High temperature in a child
High temperature in a child
Ambulance for children : 8 (812) 327-13-13.
High temperatures are the most common cause of parental concern about the health of children. Often it is precisely measuring the body temperature helps to determine what is happening with the child - he just has a bad mood or baby after all the same fell ill.
Where, how and how should the temperature measure?
The body temperature can be measured in a variety of places - in the armpit, in the rectum, in the mouth, in the outer hearing aisle (by the way, these are not theoretical reasoning - in different countries the temperature is measured in different ways). In Russia, it is customary to measure the temperature under the arm - this should be done because for each measurement of temperature there are normal numbers, and your Russian doctor is used to navigate to the axillary temperature. In turn, being in another country, it makes sense to tell the doctor that the temperature was measured under the arm. Today, along with the familiar mercury thermometers, electronic thermometers obtained wide distribution. If you are not very accurate, it is better to use exactly such a thermometer - one broken mercury thermometer problems will not create, but if you are used to beat them regularly, mercury vapor level in your apartment can reach numbers dangerous to health. Many complain about the incorrect operation of the electronic thermometer - there are several tricks that will help to cope with this problem. First, by purchasing an electronic thermometer, it should be checked by measuring its temperature at the same time by an electronic and mercury thermometer - the permissible difference should not exceed 0.2 º. Secondly, especially when measuring the temperature in children, the sound of the buzzer should be ignored and hold the thermometer for another minute - the result will be more reliable. There are few words about the so-called ear infrared thermometers: their undoubted advantages should include the speed of measurement - only two seconds. However, at the best possible, you get the temperature of the eardrum - enough to track the temperature dynamics, but may not satisfy your doctor, because The difference between the ear and the axillary temperature is not constant size and accurate recalculation is impossible. In the worst (and very frequent) case, the auditory passage is filled with gray - with the numbers on the display of your thermometer will have a very distant attitude to the body temperature of the child. The same can be said about remote infrared thermometers for measuring the temperature of the forehead - their accuracy is also far from ideal. The "advanced" new products can be paid attention to the so-called. "The smart children's thermometer Xiaomi - with an overview of this fashionable device can be found here https://news.rambler.ru/other/38877929-obzor-detskogo-termometra-xiaomi-vse-zhivy/ reports of real users about convenience and accuracy are not bad. Buy this device today is not difficult, but everything sold is "gray" supplies, since this device has no mandatory certification in accordance with Russian requirements today has no.
Thus, the most accurate is the old good mercury thermometer. All know how to use it, however, I would like to stay at a few points. First, if the child swept, you should first dry the armpit. Secondly, putting the thermometer, you should make sure that its tip is under the arm, and not sticking out the outside. Thirdly, keep the thermometer under the arm should not less than five minutes. Sometimes these five minutes can be a heavy test for the parent psyche - some children do not like the thermometry procedure. In this case, you can use the old grandmother's way - to put the thermometer not in front of the back, and in the back in advance. At the same time, the child does not see the protruding thermomemologist and often behaves calmer. The method of measuring temperature, which does not require a thermometer in general - many parents (and especially grandmothers) often claim that they are able to determine the child's temperature with an accuracy of tenths, touched by hand or lips. I categorically not advise to use this way - it's not just that such allegations, to put it mildly, are somewhat exaggerated. Unfortunately, this method gives the maximum errors precisely when the knowledge of the exact body temperature is especially necessary - with the so-called "pale" fever (more about this unpleasant condition we will talk later).
What temperature should be considered increased?
Formally, the temperature is higher than 37º. However, in healthy children of any age after anxiety, physical activity or simply after eating the temperature can increase to 37.5 and even up to 38º. Healthy children of the first month of life are also not distinguished by accuracy in the regulation of their own temperature, and in premature children and children with neurological problems, the instability of the temperature may be observed in an older age. In the cases listed cases, the temperature measured in an hour is usually normal. Another state that can lead to an increase in temperature in a healthy child is a teething of teeth (or, otherwise, dentation). At the same time, the temperature can increase to 38 or more degrees and hold on over a day. However, parents should not independently decide whether a long-term increase in temperature is connected with teething. In this case, the child should show a doctor - because the teeth in the child will be cut almost continuously from 4 months to 2 years, and, regarding any increase in temperature as a dentation, you can skip the beginning of a serious illness, the only visible for you (but not for a doctor) the symptom of which There was an elevated temperature. Common overheating of the body can also lead to an increase in temperature, while in a few hours of stay in comfortable conditions the temperature becomes normal and no longer increases. The temperature increases after preventive vaccinations. Despite the fact that a moderate increase in temperature after some vaccinations is considered a normal vaccine reaction, in this case it is better to show a child's child.
High temperature in a child without simtoms
The body temperature in the patient is usually elevated. Taking your attention to this well-known truth, I just want to emphasize that if the elevated temperature of the "healthy" child is a reason for serious concern and appeal to the doctor, then the elevated temperature (or, otherwise, fever) in a child examined by a doctor and receiving Treatment is a completely normal situation with which parents are usually able to cope with themselves (naturally, using medical appointments). The danger of high temperature for the child is significantly exaggerated - stories that may not withstand the heart and many other horns are rather relevant not to medicine, but to folklore. However, certain medical problems can really be associated with high temperatures. The first (and the most frequent) of them are poor well-being of a temperature child. Indeed, although children usually carry the increased temperature lighter than adults, long fever can worsen the mood, sleep and appetite kid. Another problem is a high temperature in children with vomiting or diarrhea: such children have a major danger to the risk of dehydration, and against the background of high temperatures, the loss of fluid associated with breathing is significantly increased (the liquid is spent on moisturizing exhaled air). The third problem (relatively rare) is the problem of febrile convulsions (that is, seizulosis associated with high temperatures).
Indeed, in some children against the background of high temperature, a convulsive attack may develop. However, this problem is not as terrible, as it may seem - first, the attack of febrile cramps is always short, it passes independently and never gives serious complications, secondly, in children over three years old, febrile convulsion does not happen, thirdly, if Your child has already been sick with a high temperature and without convulsion, this problem does not have a relation to him at all.
What if it is not clear if your child has signs of pale fever?
In this case, follow a very simple rule - it is better to give vasodinating drugs when there is no need (these drugs in the age doses are almost harmless) than to skip their reception when they are needed. By the way, the fever above 39º should always be considered pale (without disorders of heat transfer, the temperature to such numbers will simply not rise). The listed recommendations can be represented as a brief scheme that it is convenient to rewrite and put in a children's first aid kit.
The diagram of the use of antipyretic and vasodilating drugs at high temperatures in children.
one. Temperature below 38º - There is no need to reduce.
2. Temperature 38 - 39º
2.1 Pink FeverPrequest: Pink Leather, Warmops, Ozchoba NO. Preparations: Paracetamol or Nurofen
2.2 Pale fragmentation: Pale or marble skin, cold feet, chills or "goose leather". Preparencies: paracetamol or nourofen + but-shpa or papaverine
3. Temperature above 39º Preparations: paracetamol or nurofen + but-shp or papaverine + analgin
Note: This scheme cannot be applied if: 1. Child under three months.2. The child suffers from a severe chronic disease. The child in the past marked unusual reactions to one of the recommended preparations.4. There are contraindications to the use of one of the recommended drugs.5. Another procedure for the use of drugs was prescribed by the doctor.
What if, despite the fulfillment of all recommendations, the thermometer bar does not fall below 39º or sign signs of vascular spasm (pale fever)?
In this case, you still have to call Emergency help . Extra inspection of a doctor in this situation is absolutely necessary - it is possible to change something in the treatment scheme. In conclusion, I would like to bring an exemplary list of antipyretic drugs for your home aid kit. Kit the first-aid kit should be in advance - children are often ill at the most inopportune moment when there is no time to run in the pharmacy.
1. Any paracetamol or nurofen syrup for children. Candles with paracetamol or ibuprofen in the recommended attendant dose. Tablets but-shpa 40mg.4. Candles papaverine 20mg.5. Tablets Analgin 500mg.6. Phone emergency care.
Kanter M.I. Mast Pediatrician Higher Category
Body temperature in children can rise above the norm for various reasons. Most often it increases against the background of the disease, viral or bacterial. Children from 6-8 months can begin to cut the teeth, and often this process is accompanied by a high temperature, sometimes vomiting. While the baby is on breastfeeding, he has a fairly strong immunity, diseases bypass him. As the baby grows, especially after entering public places (kindergarten, playground, school), high temperature, runny nose, cough will become frequent unwanted guests in the life of a small man. At first unpleasant symptoms, you need to consult a doctor. But sometimes it is impossible to quickly get into the hospital when the child has a temperature, and it is necessary to help him somehow.
Causes of high temperature in a child
Normally, an increase in body temperature is a protective reaction of the organism to any infectious or non-infectious diseases, damage. Infectious agents, falling into the body, produce toxins that cause an increase in body temperature. The body, in turn, also produces substances that contribute to the occurrence of fever. Such a mechanism is protective, since on the background of high temperature, all metabolic processes are accelerated, many biologically active substances are intensifying. But when the fever becomes too pronounced, it itself can cause various complications - for example, febrile cramps. Why there arises a high temperature in a child: infectious diseases (ARVI, "children's" and intestinal infections, other pathologies); noncommunicable diseases (nervous system diseases, allergic pathology, hormonal disorders and others); teething (this is one of the most frequent causes of young children); overheat; Preventive vaccinations. There are other causes of fever in a child. These include many urgent states and acute surgical pathology. Therefore, with any increase in the temperature in a child (especially above, 38 ° C), immediately consult a doctor.
How to measure the temperature in a small child
Temperature measurement rules in children: the child must have his personal thermometer, which is treated with warm water with soap or alcohol before each use; During illness, the temperature is measured at least three times a day (morning, day, evening); Measurement should not be carried out when the child is strongly ukutane, crying or is excessively active; High temperatures in the room and bath taking also increase body temperature; Food and drinks, especially hot, can increase the temperature in the oral cavity by 1-1.5 ° C, so the measurement in the mouth should be carried out per hour before or an hour after meals; The temperature determination can be carried out in the axillary depression, the rectum or groin fold - any thermometers; Measurement in the mouth is carried out only with the help of special pacifier thermometers.
Methods of temperature reduction
To reduce the temperature in children at home, drugs are used, wipes, folk remedies. To resort to the listed methods should be if the child's condition is stable and there is no cramp. Otherwise, it is necessary to immediately consult a doctor. Each of the home reduction methods has its own characteristics, however, when using any of them, it is important to adhere to several important rules:
- Sick child should comply with bed rest
- The air in the children's room should be cool, fresh,
- With the heat of the child, it is necessary to wear in light clothes from natural fabrics,
- It is important to remember that frequent urination accelerates recovery, so the child should take a large amount of fluid, warm tea is suitable, compotes.
Some features of the use of various dosage forms: drugs accepted through the mouth, begin to act faster - 20-30 minutes after admission; The effect of suppositories occurs after 30-45 minutes, but lasts longer; If the disease is accompanied by vomiting, it is better to use candles; medicines in suppositories are conveniently used when the temperature of the child rises at night; Preparations in the form of syrups, tablets and powders contain flavors and flavoring additives, so allergic reactions are often caused; If necessary, the use of various drug forms of drugs (for example, during the day - syrup, night - candles), choose funds with different active substances to avoid the occurrence of side effects; The reuse of antipyretic drugs is possible no earlier than 5-6 hours after the previous reception; In case of insufficient decrease in temperature, or re-enhance it in a short time, should not be experimenting - it is better to immediately contact a specialist for additional help.
- Analgin (Spasmalgon)
- Paracetamol (Panadol, Effergangan)
- Ibuprofen (Nurofen)
- Candles of Viborol
Medicinal preparations not used in children
To drugs that are not used in a child include:
- Currently, drugs such as amidopyrin, antipirin or fenacetin are not applied as antipirectrics due to a large number of side effects.
- Acetylsalicylic acid based products (aspirin) are practically not used in children due to their ability to reduce the amount of blood platelets, cause bleeding, allergic reactions, as well as a very difficult complication characteristic of children - Rea Syndrome.
- Analgin and other drugs containing sodium metamisole as a active substance also have a large number of side effects, such as inhibition of blood formation, severe allergic reactions, an excessive decrease in temperature with a loss of consciousness.
These funds are not recommended to use at home.
How to reduce high temperature in a child without drugs
Decrease the temperature of a child without tablets will help ice compresses and wipes. These methods are simple and effective, but have a number of contraindications. So, use the ice is undesirable to combat hyperthermia in children up to 1 year. The best way is to wipe the baby with water, which will reduce the body temperature. Wasten by alcohol and vinegar are also effective, however, the opinions of doctors are contradictory about them. Before the procedure of alcohol or acetic wipes, it is recommended to consult a pediatrician.
Neat use of ice makes it easy to facilitate the condition of the child during fever.
- For the preparation of ice compresses you need ice, bubble for it, cold water, towel or diaper.
- Contraindications: Age up to 1 year
- Preparation for the procedure: Fill a bubble up to half the volume of frozen ice, add cold water to 2/3 volumes, close a bubble tightly for ice and wrap it in a towel (diaper).
- The implementation of the procedure: a bubble wrapped in a diaper is applied to the area of the pattern, elbow joints, popliteate, groin. In order to avoid supercooling, the compress is periodically removed, the continuous exposure time should not exceed 5 minutes.
- Repeat the procedure is allowed after 15-20 minutes.
Wiping with vodka with vinegar
Take measures to reduce temperature, if:
- temperature above 38 degrees;
- There are diseases of the nervous system (epilepsy, centers);
- previously observed convulsions against the background of high temperature;
- There are problems with the cardiovascular system; There is a delusional state of the child;
- There are shortness of breath, heavy breathing, etc. Quickly and effectively knock down the high body temperature of the child at home can be vodka with vinegar.
For the preparation of tincture, it is necessary to mix in equal proportions vodka, vinegar and warm water. Water is added, in order not to burn the skin. After cooking, it is necessary to take a gauze cut or a piece of wool, mix it in the cooked medium, squeeze, after which the forehead and the body of the baby are wrapped. It is necessary to ensure that the solution does not get into the eyes of the child. Many pediatrician pediatricians against wiping the child with vodka and vinegar, as they believe that vodka, penetrating the skin of the skin into the body, can cause poisoning. But, as the practice of many parents of small children shows, it is almost the only means that can reduce the temperature to a hike to a hospital or emergency call. Vodka with vinegar can also be trimmed with adults at high temperatures. It is not recommended to apply a solution to children under the age of year.
Folk remedies for lowering temperature in children
It is possible to reduce the temperature of the child with folk remedies, if a child over 3 years old does not have serious illnesses and overall tolerates high temperature well. How to lower the temperature to the child at home, if it is very small? It is necessary to just give it as much liquid as possible. Breastfish can be given breast milk, and older children are warm water, compote, juice or chamomile children. Drinking should drink a lot, as a lot of fluids are lost at a temperature, especially if there is vomiting or diarrhea.
In an effort to reduce the temperature in a child up to 1 year, moms have a limited number of methods: as a rule, these are drugs and enemas. The use of decoctions and other home recipes inside for children under 12 months is impossible. When striving to overcome a high temperature without drugs, it is worth applying the enema with a chamomile decoction.
- Preparation for the procedure: Pour 3 tablespoons of chamomile pharmacy for water, boil 15-20 minutes, strain, cool, add 2 spoons of vegetable oil.
- Procedure: Pure rubber pear Fill with liquid (30-60ml), remove excess air, lubricate the tip of the Vaseline, enter the pear into the rear passage of the child, gently squeeze the liquid.
Abundant drinking and drinking rapid raspberries cause increased sweating, which reduces heat. Well rose, the baby will certainly feel better. Replacing the use of water and tea only the decoction of raspberries can not, but the delicious and useful drink will noticeably diversify the composition of a used liquid. Prepare raspberry decoction for many recipes, here are the most famous of them.
- Composition: Dry raspberry (2 tablespoons), a glass of water.
- Application: Pour raspberry boiling water, disceise about 30 minutes, strain. Drink raspberry decoction 1 cup 2-3 times a day.
Broth of raspberry, souls and mother-and-stepmother
- Ingredients: 2 tablespoons of dried raspberries, coltsfoots, 1 tablespoon of soul men, water.
- Application: Pour the mixture of herbs and raspberry with water, pour boiling water for 20 minutes, strain. Drink a decoction several times a day for 1/3 cup.
Salicylic acid contained in oranges helps reduce the temperature in the child. Effectively struggle with the heat of fresh fruit, decoction with peel, juice. To prepare a delicious, efficient orange drink you will need: 100 ml of orange juice, 100 ml of lemon juice, 100 ml of apple juice, 75 ml of tomato juice. The listed ingredients are mixed, used immediately after cooking. Drink orange drink is necessary 3 times a day, not forgetting about another liquid - tea, water.
The effects of high temperature in a child
One of the most common complications of high temperature in the child are febrile cramps. They, as a rule, arise in children up to 6 years on the background of temperatures above 38 ° C. Often this reaction to the fever appears in children who have diseases of the nervous system. Signs of febrile cramps in a child: convulsive muscle twitching, which can be both pronounced (with the backstage of the head, bending the hands and straightening of the legs), and small, in the form of shuddering and twitching of individual muscle groups; The child ceases to respond to the surrounding, can be pale and shine, keep his breath; Often, convulsions can be repeated during subsequent temperature increases. When the temperature is high, and cramps have a child - you must immediately call "03". Urgent events at home will be: lay a child on a flat surface and turn on the side of the head; In the absence of breathing after the end of the cramp, start making an artificial respiration; You can not try to insert a child's finger in your mouth, a spoon or other items - it will only harm and hurts; Child should be able to ensure the ventilation of the room, use wiping and antipyretic candles to reduce body temperature; It is impossible to leave a child one at the time of the attack. Moved seizures of children need to observe the neurologist, as well as a full-fledged medical examination to exclude the debut of epilepsy. Thus, you should not wait for the child to have a high temperature. In a timely manner, refer to the doctor for the diagnosis and appointment of therapy. Before use, you must consult with a specialist.
The use of antipyretic drugs will reduce the body temperature of the kid for a while, but will not cure it. Parents must remember that the decrease in temperature is not treatment. With an angina, especially purulent, to bring down the temperature very little children is very difficult. First you need to get rid of inflammation in the throat. At home, you can cook a solution with a solution of soda and salt and give the baby to rinse the throat. Little children up to a year can (as a last resort), wipe the cavity of the mouth and the edge of the neck, wound on the finger of a gauze cut and smearing it in water with soda. The means is effective, but it is necessary to apply it with great care. Sometimes the body temperature may be a symptom of a dangerous disease, such as pancreatitis, appendicitis, etc. Therefore, if it is accompanied by vomiting, diarrhea, pain in the area of the stomach or navel, you must immediately consult a doctor.
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What if the child rose the temperature? This question is sooner or later, every parent is concerned about the health status of the baby. That's just not all moms and dads know which temperature you can and knock down. So, for example, in newborns and cuttings until the year, the indicator up to 37.5-38 degrees, which for us, adults is considered elevated, is the norm. Child a month - the temperature appeared? Reduce it only if it rises above 38-38.5.
As for more adult karapusov, for them this "threshold" - 39-39.5. In the event that the thermometer shows a smaller temperature, it is not worth a knocking down. Remember that elevated temperature in a child is a great opportunity for the body yourself to overcome the infection. Give the baby the opportunity to increase your immunity!
How to reduce the temperature of the child?
And now let's talk about medicines that must be in your first aid kit in the event that the baby will grow in the family. So, pediatricians are forbidden to use for these drugs such as:
Crook can only be given such drugs, which include paracetamol or ibuprofen. Even if the temperature has a child without symptoms, they need to competently calculate the baby in weight and measure using a special syringe or a measuring spoon. You should not use ordinary teaspoons for these purposes, but about the concept of "peephole" is better forget.
How to bring down the temperature in a child?
Doctors advise only one preparation from the above - with paracetamol or ibuprofen in the composition. In the event that the temperature decreases badly or is not knocked down at all, such medications can be alternating. But to give the baby the combined drug - Ibuklin - it is impossible.
Note that it is not necessary to reduce the temperature to the norm at all. It is enough just to knock her down a little to ensure that the kid at least a little improved. Do not forget and draw the cappos, because in the case of a high temperature increases the loss of liquid. Pediatricians claim that the crumb need to drink 100 ml of water per 1 kg of weight.
What if the baby fell ill with windmill?
Your child picked up a wind oil? Of course, this acute viral disease can also cause high temperature. How to act in this case?
The most important thing is to choose the antipyretic agent for the baby. Never use nurofen. To combat high temperatures during the windmill, drugs are suitable, which contains paracetamol.
How to be if a child has a fever?
Does your baby started a fever? Then it is impossible to slow - you need to urgently contact the doctor. Especially in the event that it is accompanied by:
- tension of the occipital muscles;
- Poles in the stomach;
But you should not fall into a panic: fever is typical for most banal viral respiratory infections and high temperatures - about 40 degrees. Thus, our body is responsible for infection. The pediatrician will simply examine the child and pick up the right treatment for him, taking into account the severity of the disease.
What temperature do you need to shoot down in a child with influenza and ORVI?
High temperature causes a children's body to include a protective function. In this case, a general deterioration may be observed in the form of ailment and headaches. The child becomes sluggish and plaque, which brings a lot of concern to parents. Before bringing down a high temperature in a child, you need to clarify the significant nuances.
A minor increase in temperature indicators does not lead to serious consequences and does not require making any measures. Parents need to have reliable information about what temperature should fall. Wrong actions can cause imminent immunity. The risk of developing possible complications and the disease can acquire a protracted flow.
Cases when need to shoot down the temperature in children:
37.2-37.9 ° C (subfebrile) - you need to knock down a newborn to 2 months of age in the presence of testimony;
38.0-38.9 ° C (febrile) - It is necessary to give antipyretic in all cases;
Over 41.0 ° C (hyperthermic) - you need to call an ambulance if the drugs do not lower the indicators on the thermometer.
It is necessary to cause an emergency in the appearance of feverish spasms - this is the intolerance to high temperature, the individual feature of the children's body. This state is usually not found in children over 6 years (subject to the absence of pathologies from the central nervous system).
Chronic or acute diseases in cardiology, neurology or pulmonary disease require a temperature knocking in children if the indicators are above 38 ° C. Otherwise, complications from the heart, nervous system and respiratory system are not excluded.
If there are difficulties with a decrease in temperature, you should urgently apply for medical care. If the thermometer barely reached 37 ° C, and the child looks sluggish, and his well-being is only worsening, you should not expect further increasing indicators on the thermometer.
How to reduce the temperature at home?
Effective folk ways, how to bring down the temperature without drugs in children:
Cranberry berries drink - a unique coogent, lowering heat. The berry is useful in the content of vitamins, speeds up the removal of decay products.
Chamomile tea is an excellent anti-inflammatory agent. For the preparation of infusion tablespoon, chamomile should pour a glass of boiling water, let it stand for 2 hours, drink up to 5 times a day.
Broth of elderberry - effectively helps reduce the temperature. It is enough to take 50 g of eases and pour it with boiling water (200 ml).
Linden tea - gives an excellent result when used with honey. The child will sweather abundantly, which will reduce body temperature, due to evaporation of excess moisture from the skin.
You can wipe the baby's body with a terry towel, moistened with water temperature. Helps applying ice heating in places of large vessels. Also recommended wrapping into a wet towel or sheet.
Before bringing down the temperature at home to the child with medicines, it is necessary to carefully examine the instructions for use. Classic drugs can be bought in pharmacies, pick up the dosage and shape that needs and select the optimal variant depending on age and indications.
Crook can only be given those preparations that contain paracetamol or ibuprofen. Paracetamol is contained in Panadol and Cefecone, ibuprofen - in Nurofen and Ibufen. For kids, these products are available in the form of a syrup, which, unlike tablets, has a sweet taste, and it is more convenient to dose.
Standard antipyretic drugs:
"Panadol". It is permissible to use for babies. The drug is shown in colds, teething, otitis, cough and other infections. Prescribe children aged 3 months and older in individual dosage.
Effergangan. It is used as an anesthetic and antipyretic agent. Rectal candles can be used to eliminate heat in babies aged 3 months and older. Unlike drugs taken orally, it does not cause vomiting and does not affect the gastrointestinal tract.
"Ibufen". Poses painkillers and antipyretic properties. In childhood, this drug is used in a dosage calculated depending on the weight and age of the child.
"Paracetamol". Effective antipyretic and painful agent. It can be alternating with ibuprofen. If you are presented, you can use suppositories (candles).
"Cefecon D". Produced in the form of suppositories, recommended for use from 3 months to 12 years. Important advantages of the drug are its low cost and versatility. In addition to reducing the temperature, an anti-inflammatory and painkillers have an anti-inflammatory effect.
The children's body can react to different medications in different ways, so it should be experimenting in practice, determining a more effective means based on the Pediatrician Recommendation.
When taking drugs, a number of rules should be observed:
1. It is impossible to give several drugs at the same time.
2. Preparations can be alternating, but the interval between drug intake should be 2-3 hours.
3. Dosing syrups is recommended by a measurable spoon or a syringe that are included.
4. If a child is sick 1 year and younger, then it is recommended to use suppositories. Older children easily take pills and capsules. Without the recommendation of the doctor, antipyretic drugs can be prescribed to children no longer than 3 days in a row and no more than 4 times a day.
5. Parents should understand that high body temperature is just a symptom indicating a specific disease. The reception of the antipyretic funds is not treatment, it is only necessary to facilitate the condition of the child before the arrival of the doctor.
What can not be given to children?
Reduce the temperature to the child is not difficult - today there are many drugs that shoot a fever in a short time. But it is pre-consult with a qualified pediatrician, because Self-medication can affect the health of the baby.
If the indicators do not exceed 38.5 ° C, it is not worth the temperature, because The body independently produces antibodies that contribute to the destruction of viruses - so to say it is struggling with infection.
Medicines that are not recommended for children:
amidopin, antipirine and fenacetin (many side effects);
acetylsalicylic acid (reduce the amount of platelets, causing bleeding, allergic reactions, etc.);
Analgin and other preparations containing sodium metamizole as an active substance (there are side effects, such as suppression of blood formation, severe allergic reactions, etc.).
These drugs are not recommended to use without the recommendations of the doctor. When you need to shoot down the temperature, give preference to another drug.
Do I need to shoot down the child's temperature to 36.6?
If after using the antipyretic, the indicators have decreased by 0.5 ° C for an hour, which means the normal course of the process. Should not be achieved immediately reach 36.6 ° C. This can cause serious overload of the children's body, which is fraught with a deterioration of general well-being.
The ideal indicator will be the temperature of 37-37.5 degrees. After some time, a jump can be observed again. This is due to the fact that the active component of the medication is excreted from the body and ceases to effect. If after receiving the drug passed several hours, you can give the child another dose. It is very important to observe the time intervals between the techniques and monitor the temperature indicators.
In case of effective struggle of immunity with pathogenic microbes and, with a competent approach to treatment, recovery, as a rule, is 3-5 days.
How to help the body of a child deal with infection?
Regardless of compliance with the recommendations on what temperature to shoot down in children, it is necessary to take care of creating the necessary conditions for the patient. All family members should improve the quality of personal hygiene: wash hands, wear disposable gauze bandages, etc. You also need to highlight the child individual cutlery and dishes.
Recommendations for speedy recovery:
1. The sick child must comply with bed regime.
2. It is necessary to air the room in which the baby is located (the influenza virus and other microorganisms are concentrated in the fox air).
3. You should take care of the humidification of the air (while the mucous membranes of the nose and the larynx do not dry; it improves local immunity and contributes to improved well-being).
4. It is necessary to provide abundant drinking (through the kidneys are derived from the decay of viruses, which reduces the burden on the body).
5. Clothes in the kid should be light, better from natural fabrics.
6. It is considered a normal lack of appetite in the kid. Spices, citrus, dairy products should be avoided, which can cause irritation of the gastric mucosa. Hot bath at high temperatures is not the most pleasant feeling, but cool (not cold) water can help normalize indicators.
7. It is recommended to use a bath together with antipyretic agents, not instead of them. Some relief can also be obtained by attaching a cool compress to the forehead.
When do you need to quickly consult a doctor?
During fever, breathing is surrounded, the child arises oxygen starvation. Excessive sweating deprives the organism of the required amount of fluid. As a result, blood becomes curly, which disrupts the blood supply to the internal organs. In addition, the effectiveness of drugs is reduced by drying the mucous membranes.
The behavior of the child is changing, the mood is worsening. Children with nervous disorders or under 6 years of age are threatened with feverish convulsions. With a sharp increase in the temperature, there is an overheating of the body, accompanied by the development of hyperthermia syndrome.
Contact the specialist is necessary in the following cases:
On the thermometer, the mark exceeds 39-39.5 ° C;
Temperate child under the age of 3 months;
Fever keeps more than 4 days;
On the body, the patient appeared rash;
> there is a strong headache;
There appears stiffness of the muscles of the neck;
There is nausea, vomiting or diarrhea.
High temperature is dangerous for the child's body. The result of the absence of proper measures may be a violation of the immune system and blood flow, as well as the change in blood coagulation indicators. Hypertermia threatens the development of nervous system disorders, violation of the functions of all internal organs. Therefore, when the heat appears, a small child must immediately take action.
With increasing temperature in the child, write to the reception to a pediatrician having a large practical experience in the clinic "Child". A competent specialist will examine the patient and, if necessary, prescribe a survey to determine the true cause of temperature increase.
The doctor also tells how to reduce the temperature of a child without harm to health. We offer to use the Pediatrician online advice service if there is no possibility to appear in the clinic.
The reason for increasing the temperature in a child with a cold properly measuring the temperature temperature should be incremented to reduce the temperature of the temperature in a child for children to reduce the temperature in a child of what cases a doctor is needed
Walled diseases in children, in addition to the inflamed throat and a cold, are almost always accompanied by an increase in body temperature. This is a natural protective reaction of the body, indicating that the immune system began to deal with pathogenic microorganisms - viruses and bacteria 1.5 . If the baby is colded, a question arises before the parent, to shoot down the child with a temperature. To make a right decision, it is important to deal with the causes of fever and closely monitor the well-being of a small patient.
The reason for increasing the temperature in a child with a cold
When infection falls into the child's body, immunity is activated. The development of the inflammatory response and an increase in body temperature is ways to combat the cold with microorganisms. As a result of the work of the immune system, special biological substances are highlighted, some of which affect the temperature centers in the brain 1. This is how the protective mechanisms of temperature increase are launched in the body. The heat and cheating of the pulse are also associated with a decrease in sweating and acceleration of metabolism. In children, the temperature can rise above 38 ° C very quickly. In some cases, the brain cortex does not have time to adapt to the changes occurring in the body, which provokes the appearance of febrile convulsions 1.5 . That is why high temperatures for kids are recommended to shoot down in a timely manner.
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How to measure temperature
If you have a suspicion that a child has a heat, measure the temperature in the most convenient way - in the axillary cavity or groin fold 3,4. . If you use a mercury thermometer, shook it to 36 ° C or lower. Before starting the measurement, wipe the skin in the area of groin or under the mouse. If the child is over-excited, crying or scared, first let him calm down. Take the baby on your knees, put a degree in the armpit in such a way that its tip is completely in the folds of the skin. When measuring in groin, first put the patient on the barrel, do not cover it with a warm blanket - it can lead to an increase in temperature. Press your hand limb (hand or leg) baby to the body. After 10 minutes, remove the thermometer and write the measurement results.
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What temperature should be shot down
To knock down the high temperature in the child's first two months of life, if the thermometer mark reached 38 ° C 3.6 . Senior children with relatively normal well-being reduced the temperature at 39-39.5 ° C 3.6 . If the baby previously happened convulsions, the antipyretic should be given already at 37.5 ° C. Before you quickly knock down a high temperature in a child at home, appreciate the patient's condition. If the kid feels bad and heavily transfers fever, you should not wait for the thermometer mark 38 ° C 3. In this case, it is advisable to facilitate the patient's condition, making the antipyretic.
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Ways to reduce the temperature of the child
Creating an optimal microclimate. If a child has a temperature and runny nose, it is important to provide coolness in the children's room (18-20 ° C) and optimal humidity (50-60%) 1. Carry the room and launch the patient to bed. Cooking the baby is dangerous: it can quickly lead to overheating and thermal impact. If the child does not shine, it is easy to put it, do not cover with tight blankets.
Abundant drink. At high temperature, the body strongly loses fluid through the skin 1,3. . Baby need to apply as much as possible to the chest or water with water from a children's bottle. An older child can offer warm tea, cranberry Morse or any other drink that the baby will agree to drink. If you want to bring down the temperature in the child, it is better to water fractional and small portions: for some teaspoons every 10 minutes. A large dose of liquid can cause vomiting. If the thermometer's mark has reached 38 ° C, you can use hot drink preparation powders, such as rhinzasip ®for kids. Such drugs at the same time satisfy the need of the body in the liquid and allow to reduce heat due to the action of active components 7.
Physical cooling methods. Various ways of cooling the body apply only if the heat in the baby is not accompanied by a spasm of vessels (limbs not pale and not cold). Help bring down the temperature in a child wiping cool or slightly warm water 2,4,5 . The baby can be carefully wiped with a napkin moistened with a napkin, feet, knee and elbow bends, inguinal folds. It is important that during the procedure a small patient is not frozen, it can again lead to an increase in temperature, progression of a cold, etc.
The use of antipyretic means. One of the safest and well-studied drugs to reduce the temperature in childhood is paracetamol. 4,5,6 . It can be used in the form of candles, tablets, syrups or powder for making hot drinks (for example, rhinzasip ®for kids). To knock down the child with a temperature of 39 ° C for 3-4 hours, it is important to correctly calculate the dosage of paracetamol. Always follow the instructions for the preparation used. Usually, the dose of 15 mg of paracetamol is recommended for one-time reception to each kilogram of the child's weight. For a longer effect, for example, if you need to reduce the high temperature overnight, it is permissible to increase the one-time dose to 20 mg / kg. To reduce heat in children, drugs based on acetylsalicylic acid are not used 1,2,3,5 and funds from a group of non-steroidal anti-inflammatory drugs due to the high risk of side effects.
- Tea with raspberries. Acetylsalicylic acid in raspberries and caffeine in black sheet tea sometimes contribute to improving well-being at high temperature and cold in adults. However, it is not recommended for children such a drink, since side effects due to inaccurate calculation of the dosage of active substances and the risk of allergy develops exceed possible benefits. In addition, in hot water, Malina loses almost all useful properties.
- Herbrails. In folk recipes, it is proposed to be used to reduce the temperature in children decoctions from the inflorescences of the linden, rosehip fruits, and colts-stepmother sheets. It is important to remember that the substances contained in these and other plants may be allergens. None of the folk remedies have proven its effectiveness in clinical trials.
- Hot milk with honey. Both of these products can cause an allergic reaction. The kids under the year the use of honey in any form is not recommended. When dissolved in hot milk, tea or any other drink, honey under the influence of high temperatures loses part of its useful properties.
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RINZASIP® for children to reduce the child's temperature
Rinzasip ®For children, you can apply to bring down at home the temperature of the child over 6 years 7. This modern antipyretic drug contains active substances in the dosage designed to take into account children's age. The tool helps to treat the temperature and runny nose in the child, at the same time contributing to the reduction of heat and the relief of nasal respiration. Rinzasip ®For children can be used to facilitate the state of the kid after consulting a pediatrician 7.
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In what cases do you need a doctor consultation
Treat any cold illness in the child, accompanied by heat and runny nose, is recommended under observation and in accordance with the recommendations of the doctor 1. Actually call the pediatrician house is necessary in the following cases:
- Increased temperature is accompanied by vomiting, diarrhea, the appearance of rash;
- At temperature, the kid several hours refuses drinking;
- Temperature above 38 ° C holds more than three days;
- The child appears convulsions, disturbances;
- The kid has chronic diseases (kidneys, hearts, etc.).
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The information in this article is referenced and does not replace the professional consultation of the doctor. For the diagnosis and treatment of treatment, refer to a qualified specialist.
- VMDeugin. Fever (new strokes in ancient picture). / Consilium Medicum. Pediatrics. (Ad.) 2018; №2: s. 89-93.
- ON THE. Cow. Gorodet in the diversity of the causes and complexity of the solution. / ON THE. Korovina, I.N. Zakharov // Medical Council. №2 2013; from. 82-90.
- I.N. Zakharov. Fever in children: from symptom to the diagnosis / I.N. Zakharova, A.L. Plates // Medical Council. №1, 2017; from 212-218.
- VMDeugin. Fever as a starting point in the diagnostic search. The choice of the antipyretic drug. Consilium Medicum. Pediatrics. (Ad.) 2015; 01: s. 80-85.
- Delyagin V. M. Fever. The diversity of the reasons and the complexity of the decision on the pediatric. №1 2013, p. 80-83.
- I.N. Zakharov. Fever in children: diagnostic significance, criteria, doctor's tactics. How to appoint antipyrtic? / I.N. Zakharova, A.N. SHAVTINOVA // Medical Council. №2 2018, p. 206-210.
- Instructions for the use of Rinzasip® preparation with vitamin C. Registration number: LS-002579.