How to reduce fever in a child
What should be the approach to a child with fever?
An increase in body temperature is usually the first sign of a disease and occurs unexpectedly. Fever is the body's defense response to infections. The organism is at a high temperature in which the germ control is more effective. This struggle is also necessary for the proper maturation of the child's immune system. Recently, science has proven the role of excessive use of antipyretics in children with acute respiratory infections to increase the incidence of allergic diseases. This does not mean that antipyretic medication is not necessary. This means that antipyretic drugs (agents for fever) should be used correctly and according to the indications.
The decision to lower the temperature should be made at temperatures above 39 ° C. Exception: children with neurological diseases, children with high-temperature consecutive convulsions (so-called febrile convulsions), children of the first three months of life. Do not wrap the baby. Feel your hands and feet.
There are two types of fire. The child with red fever "feels warm", pink, as a rule, the situation is not painful, active, just feverish. In this case, we may limit ourselves to the use of antipyretic drugs. Antipyretic drugs in pediatrics include paracetamol and ibuprofen (nurofen). Do not use aspirin (acetylsalicylic acid), analgin (metamizol sodium) in Russia is used only in emergency situations, nise (nimulide, nimesulide) in case of lowering the emergency temperature, other ways, preferably use rectal suppositories for young children. For drugs in the form of tablets, syrups, powders, it is necessary to accurately calculate the dose for a given child's weight. A single dose for paracetamol is 15 mg / kg. So, if the child weighs 22 kg, then the child should be given 330 mg paracetamol at once. That is, if the tablet is 0.5 g (500 mg), this dose will be 2/3 tablets. This dose can be given to a child 4 times a day. A single dose for ibuprofen is 10 mg / kg, the frequency of administration 3 times a day. If a child weighs 8 kg, the single dose is 80 mg. The 5 ml suspension contains 100 mg of active ingredient. Accordingly, the suspension dose is 4 ml.
The child at "pale fever" is pale, sluggish, cold arms and legs. This is due to vascular spasm. As the vessels remain cracked, it will not be possible to effectively reduce the temperature. No-silo (drotaverin) and papaverine should be given in wet dosages together with antipyretic drugs. Papaverine doses vary between 6 months depending on the age of the child. Up to 2 years - 5 mg, 3-4 years - 5-10 mg, 5-6 years -10 mg, 7-9 years - 10-15 mg, 10-14 years - 15-20 mg, the frequency of administration can be 3 per day -4 times. One tablet contains 40 mg of active ingredient. If the child is 7 years old, the dose is 1/4 pills.
Do not try to lower the temperature to normal. It is enough to lower it to 1-1.5 degrees. Prophylactic administration of lowering drugs should be avoided. Only when the temperature rises to 39 degrees again can the next dose of the drug be given.
Under no circumstances apply cold objects (compresses, iced hot water bottles) to a child with high temperature (this may cause spasm of blood vessels, slows heat transfer by the body, increases internal temperature). Do not rub the child with alcohol, vinegar, turpentine and solutions. These substances are easily absorbed by the baby's skin and cause toxic poisoning.
Give your child plenty of drinks but not hot. This will help to reduce the body's intoxication and maintain the water balance in the child's body (at higher temperatures, the child needs more fluids). Consult your doctor! Fever is only a symptom. The cause should be established and eliminated. God bless you!
7AXX
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