period-fever reduction period.
If these three stages are properly cared for, it can greatly reduce the discomfort of children and help them recover from thrombosis as soon as possible.
1, heating period
Pale skin.
Chill or chill.
Calm down.
Goose bumps.
There are manifestations such as dryness, no sweat, and cold limbs.
Keep warm moderately.
Drink more warm water.
Observe the body temperature.
Take antipyretics when you have a high fever.
2. High fever period
Hyperthermia refers to a period of time after the temperature rise reaches the peak, which is also called the duration of hyperthermia.
The temperature is very high.
The skin is red and hot.
Breathing and heart rate increase.
Sweating on the skin.
Symptoms of thirst and general pain appear.
Let the children have enough rest.
Drink more water.
Eat liquid food.
Reduce clothing moderately.
Children within 3 months
Children within 3 months should go to the hospital as long as their body temperature is higher than 38.
Because in this age group, especially in the neonatal period (0.28 days), more than 10% of fever is caused by serious infections, such as bacteremia, meningitis, pneumonia and so on. And the newborn's immune system is very imperfect, which can easily lead to serious consequences.
Children over 3 months old
For children over 3 months old, it is very important to judge their mental state if they are observed at home. If they are in a bad mental state, they should also go to the hospital.
When do you take medicine?
Children can take medicine when they feel uncomfortable.
But each child has different tolerance to fever, so the timing of medication can be different.
China's latest guide suggests that it can be used if the anal temperature is above 39 (oral temperature is 38.5), or if the child obviously has a fever.
Both the World Health Organization, American Academy of Pediatrics, and China's fever guidelines all think that ibuprofen and acetaminophen are relatively safer antipyretics for children.
China's previous guidelines suggested that the two drugs could be used alternately in children with superhigh fever.
However, the latest guideline 20 16 clearly does not recommend the combined or alternate use of these two antipyretics.
Because this will increase the risk of using the wrong medicine or overdose, it is recommended to choose only one.
3. Fever period
Febrile period is a period of hypothermia.
Entering the hypothermia period shows that the cause of the child's fever has been effectively controlled and the body temperature has gradually returned to normal level.
After 24-hour observation, the body temperature was stable and did not increase.
Skin blood vessels dilate and sweat a lot.
The skin is obviously moist.
Although the child's hypothermia period is the recovery period of the disease, reducing fever does not mean complete recovery.
When the child's body temperature drops, he will lose a lot of body fluids due to a lot of sweating, so he should replenish enough water in time.
Change clothes in time to avoid getting cold in wet clothes.
Eat scientifically, give children digestible food, and don't force them to eat.
Don't play too much with children, and don't let them do strenuous activities.
Tips for Yu Keyuan
Although the child's fever worries us, it is a sign that the immune system is working.
Children's immune system is constantly improved in the process of contact with germs.
When the child is older, the frequency of fever will be less and less.
So has your "fever phobia" been cured a little?
I hope we can be more and more calm on the road of parenting!