"Help, there is no doctor, come and save my child!"
At three o'clock in the morning, when Keda was on duty in the emergency department, he heard a mother's cry for help and rushed out to receive the child!
The mother blushed and choked up to describe the child's illness to Keda.
To sum up, the child is two and a half years old, the fever of 39 ° C began to talk nonsense, the mother is afraid of burning the brain, hurry to the hospital!
After the diagnosis, the university found that the children were normal except for fever, so they told the mother to feed the children medicine, calm the mother's emotions and let them go home!
The next day, the video interview, the mother told me that when I arrived home, the child had a fever, and the spirit was good during the day, and it was really a false alarm.
Image source: Scientific Family Parenting Original
In fact, the University of Science and Technology has encountered many such parents, as long as the child has a fever, they will come to the hospital immediately, and some parents even make a trip in the morning and an afternoon trip.
Is it necessary for the child with fever to be sent directly to the hospital? How to care at home?
Based on my many years of experience in face-to-face consultation, I will share with you today the practical dry goods after the child's fever!
If your child has a fever, it is important to seek medical attention immediately in these cases:
1. Baby fever within three months
2. In addition to fever, the child's continuous mental state is not good, or there are other conditions such as repeated vomiting and convulsions
3. The high fever continues to recede
4. Fever for more than 3 days, fever has an aggravating trend (fever peak increases or fever interval shortens); or fever improves and then worsens again
5. After eating antipyretic drugs, the child's mental state is still not good, or the respiratory symptoms are heavy, such as heavy cough or accompanying breathing difficulties
6. There has been a history of febrile seizures
7. Infant fever sometimes reaches 40 ° C fever quickly, and the antipyretic effect is poor, and the body temperature is persistently too high may also produce many complications, and it is necessary to seek medical treatment in time
Excluding the above reasons, some other mild cases can be handled at home.
Because paediatric waiting in line is the norm, mixed infections may prolong the course of a child's illness, coupled with the current epidemic...
Parents can first consider whether the baby has teething, vaccinations, and wearing too much.
Upper respiratory tract infections, gastroenteritis, tonsillitis, etc. may also lead to the symptoms of fever in children, we must treat the symptoms symptomatically, and deal with the situation according to the situation!
And the fever is only an autoimmune response and does not cause direct harm to the child.
The child's fever and nonsense does not mean that the child will "burn stupid", and the fever itself will not cause encephalitis and pneumonia!
How to deal with the child's fever at home when he does not need to be sent to the hospital?
The way we deal with a child's fever is to allow the child to comfortably go through the process of fever, but not to suppress the process of fever.
As long as the symptoms of the different stages are clearly distinguished, symptomatic treatment is enough.
Children's fever is generally divided into the period of rising body temperature, the plateau period and the descending period.
Body temperature rise period: at this time the child will be cold hands and feet, we should give the child a good hand and foot local warmth, but do not cover the heat!
Because the child has a fever and is hot, there are too many tragedies...
Platform period and decline period: At this time, the child's hands and feet are warm, and they begin to heat up and sweat, and we can use physical cooling methods, such as:
Wipe with warm water
Rub the sides of your baby's neck, elbow socket, armpits, and groin with warm water for no more than 30 minutes each time.
Contraindicated areas of the body rub : neck , chest and abdomen , the center of the feet .
Remember not to wipe with alcohol.
Alcohol can enter your baby's body through the respiratory tract or skin, causing alcoholism and damage to your child's liver, kidneys, and nervous system.
Parents should know: the method of wiping down the temperature can not reduce the fever, just for the child to comfortably pass the fever stage!
If the child is already asleep, it is not recommended that the mother wipe the child all the time, because sleeping peacefully is more conducive to recovery than wiping!
Image source: Scientific Family Parenting Original
Take a warm bath
Give your child a warm bath, the water temperature is based on the comfort of the wrist!
Bathing can help your child cool down and reduce fever, and you can also prevent your child's body temperature from rising again.
However, it should be noted that this method is not recommended if the child resists bathing.
Image source: Scientific Family Parenting Original
Reduce clothing
Open the quilt or take off too much clothing, the clothes on the body are mainly appropriate, pure cotton, and pay attention to timely replacement after sweating.
You can also open the window and open the air conditioner to circulate the indoor air, so that the baby is more comfortable.
Image source: Scientific Family Parenting Original
Take care to give your child plenty of water
Drinking water or oral electrolyte solutions are good choices to let your baby urinate more and help circulate in the body.
If the baby can't drink it, you can also add some sugar appropriately to improve the taste.
But to avoid eating greasy food, children with fever must not be a big supplement, eat some light and nutritious liquid food can be.
Image source: Scientific Family Parenting Original
After saying these care methods, how to judge whether the child needs to take anti-fever medicine? Is 38.5 ° C the absolute standard for children with fever to take antipyretic drugs? How to choose acetaminophen and ibuprofen for children...
In response to these common questions, Keda has sorted out detailed answers for everyone!
When the baby has a fever of more than 38.5 ° C, you can choose to feed the medicine with physical cooling.
Children with a history of febrile seizures can be slightly earlier to try to prevent febrile seizures.
But we don't need to stick to the temperature value of 38.5 ° C, and every child's situation is different.
If the baby's body temperature reaches 38.5 ° C, the mental state is still relatively good, do not have to rush to take antipyretic medicine, closely observe the baby's body temperature, drink more water, you can go to 39 ° C and then take the drug.
The commonly used antipyretic drugs and ways to take them in children are shown in the following figure:
Image source: Scientific Family Parenting Original
However, what needs to be said here is that some parents will use these two types of drugs at the same time or alternately for their children's rapid antipyretics, which will increase the child's discomfort and may also lead to damage to the child's liver and kidney function.
Therefore, to give children medicine, you must follow the doctor's instructions, and you must not blindly use it on your own.
HKUST also sorted out a few questions that parents often ask during the face-to-face consultation:
Image source: Scientific Family Parenting Original
Regarding the child's fever, if you have any questions or have a good way of nursing, you can leave a message in the comment area, and keda can reply online at any time!
After reading it, remember to forward it to parents and friends to prevent the elderly from using the wrong way, and let friends not take detours!
Fever this problem, parents encounter a high probability, for the safety of children, must not do wrong!