Scientific nursing child cold fever

JiangBing Hunan university of Chinese medicine first affiliated hospital department of pediatrics

China's traditional Chinese medicine to

        The child catch a cold, parents CARES most is one of the symptoms of fever. However, if the parents can really give scientific rational care? Therefore, we should know some children fever of nursing knowledge.

        Parents find their children fever, use first thermometer measurement temperature, oxter measurement time to 5 ~ 8 minutes advisable, such as measuring time more than 10 minutes, the body temperature will be on the high side. Such as the axillary temperature more than 37.4 ℃, can judge the child has a fever. Heating degree generally divided into four levels: low thermal (37.5 ~ 38 ℃), moderate fever (38.1 ~ 39 ℃), high fever (39.1 ~ 41 ℃), high heat (41 ℃ above).

        Fever is the body's a defense function, in 38.5 ℃ the following general does not need to actively cooling. But continuous heat even ultra high heat will bring bad influence to the human body, the body temperature greater than 38.5 ℃, should give the child cooling treatment.

        Cooling method is drug cooling and physical cooling. When the axillary temperature greater than 38.5 ℃, want to give the child hello suit antifebrile, commonly used antifebrile mainly acetaminophen (tylenol namely or defervescence bolt composition) and ibuprofen (i.e., merrill lynch or Joe's component), two phase comparison, the former defervescence and duration are less than the latter, sustainable hypothermia about 4 ~ 6 hours, the latter for 6 ~ 8 hours, 24 hours of the former oral frequency can't more than four times, the latter is not more than 3 times.

        About side effects, acetaminophen is the world health organization for pediatric recommended preferred antipyretic analgesics, side effect is mainly to the liver cell damage, but to the gastrointestinal tract stimulation small, to platelet and leucocyte minor impact of the clinical manifestations are ibuprofen the reach, and ibuprofen to liver function influence is relatively small, but to have renal impairment of children should be careful. Many parents are very scruple drug side effects, and to ignore the heat itself may cause damage to the human body, need of two evils choose the light. If children under the age of 3 in the home already high fever, should first oral antipyretic and came near to go to the hospital diagnosis and treatment.

        As children oral antifebrile 1 ~ 2 hours later still high fever, should be combined with physical cooling. Physical cooling methods are as follows: one is the solution clothing heat dissipation, keep the room temperature is appropriate, makes the body heat, heat of solution clothing is not to add clothing. The second is cool ice, ice bag with a small towel wrap up well, put the patient's forehead, the head or body surface large vascular place (such as inguinal armpit, wait for place) help hypothermia. This method is not suitable for heating limbs when hair is cool and even fear cold chill of children, ice packs banned in the cities in the area before the heart, abdomen, pillow, auricle, scrotal place and foot. As there was no ice bag, can use two to three root frozen good crushed ice instead of. The third is to wipe bath temperature, with warm water clean bath or in defervescing Chinese native medicine and Fried water cooling outside clean, it is suitable for the whole heating and see faint cold limbs of children. With stained with wen shui or Chinese traditional medicine towel light wipe the face, neck, axillary region and inguinal area and limbs, don't wipe belly department so as not to cause discomfort. Clean bath water temperature to 30 ℃ or so advisable. The fourth is bubble bath temperature, children will be placed in the warm water or nourish defervescence Chinese medicine external wash decoction, wipe gently with towel children the skin all over the body, to the skin red slightly for good, water is warm with children is greater than the temperature once advisable. This method had better not be used in children under the age of 2, on human consumption is bigger, is too small children vulnerable to collapse and fainting. In recent years the parents give children with cooling paste defervescence, this method is simple, convenient and feasible, the child relatively willing to accept, but to little effect on temperature, the proposal at the same time cooperate with oral antifebrile.