Fever is not a separate disease, but the signals of the disease. If the disease is not under control, even if the heat retire also will rise again; antipyretic itself nor in the treatment of fever caused by primary diseases. General fever below 38. 5 ° c, may not give antipyretic therapy, such as children with mental, diet and other aspects of a good, close observation for some time as spirit is very poor, significantly reduced appetite, description of Pediatric illness severe, as early as possible to the hospital for treatment. When high fever (>38. ~39 5 ℃ ℃), regardless of how the spirit in children in areas such as health, shall be timely antipyretic therapy. Antipyretic measures including physical cooling and cooling two drugs.
1, physical cooling does not use drugs and by increasing the human thermal cooling method is for the purpose of physical cooling. When children with high fever, if the ambient temperature is very cold around, exposing untied to quilts, clothing and so on are the best way to promote human body heat. Package is too thick too strict, against increased heat, easy high fever induced by ventilation. Surroundings when colder, children can be moved to the warmer, to the above methods. After revealing clothes, combined with temperature and humidity with easier antipyretic. Temperature and humidity with method is as follows: the child\'s clothes off or exposed body parts, with warm towels (temperature 40~50℃) deposited in exposed parts, the timely replacement of towels, keep temperature constant, preferably 30 minutes. For families in conditions can be warm-water bath for fever in children. Water temperature should likewise remain in 40~50℃. Suitable to 20-30 minutes at a time. Sometimes alcohol bath methods may be used. With gauze soaked with the 30%~40% of medical alcohol or liquors, erased armpits, thighs, neck, antecubital fossa. These parts of large superficial vascular location, alcohol evaporation can take a certain amount of heat, so as to achieve the purpose of cooling. Generally do not promote the use of ice packs or lower than the temperature of cold compress method. Below the body temperature of shrinkage temperature may cause skin capillaries, not conducive to the cooling of the skin. Ice used hospitals sometimes pillow method, average family is not easy to follow. Ice pillow is mainly applied when malignant hyperthermia or intractable high fever, should be used under the guidance of doctors and nurses. Children when there is a high fever, sold in application of ice packs to prevent body temperature continues to rise. Ice packs is not an antipyretic main method.
2 physical cooling cooling, drugs although the effect is good, but more slowly. For a history of convulsion or children with a history of ventilation, such as when there is no timely or good uses physical cooling should be under medical supervision, by a nurse or cool the parent drug. Cool the drug through the oral, intramuscular or intravenous injection of a variety of ways. Most families use oral way. Antipyretic drug class many of species, should be preferred for small infants acetaminophen or drugs containing paracetamol. Currently hospitals often recommended drugs include: Pak suits Ning, An Jiare, quiet beauty, Tylenol, Merrill Lynch, and so on. These drugs are water, suitable for taking in children. For older children, can also choose to drug tablets, for example: aspirin, such as APC. After taking the antipyretic drugs, body temperature can quickly fall apart from and types of drug and dose-related, key is the ability to increase the heat sink. That is, physical cooling is a prerequisite for guaranteed cooling mentioned earlier. After taking the antipyretic drugs, should be taken to avoid package children still too thick, too strict, the child\'s body temperature is not easy to reduce; or is her age, dehydration caused by unnecessary complications.
When it encounters a child hyperpyrexia, should be according to the situation of children and their parents, choose physical cooling, drugs, or a combination of both methods of cooling, so that the temperature dropped to normal as soon as possible in children, and febrile convulsion and other dangerous situation does not occur.
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