Monday, June 22, 2020

Correct understanding and prevention of fever in children

Many parents are always helpless about fever in children, even if there are some very sensible parents, they will inevitably be anxious. Due to the influence of some traditional ideas, until now many parents are difficult to get out of the misunderstanding when facing their children's fever. If you correctly understand the causes of children's fever and the correct treatment methods, as well as preventive measures, I believe many parents encounter children's fever. It will calm down.

First of all, let’s understand what fever is. Some parents accidentally touched their child’s body, and even went to the hospital without even knowing the temperature. In fact, there are many reasons for the child's fever, such as when the child is crying, after eating, the outside temperature is too high, the clothing is covered too much, evening and night, etc. There are also some infection factors, such as viral or bacterial infections.

What exactly is fever in the real sense?

Generally, when a child has a fever, keep the child as calm as possible, take off too much clothes, and measure the temperature again after about 10-20 minutes. If it returns to normal and the mental state is good, it is not pathological fever. If you still have fever, accompanied by changes in mental behavior, diet, sleep, and activities, it may be true fever. Normal children's axillary body temperature is 36-37 ℃, more than 37.5 ℃ can be considered fever. In fact, fever is one of the body's self-protection mechanisms. It is a symptom manifested by the body in regulating the immune system to fight infection. To a certain extent, it is not completely a bad thing for children to have fever. Do not take fever measures too actively, but it may not be conducive to the recovery of children.

Secondly, understand the problems encountered during the fever process. Once the child confirms the fever, some parents will be at a loss, and they will be repeatedly taken with oral antipyretics or even injections. They are worried that the fever will burn the brain. In fact, the fever is just a symptom. The brain is stupid, but the cause of fever: infected bacteria and viruses may cause pneumonia, encephalitis or other parts of the damage, so when the child encounters a fever, while controlling the high fever, see the doctor to actively look for the cause, symptomatic treatment.

In fact, most colds are viral infections and are self-limiting diseases. There is a process of occurrence, development, and resolution. Generally, there are 5-7 days. There are currently no special antiviral drugs, and there is no need to inject antibiotics unless accompanied by poor eating and dehydration. Symptoms can be supplemented with electrolytes, generally symptomatic oral Chinese medicine for clearing heat and detoxification. If it is a bacterial infection, it is necessary to use antibiotics under the guidance of a doctor to "fix the root cause" treatment. Only when the root cause is cured and the bacteria and viruses are completely subdued, the fever will disappear.

The first method for parents to reduce fever is physical cooling, but some methods are not correct, for example:

(1) Apply the ice pack to the body: it will allow more heat to accumulate in the body and will not be dissipated. Serious fever will cause convulsions. The surface temperature cannot represent the body temperature. The shrinkage of the pores will allow the heat to gather in the body, resulting in cold hands and feet .

(2) Wipe the whole body with alcohol: Alcohol is a volatile liquid, easily causing chills and causing body temperature to rise again; the risk of alcohol allergy such as rash, itching, etc.; alcohol can be absorbed through the skin and respiratory tract, easily causing alcohol poisoning, and possibly even Induced arrhythmia. The normal method is to use 75% medical alcohol to double the warm water, soak a small towel and take it out, scrub the sick child's neck, armpit, thigh root, hand, foot and other places for several minutes. Do not wipe the chest and abdomen to avoid body temperature The drop is too large; the same part cannot be wiped continuously and repeatedly.

(3) Fever covering sweat: Covering sweat is age-restricted. If insufficient water is added, it is easy to cause dehydration and it is not recommended to be used at home. In fact, it is a very cost-effective physical cooling method for a child to have a warm bath in a fever. If it is inconvenient to take a bath, rubbing yourself with warm water is also helpful for heat dissipation and fever.

If the axillary temperature is higher than 38.5 ℃, you can choose oral anti-pyretic drugs such as Merrill (ibuprofen), Tylenol (acetaminophen), pediatric fever patch and pediatric fever plug. In the case of persistent high fever, you can consider the alternating use of acetaminophen and ibuprofen. For example, after 2 hours of paracetamol, the fever did not subside, and the minimum interval of administration of paracetamol is 4 hours. At this time, only ibuprofen can be used to alternate. The minimum interval between the two drugs is 2 hours. When used alternately, the maximum number of times each drug is used is still 4 times per day. If the axillary temperature is higher than 39°C, it is necessary to prevent high fever convulsions (loss of consciousness, eye turnover, muscle rigidity, or spasm and convulsions). Excessive body temperature can stimulate the cerebral cortex and cause abnormal discharge, causing high fever convulsions. However, only about 4% of children occur. Although it looks terrible, it usually stops within 5 minutes and does not cause permanent physical damage. However, when the next fever occurs, there is a possibility of recurrence. It is generally recommended to have a fever in the child It is necessary to prevent oral antipyretics at 38℃. If the febrile convulsions exceed 5 minutes, you should go to the hospital immediately.

Finally understand the prevention of fever

(1) Pay attention to rest. Winter and spring are the seasons of high incidence of various infectious diseases. Do not take children out of public places and crowded places.

(2) Maintain indoor air circulation and open windows 2 to 3 times a day to ensure fresh indoor air. The fumes in the kitchen and the cigarettes in the room are easy to reduce the baby's resistance and contract diseases, so try to avoid it.

(3) Remember to take your baby regularly for preventive vaccination on a regular basis. If your baby is weak, flu vaccine, pneumonia vaccine, etc. should also be considered for vaccination.

(4) Insist on breastfeeding, add cod liver oil in time, and get more sun exposure, which is great for increasing the ability of respiratory system mucosa to resist diseases.

(5) Add more water and vitamin C, eat more fruits, vegetables, and soup, but be careful not to eat too much at a time. The diet should be light and easy to digest when fever occurs.

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