Joke Collection Website - Blessing messages - A 6-month-old child with a cold, cough and fever can use Jilin Ganhe tea.
A 6-month-old child with a cold, cough and fever can use Jilin Ganhe tea.
What should I do if my child has a fever? Is reducing fever the best way? What should parents do?
The child has a fever, so don't hurry to cool down.
First of all, don't rush to reduce the fever, first find out the cause of the child's fever. Fever is not a disease, it sounds like a wake-up call to your body, reminding you that there is an abnormal situation inside your body. At the same time, fever is also a defensive measure for our body to deal with pathogenic microorganisms. To a certain extent, a proper fever is conducive to enhancing the body's resistance and eliminating pathogens. Therefore, having a fever is not a bad thing. So if the child doesn't have a high fever, don't rush to reduce the fever immediately, otherwise it will hide the real cause. There are many reasons for children's fever: upper respiratory tract infection, gastroenteritis, tonsillitis, pneumonia and all infectious diseases may have symptoms of fever. In addition, babies under one year old may have a fever due to urinary tract infection, gastrointestinal diseases and hand, foot and mouth disease. Many cases must be judged by a doctor to know the real cause of fever.
Bacteria or viruses, these two infectious drugs are completely different.
Generally speaking, bacteria and viruses are the most common pathogens that cause infants to be infected. The treatment of fever caused by these two conditions is completely different. If it is a bacterial infection, as long as the antibiotics are selected correctly, the treatment effect will be very good. If it is a virus infection, there is no specific medicine at present, and you can take Virin, Radix Isatidis granules, honeysuckle and so on. The fever caused by virus infection will decrease after a certain period of time. Don't grab your eyebrows and beard just because you have a fever, and use up all the medicine at once.
Should I take antipyretics?
Whether to give children antipyretic drugs needs to weigh the pros and cons. Drugs can certainly improve the child's condition and make the baby comfortable; But it may also bring some side effects. The World Health Organization advises babies not to use any antipyretic drugs within 2 months. Under normal circumstances, drug antipyretic therapy should only be used for children with high fever, or even if you take many measures, the child's temperature has not dropped, so you need to give your baby some antipyretics. But the method and dosage of taking must be done according to the doctor's requirements. Suggestion: Give your child antipyretics when the temperature exceeds 38.5 degrees Celsius. If your child has a history of febrile convulsions in the past, you may wish to give your child an antipyretic at 38 degrees Celsius.
In particular, many parents often give their children different kinds of antipyretics. Some anxious parents have been taking drugs orally for half an hour without reducing their fever, and they have also added suppositories. However, the persistence of various drugs is different, and mixed use may overlap the efficacy. As a result, the fever was too fierce and urgent, and the body temperature dropped below 36 degrees Celsius. New problems have arisen. Parents can choose an antipyretic and be familiar with its dosage and interval, so as to use it easily.
How to use antipyretics correctly?
There are many kinds of antipyretics, which are usually taken when the body temperature reaches above 38.5℃, and the interval between taking medicines must be 4 ~ 6 hours. Antipyretic agents include aqua, lozenge, suppository and injection;
1. aqua: mild and safe. The most commonly used syrups are paracetamol, such as Xiaoer Meilin syrup, Meilin drops and Xiaoer Baifuning drops.
2. Buccal tablets: Aspirin buccal tablets have a good antipyretic effect, but some specific viral infections, such as chicken pox or flu, may cause Raynaud's syndrome, so they are almost no longer used at present. If you eat more antipyretic tablets such as propranolol, it may also cause liver function problems. Generally, the safe dose should not exceed one kilogram of body weight150mg per day.
3. Suppository: used for blocking anus, absorbed through rectum, with quick effect. When children refuse to take medicine, they can also reduce their fever, which is very convenient, but they should use it less. Because of intensive use, it is easy to reduce fever excessively, so that the body temperature drops too fast, or repeatedly stimulates the anus, causing diarrhea. Excessive use of suppositories can also lead to gastric ulcers. (Note: Febrile suppositories are not suitable for babies under 6 months old. 1 year old is recommended to use sparingly. Because the plug has a rapid antipyretic effect, it is necessary to avoid excessive use to avoid the child's body temperature dropping rapidly. If suppository is used, it should not be used more than three times a day, otherwise it will easily stimulate the intestinal mucosa in the anus and cause diarrhea. If the child has symptoms of diarrhea, it is not appropriate to use a plug to reduce the fever. )
4. Injection: It is the most unsafe to take an antipyretic injection, and some children may even go into anaphylactic shock. But at present, there is no allergy test for antipyretic needles, so unless you can't use oral antipyretics (such as severe vomiting or fasting) and anal plugs (such as severe diarrhea), you can't try your best to reduce your fever, and you will consider taking antipyretic needles as the last step.
note:
1, it is best not to use different antipyretics together. If the dosage is not well controlled, there will be hidden dangers. Not to mention, in order to strengthen the antipyretic effect, give the baby several antipyretics or increase the dose. You should know that one of the toxic reactions of antipyretics is to raise the body temperature again.
2. It is not recommended that babies under 6 months take Chinese patent medicines.
Dietotherapy in the early stage of fever
1, most babies have a fever because they have a cold. If the baby's hands and feet are cold, his tongue is white, his face is pale and his urine is pale, parents can use ginger and brown sugar water to drive away the cold, and adding two or three pieces of one-inch scallion in the water is more conducive to the baby's sweating.
2, if the baby has a fever and sore throat, yellow tongue coating, yellow urine and heavy smell, indicating that the child is angry, then you can't drink ginger syrup, but you should drink a lot of warm water, you can also add a small amount of salt to the water, or Xia Sangju and other heat-clearing and detoxification.
The Best Method of Physical Cooling
In addition to drugs to reduce fever, some physical methods can also help children with fever to cool down. Commonly used physical cooling methods at home generally include alcohol bath, ice pillow cooling or warm water bath, cold compress on the head and so on. So, which method is best for your baby?
1, alcohol bath
Directly rubbing bath with alcohol is a common method to reduce fever in the past, but it is not recommended for babies to use this method now. Wiping the baby's body with alcohol will cause the baby's skin to relax and contract rapidly, which will be very irritating to the baby. In addition, it may cause alcoholism in the baby. Directly rubbing with alcohol will make the child feel very cold, uncomfortable and even twitch.
Mothers try to use warm alcohol to wipe the bath: be sure to use "warm water" with 70% alcohol concentration and dilute it at the ratio of 1: 1. After dilution, the water temperature is about 37 ~ 40℃. After soaking in gauze or towel alcohol, wipe it regularly. It usually starts from the child's neck and rubs from top to bottom along the outside of the upper arm to the back of the hand. Then apply it to the palm along the inner side of the upper arm through the armpit. After wiping the upper limbs, try to wipe your back from below the neck, and gently massage and pat your back with your other hand when taking a bath to promote blood circulation. Finally, wipe the lower limbs from the iliac region in the same way as wiping the upper limbs. Wipe all parts for about 3 minutes. When wiping armpits, elbows, palms, groins, soles and other parts, the stay time should be slightly longer to improve the heat dissipation effect. After wiping, you can cover your body with a bath towel, and wait for 5 ~ 10 minutes. When the alcohol evaporates almost, the blood in your body circulates to your body surface, which makes your skin warm, you can repeat it for the second time, and repeat it for about three times, so that the temperature inside and outside your body can drop rapidly. Because of the rapid antipyretic rate, this method is suitable for children over 1 year with high fever above 40℃. Note: The baby's skin is delicate, so the action should be light when taking a bath. Don't use too much force to avoid damaging the skin. In the process of rubbing with alcohol, you should pay attention to keeping your baby warm, and there should be no more exposed parts of your body. Cover the wiped parts in time. If you find that your baby is shivering and pale when taking a bath, you should stop taking a bath, cover your clothes to keep warm, and seek medical treatment in time. Alcohol rubbing bath is not suitable for infants and weak children.
2. Ice pillow
Many parents often use ice pillows or ice to compress their foreheads to reduce fever. When the anal temperature is above 38℃, you can use a cold water pillow, which is to use a lower temperature for local heat dissipation. Now the soft cold water pillow on the market is very convenient, cold and not too cold, suitable for older children and children.
However, it is not recommended for infants under 6 months, because infants are not easy to turn over, which may lead to frostbite or hypothermia due to local supercooling. And the baby is easily affected by the outside temperature. Using an ice pillow will cause the body temperature to drop too fast, making it difficult for the baby to adapt. In addition, when the baby has a fever, the whole body temperature rises, and local ice compress can only play a role in local cooling.
3. Warm water bath
Whole body warm water bath or bathing: unbutton the baby's clothes and wipe the baby's limbs, chest and back with warm water (about 37℃) towel for 3 ~ 5 minutes. Make the skin's high temperature (about 39℃) gradually lower, and make the baby feel more comfortable. At this time, you can also wipe your forehead and face with a cool towel (about 25℃). Let the baby lie down comfortably and give the baby plenty of warm water.
Or take a bath, let the blood vessels of the baby's skin dilate and let the gas in the body be released; In addition, when water vapor evaporates from the body surface, it will also absorb body heat. Take a bath for about 10 ~ 15 minutes every 4 ~ 6 hours. (Bathing can reduce the body temperature by 0.5 ~ 65438 0.0℃, which can calm down the baby who is fidgety with fever and sleep peacefully. The temperature of the bath water should be 2℃ lower than the baby's body temperature. After washing, quickly wipe the baby with a big towel and put on clothes to avoid catching cold. )
It should be noted that during these cooling treatments, if the child has so-called cold reactions such as cold hands and feet, trembling whole body and purple lips, he should stop taking the medicine immediately. Why? When pathogens invade the human body, the body temperature will rise to a corresponding temperature, which is the set temperature. Lowering the set temperature is the key to reduce the fever for children. Because if the set temperature is not changed, the body will still generate heat to reach the target body temperature while radiating heat. At this time, bathing the child with cold water in an attempt to reduce the fever through heat dissipation is not only ineffective, but also makes the child tremble and feel cold, which is very painful. Therefore, we must first use antipyretics to lower the set temperature, and then assist physical heat dissipation, so that the body temperature will really drop.
4. cold compress on the head
Cold compress on the head is suitable for babies with fever all over the body, especially for babies with low temperature. Wet the towel with cold water and apply it to the baby's forehead, changing it every 5- 10 minutes.
Step 5 drink plenty of water
Helps to sweat and prevent dehydration. Water has the function of regulating temperature, which can lower the body temperature and replenish the water lost in the baby.
note:
1 and infants under 3 months old have fever, and bacterial infection is the most common (such as Streptococcus B); Others such as respiratory tract, urinary tract, gastrointestinal tract infection or otitis media can also cause fever. The most serious infectious disease is septicemia. Therefore, newborns with fever must be taken to see a doctor for early diagnosis and treatment.
2. The chest, abdomen and back neck are very sensitive to stimulation, which can cause adverse reactions such as reflex bradycardia and diarrhea. It is not advisable to take a bath with warm water or alcohol.
3. Children with rashes should not use warm water to cool down.
Are you wearing more or less?
After the baby has a fever, there is often a question that makes parents hesitate: Should they wear more clothes to avoid shivering when they have a fever, or take off their clothes to help dissipate heat? In fact, adding and subtracting clothes should match the process of fever. When the set temperature rises and the body temperature begins to rise, the child will feel cold. At this time, long-sleeved and breathable thin shirts should be added, and antipyretics can be given. After taking the medicine for half an hour, the efficacy began to play, the set temperature decreased, the body began to get hot, and the child would sweat and feel hot. At this time, clothes should be reduced, or warm water bath should be used to help reduce fever.
Appropriate increase or decrease in clothing: if the baby's limbs are cold and shivering (cold), it means that you need to keep warm and cover the blanket; If the limbs, hands and feet are hot and sweating all over, it means that heat needs to be dissipated and you can wear less clothes.
What should diet pay attention to during fever?
Some parents think that children with fever must consume a lot of physical strength, so they can't wait to provide their children with a lot of nutrition and high-calorie food. In fact, this will aggravate the child's symptoms, because during the fever, the digestive system is disturbed, the peristalsis of the gastrointestinal tract slows down, and the child usually has no appetite. If children are forced to eat, it will lead to nausea, vomiting and diarrhea.
Children with high fever must evaporate heat energy in the form of sweating in order to consume a lot of water. Therefore, children with fever need water most, not food.
The diet during the fever period must be mainly liquid or semi-liquid, and the following diets are more suitable for children with high fever:
Milk rice soup: rice soup is rich in carbohydrates, which can provide enough water and calories and is easily digested by the stomach. Moreover, the carbohydrates in rice soup will turn casein in milk into molecules that are difficult to digest and absorb. The method of making milk rice soup is very simple, just wash the rice slightly, add water to boil, filter out the rice residue, add milk and mix well.
Milk replacer: mainly vegetable protein. Its nutrition is similar to that of milk, but it is easy to digest and absorb. It can be diluted and drunk according to the age and needs of children.
Millet porridge: mainly composed of plant protein and carbohydrates, it is not only nutritious, but also moderate in calories, which is most suitable for sick children.
Fresh fruit juice: Fresh fruit is not only rich in vitamins, but also contains a lot of water. After juicing, add proper amount of warm water and honey.
Mung bean soup: Mung bean has the effects of clearing away heat and toxic materials, relieving summer heat, sufficient moisture and rich nutrition, and is most suitable for children under one year old. Boil mung beans with water and add some sugar or salt.
In short, the baby has a fever, so parents don't have to be more and more nervous. Just follow the above suggestions, observe the baby's activities, replenish water, and moderately reduce the fever if necessary. Most of the body temperature can be lowered, and the baby will be taken to the doctor the next day.
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