The child has a high temperature and cold extremities. A child gets hypothermic while walking: what to do?

It's already -40 outside the window.

Of course, we stay at home with the children.

When it gets warmer, let's go for a walk. After all, even the smallest children need walks in the fresh air.

But how can you protect your baby’s delicate skin in winter?

What creams can be used in the cold?

What to do if there are signs of frostbite and general hypothermia?

It is known that cold and wind have a destructive effect on the skin. Under the influence of wind, moisture is quickly extracted from the skin, oxidation and drying occur. sebum and as a result, dry skin. In addition, cold air contracts the subcutaneous vessels, irritates the nerve endings, and congestion occurs.

In addition to drying out the skin, exposure to cold and wind can trigger cold allergies. Its most common forms are cold urticaria and cold dermatitis, which manifest as redness, peeling of the skin and even blistering. For some, frost causes a vascular reaction followed by swelling and itching. Allergic reaction, as a rule, occurs after being in the cold, after 15-20 minutes of being in a warm room.

Soft skin children, which is much to a greater extent than the skin of adults, it is susceptible to the influence of aggressive factors, especially severely affected by frost and wind. In the old days, before going out into the cold, the skin was lubricated with various oils, including pork or goose fat. And today special products help protect the skin in the cold protective creams.

What creams can be used in the cold?

All creams from a physicochemical point of view are an emulsion. There are two types of emulsion - direct and reverse. The choice of emulsion type is determined by the purpose of the product.

Most creams, especially moisturizers, are direct emulsions. In a direct emulsion, each oil molecule is surrounded by several water molecules. There is a lot of water in direct emulsions - often such products consist of 80% water. Creams based on direct emulsions, as a rule, have a light consistency, spread well over the skin and are quickly absorbed without leaving greasy shine. However, such creams should absolutely not be used in the cold, since the aqueous phase freezes and only aggravates the aggressive effects of cold on the skin.

For creams used in cold weather, a completely different type of emulsion is required - a reverse emulsion. In reverse emulsions, tiny droplets of water are dispersed in an oil medium. The oily component here is large, it can reach 60-70%. That is why the water contained in the cream does not freeze when interacting with sub-zero temperatures, and, therefore, there is no injury to the epidermis. As a rule, such creams have a fairly oily consistency and leave a protective film that protects the skin from excessive loss of moisture and fat. Creams prepared using reverse emulsion technology have good protective properties, activate the action of water-soluble and oil-soluble substances, promote moisture retention in the skin.

And yet, as you know, we do not live in Africa. Harsh winters are nothing new to us, and this one is no exception. Everyone should be wary of hypothermia and frostbite, but the most careful attention should be paid to infants: they won’t complain about the cold or ask to go home from a walk. What should you pay attention to when winter walk and immediately after it?

Signs of frostbite and general hypothermia

* pale bluish skin;
* temperature, tactile and pain sensitivity absent or sharply reduced;
* appear when warmed up severe pain, redness and swelling of soft tissues;
* with deeper damage, blisters with bloody contents may appear after 12-24 hours;
* with general hypothermia, the child is lethargic, indifferent to his surroundings, his skin is pale, cold, his pulse is rapid, arterial pressure reduced, body temperature below 36° C.

What to do if you have frostbite or general hypothermia?

Depending on the degree of tissue damage and a decrease in body temperature, hypothermia and frostbite are divided into stages and degrees, which, as a rule, can be determined no earlier than a day later, and for the sake of brevity we will omit them and consider the basic principles of first aid:

* First of all, it is necessary to warm the child in a warm room. Warming of the affected part of the body should be gradual, slow, mostly passive. It is unacceptable (!) to rub frostbitten areas of the body with hands, tissues, alcohol, and especially with snow! (Such recipes are extremely tenacious and are still popular among the people.) The fact is that these measures contribute to the formation of blood clots in the vessels, deepening the processes of destruction of the affected tissues.

* The victim must be wrapped in a warm blanket(for general hypothermia) or (for frostbite) apply a thermally insulating cotton-gauze bandage (7 layers) to the affected part of the body to accumulate heat and prevent premature warming of the surface tissues (and, accordingly, the formation of a temperature difference between the superficial and deeper tissues). The use of a thermal insulating bandage makes it possible to slow down the external warming of the affected area several times while ensuring general warming of the body.

* If your arm or leg is frostbitten, you can warm it up in the bath, gradually increasing the water temperature from 20 to 40 ° C and gently (!) massaging the limb for 40 minutes. On inner surface You can additionally put a warm heating pad on your hips or shoulders.

* Give the victim plenty of warm fluids, such as sweet tea.

* As for medications, it is advisable to use an anesthetic (analgin - 0.1 g) and a vasodilator (aminophylline - 1/4 tablet, no-spa - 0.005 g or a nicotinic acid- 0.01 g) of the product, as well as tincture of valerian or motherwort (5-10 drops) as a sedative.

* If warming up after frostbite is accompanied by moderate pain (the child gradually calms down), sensitivity, temperature and color are restored skin, independent full movements, then the limb is wiped dry, the skin is treated with 70% alcohol (or vodka) and a dry bandage with cotton is applied. The ear, nose or cheek are generously lubricated with Vaseline and a dry warming bandage with cotton wool is applied. Attention: frostbitten areas remain for a long time increased sensitivity to the cold, are easily subject to repeated frostbite and therefore in the future need special reliable protection!

* Signs of deep frostbite, which require urgent qualified medical care:
o sensitivity of frostbitten areas is not restored;
o severe pain persists;
o the skin remains pale;
o if you press your finger on the skin and then remove your finger, the color of the skin does not change;
o blisters with bloody contents appear.

Some tips for adults too!

1. Breathe evenly

Try to breathe slowly, but not very deeply. This technique calms the nervous system, and it is easier for your body to adapt to the cold. But you need to walk quite quickly. If you follow these rules, it will become hot within a minute. When steady breathing doesn't help, inhale through both nostrils and exhale through one, closing the other. Gradually slow down and speed up your steps, breathing in rhythm with your walking. This way you will take your mind off the thought that you are cold and train your heart.

2. Drink alcohol, but externally

If you get cold on the way, don't do it typical mistake- don't drink alcohol. Firstly, it quickly lulls the alertness of the brain and relaxes the body. Secondly, if you have to go outside again that day, you will freeze even more. In addition, in a heated and relaxed state, the chance of getting sick sharply increases. After all, the deceptive sensation of warmth disables adequate thermoregulation in the body. Another thing is to “take” alcohol externally. Rub with quick movements certain areas body with vodka (alcohol is not suitable, as you can burn the skin), bypassing the areas where moles are located. Start with your hands, massaging your fingertips especially carefully. This is where the so-called resuscitation points are located.

By influencing them, reflexologists usually bring them to their senses in case of fainting and hypothermia. Then move to the back of the neck. Stimulation of this area almost instantly causes pleasant feeling heat. After the procedure, wrap yourself in Warm scarf or cover yourself with a woolen blanket.

3. Breathe in sage.

This option is remarkable not only because it helps to keep warm. Inhalations - an indispensable tool with a tendency to frequent colds. Breathe over the boiling broth medicinal herbs- and again “in service.” This simple procedure, in addition to the warmth spreading throughout your body, will save you from endless pills and nasal drops. If you don’t have a special inhaler, throw a handful of sage or chamomile into a saucepan of boiling water, cover with a towel and breathe in the healing steam for 5-10 minutes.

4. Eat ginger and pepper

One of the most effective ways to warm up - drink or eat something hot. Among the life-saving dishes there are favorites. For example, tea with ginger. This drink not only has a warming effect, but also prevents colds. No ginger? Eat some “quick soup”, flavoring it with a heavy dose of red pepper. You’ll warm up in no time and even feel the “steam from your ears” effect. However, keep in mind that you should be extremely careful with “fiery dishes”. You should not abuse them if you have stomach problems. In this case, drink regular sweet tea. Sugar can prolong the warming effect due to carbohydrates, which saturate the blood.

5. Get a massage in the shower

If, after you have crossed the threshold of the house, you feel that all your muscles are stiff, do not rush to immediately drink hot drinks or eat anything. Take a shower first. Stand for 10 minutes under a stream of water as hot as you can stand, but so that it does not hurt you (be careful, this is an additional burden on the heart). While in the shower, you can self-massage your face, head, neck, shoulders - all this contributes to greater relaxation. But a bath is not a very suitable option. After a couple of minutes, you will have an unpleasant feeling as if your body is in cold water.

Interesting
A reliable way to stay warm when returning from the street is to insulate the most important areas of the body. These are the legs, arms, lower back and throat. Choose clothes in red, orange or other “hot” colors. The color, of course, will not warm you up, but it will create the illusion of warmth.

on the Internet pages

Equipment:

Rubber heating pads 3 pcs.

Water 60 – 70 0 C.

Diapers (3 pcs.).

Blanket or warm diaper.

Preparing for the procedure.

Fill the heating pad hot water 60 – 70 0 C for 1/2 or 2/3 of the volume.

Displace the air from the heating pad by pressing it with your hand and close it tightly with the stopper.

Turn the heating pad upside down and make sure it is sealed.

Prepare 2 more hot water bottles in the same way.

Wrap each heating pad in a diaper folded in 4 layers.

Execution of the procedure.

Place heating pads at a distance of approximately 10 cm from the baby wrapped in diapers:

one at the level of the feet;

the other two are along the body on both sides.

Cover the child with a blanket (the air temperature under the blanket should be 28 - 30 0 C).

Change the water in the heating pads as it cools, always one at a time.

Completion of the procedure.

Empty the water from the hot water bottles.

Treat their outer surface with a disinfectant solution.

Wash and dry your hands.

1. Using an ice pack for a birth injury Apply an ice pack to a child with a cephalohematoma of the right parietal bone.

Equipment:

Ice pack.

Lump ice.

Wooden hammer.

Water 14 – 16 0 C.

Preparing for the procedure.

Wash and dry your hands.

Prepare the necessary equipment.

Place block ice in the diaper.

Break it into small pieces (1-2 cm in size) with a wooden mallet.

Fill the bubble 1/2 full with ice and add cold water up to 2/3 of its volume.

Displace the air from the bubble by pressing your hand, placing it on a hard surface.

Close the bubble tightly with the lid and turn the cork down.

Wrap the bubble in a dry diaper.

Execution of the procedure.

Hang an ice pack over the child’s head at a distance of 6–10 cm.

Record the time.

Every 20 min. remove the bubble for 10 – 15 minutes.

As the ice melts, drain the water from the bubble and add new pieces of ice to it.

Completion of the procedure.

You can hold the bubble with the above breaks for a long time.

1. Physical cooling with alcohol Perform cooling with alcohol in a 2-year-old child with hyperthermia.

Equipment:

A bottle of ethyl alcohol 70%.

Cotton balls.

Medical thermometer.

Kidney-shaped tray.

Required conditions: When carrying out hypothermia, it is necessary to monitor the temperature after 20–30 minutes and correct the measures taking into account the data of repeated thermometry.

Preparing for the procedure.

Prepare the necessary equipment.

Wash and dry your hands.

Undress the child.

Examine the child's skin.

Execution of the procedure.

Use a cotton swab dipped in ethyl alcohol to wipe the areas where large vessels are located close to the surface of the body:

temporal region;

area of ​​the carotid arteries;

axillary area;

elbow, wrist bends;

1. popliteal folds;

   child's ankle and feet;

   last but not least, the inguinal folds.

Dispose of swabs into the waste tray.

Repeat wiping the folds every 10 - 15 minutes.

Completion of the procedure.

After 20–30 minutes, measure the child’s body temperature.

Carry out correction of measures taking into account repeated thermometry data.

Many parents consider newborns to be smaller copies of adults, but this position is fundamentally wrong. The body of a newborn and a child in the first years of life differs from an adult in almost all respects. Therefore, they often experience diseases and conditions that almost never occur in adults. A special place in this issue is occupied by thermoregulation and the associated features of caring for the baby.

Thermoregulation system

For normal life, the human body temperature must remain constant, which is ensured by the thermoregulation system. During complex multi-stage physical and chemical processes, heat is generated and released. The balance between heat production and heat transfer is called temperature homeostasis, but in children this system is imperfect and requires external support.

How does a baby's thermoregulation system work?

The thermoregulation center is located in the hypothalamus, a special section located deep in the brain. It reacts to the temperature of the blood flowing to it and the concentration of special chemical substances- hormones, pyrogens and mediators. In response to information from the periphery of the body, it sends impulses that regulate the processes of heat production and heat transfer. Thus, thermoregulation is carried out at the level of the autonomic nervous system - that is, autonomously (independent of our mind).

What is heat production

In humans, heat production occurs through voluntary muscle movements, involuntary contractions of muscle fibers (shivering when freezing), and through heat production by “nonmuscular thermogenesis.” In newborns, the main source of heat formation is the process of oxidation of brown fat reserves, which in newborns is approximately 7-8% (in adults there is none at all). It is located on the neck, near the shoulder blades, in the sternum area, near the kidneys. Reserves of brown fat gradually begin to form in a child from about 28 weeks of intrauterine existence. It is from this time that the baby will already try to generate heat and maintain body temperature if born ahead of time. The more of this fat in the child’s body, the better baby protected from hypothermia. The regulation of fat breakdown is regulated by the adrenal glands and the thyroid gland.

But the mechanisms of muscle tremors are less pronounced - newborns almost do not tremble when freezing, and the increase in oxidative processes with this mechanism is not so active. If children freeze, they begin to cry and actively wave their limbs, the mechanism of active heat production is activated.

What is heat transfer

For supporting correct temperature The body must not only produce heat, but also release it into the environment to prevent overheating. Regulates heat transfer nervous system due to changes in vascular tone - in order to release excess heat, skin vessels dilate and warm blood rushes to the surface. And when cooling, vascular spasm occurs, which allows heat to remain inside the body and heat loss decreases. But children do not have such a pronounced heat-insulating subcutaneous fat layer, so even if their skin vessels are spasmed, they can still lose heat from the surface of the body.

Heat transfer processes are carried out using four main mechanisms. The main one is convection - heat exchange between the baby’s body and air or water. That is why it is important for children to maintain a certain microclimate in the nursery or bathroom. It must be remembered that in newborns strong air currents can cause significant heat loss; it is important for them to avoid drafts in the house and strong wind on a walk.

The second mechanism for heat release is its transfer from the surface of the body to other objects and surfaces. Avoid placing a naked child on metal scales without a warm diaper, try to prevent the child from coming into contact with cold surfaces - do not constantly touch the walls, metal parts of the crib or stroller with their handles.

Heat transfer is also carried out by radiation in the infrared range coming from deep within the body. If environment much cooler than the body, radiation is carried out into the external environment quite actively. When the ambient temperature rises to the child’s body temperature (for example, in the heat), it practically stops. But if there are cold walls or a window nearby, heat loss will be very strong, including in the center of the body. Swaddling and dressing the baby and warming him with the mother's body can help prevent such losses. In addition, in newborns, especially premature ones, heat loss is greatest in the head area - it requires wearing a hat or positioning in the crib with the head away from the wall.

The main type of heat loss in newborns is evaporation - they can lose moisture from their skin and lungs when they exhale. The baby is born wet and its temperature due to evaporation amniotic fluid in the first minutes of life it decreases by 1-2 degrees. This reflexively stimulates the first breath, but should not lead to hypothermia of the baby. In addition, due to active respiratory movements, quite a lot of heat evaporates from the surface of the lungs with liquid. But the process of sweating in children is not pronounced, so they overheat more easily than adults in the heat.

What is considered normal?

The temperature of children during the newborn period ranges from 36.4 to 37.5 ° C, but when screaming, crying, or anxiety, it can rise to 38 ° C or even higher. In the first days, due to fluid loss and labor stress, the temperature may rise to 38-38.5°C, but this quickly passes. To measure temperature, you must use a mercury or electric thermometer. This is done in the armpit, but today there are also ear thermometers that are fast and accurate.

Caring for the baby in the first days

Due to evaporation amniotic fluid the newborn may suddenly become cold. Therefore, after birth, he is blotted with warm sterile diapers and placed on the mother’s chest, covered and wearing a cap. If the baby is full term, being naked at 25 degrees is equivalent to being a naked adult at zero temperature. The temperature of the mother's chest is 36-37°C, which warms the baby and allows thermoregulation processes to adjust and start. From the second or third day of life, the child’s thermoregulation gradually adjusts, although in the first months of life he still quickly overheats or becomes hypothermic.

How to create climatic comfort for your child

Now, knowing all the features of thermoregulation of newborn babies, it is necessary to properly organize their care. First of all, it is necessary to create the optimal temperature and humidity in the nursery - for newborns this is about 25°C and 60% humidity. During the first month of life, the temperature is reduced to 23-24°C, and at six months optimal temperature the temperature in the house is 20°C, and for sleeping 18-19°C.

Such temperature regime will allow the child not to become hypothermic. At the same time, there will be no overheating if the baby is dressed correctly. At home at 25°C, swaddling clothes or a cotton suit with long sleeve and socks.

One of important points in the formation of thermoregulation and general development the baby is in skin-to-skin contact with the parents - during feeding, the mother is recommended to be naked and cuddle the naked baby to herself, covering his body with a blanket on top. This is useful not only for the thermal comfort of the child, but also for the formation and maintenance of lactation, establishing emotional connections. During colic, it is also useful to carry out similar activities - but then dad can also participate in them, pressing the baby to his warm belly. Contact with the parent's body balances the processes of heat production and heat transfer - the child feels comfort and falls asleep.

When bathing your baby, you need to choose the right temperature of water and air in the bathroom. Initially, the baby is bathed in water close to body temperature, and the temperature in the bath should be approximately 25-27 degrees, since heat loss occurs from direct contact with water and then wet skin evaporates more. As the baby grows, you can reduce the air and water temperatures - this will harden the baby and allow him to better adapt to changing weather.

Cold or overheated?

If the baby is cold, he turns pale, blueness appears in the area of ​​the nasolabial triangle, he is restless or inhibited. However cool feet or hands are not a sign of freezing - they are always lower than body temperature due to more active sweating and the characteristics of blood circulation and nervous regulation. If the baby is cold, it is necessary to create skin contact - your body will warm him faster and better than any diapers; after all, his heat production is still slowed down, and from you he will receive living warmth. Only cases of hypothermia are rare - parents (and grandmothers are especially guilty of this) try to wrap the baby warmly and heat the room more, leading to overheating.

If, when freezing, a child begins to cry and move actively, if he overheats, he rarely lets you know about it in time - usually overheating is noticed by parents already when it is very pronounced. painful condition. This is an increase in temperature to 38-39°C, a sharp attack of anxiety or excessive apathy, red and sharply moist skin, and refusal to breastfeed. The danger of overheating is a decrease in immunity and the ability to cool down faster due to sweating (remember the process of evaporation).

But how can you determine whether your baby is dressed correctly? it's simple - touch the back of your neck, it should be dry and warm. If it is wet and hot, you have overdone the diapers or clothes, and if it is dry and cool, then the baby is cool.

On walks

Walking is beneficial for any child, starting from the first days of life. But in order not to harm the baby, you need to dress him correctly and walk in comfortable conditions. We start going for walks from the moment we return from the maternity hospital in the summer and on the 10th day in the winter. The air temperature for walking is selected from - 10 to + 30 degrees.

For your first walks, choose windless ones and not rainy days, as you adapt, from the second or third month you can walk in almost any weather (except for hail, ice and storm). Gradually, walks should take at least 2 hours a day - an hour in the morning and in the evening.

If the baby is in a stroller, make sure that the sun does not overheat the air inside it; it is better to choose shade or fold back the canopy, allowing the baby to enjoy the sun. If the baby is walking in a stroller and does not move, you need to put on one more layer than you put on yourself. Take a blanket with you in the stroller; if there is wind, you can lightly cover (but not wrap) the baby.

On a walk, checking the comfort of his clothes is also easy - touch his neck. Many mothers feel the nose, which, like the legs and arms, is usually colder than the body and is not an indicator of freezing.

Maintaining body temperature for a child is one of the most important life tasks. It largely depends on the parents how correctly the thermoregulation system is formed and functions. It, like the entire body, can be trained through hardening; These procedures should be started from birth - then the child will be better able to tolerate fluctuations in temperature and humidity and will get sick less.

One of the biggest childhood fears is losing your mother. While we are little, mother is our Universe and how we feel depends on her mood. But if you are now 25/30/35 years old, and you are still tied to your mother’s mood, just like in childhood, this is already a “bell” about a broken relationship. Emotional fusion, canned grievances, accumulated claims against your mother, all these are energy holes that drain your resource.

Yes, such relationships with mothers exist. And then mom wants to live confess love and arrange anniversaries, talk thank you toasts and go on vacation at sea. But what to do if the relationship with your mother did not work out? What should those who remember insults, punishments, screams, misunderstandings and even indifference do?

After all, if in childhood you received a lot of support, love and acceptance, then this resource will remain for life. An external caring parent will turn into an internal one. IN difficult situations this will be expressed in the fact that instead of a wave of criticism and self-flagellation, you can cheer yourself up and give yourself the opportunity to find correct solution. Well, if things didn’t work out with mom and despite all the failures, mistakes and bad behavior she reacted “I knew it,” “what else can I expect from you,” and inner voice will be behind the critical parent. The inner critic appears and makes itself at home in your head if your mother was cold, distant, ignoring and preoccupied with herself. It's sad and painful to admit this. But there is good news - you can “warm” your inner child, love him and become good to yourself, caring parent. To do this, you need to figure out what you expect from your relationship with your mother today. In the most general classification, these expectations can be divided into two options.

Unconstructive expectations from relationships with mother:

1. Get from your mother what she didn’t get in childhood. In this case, you continue to be offended by your mother for not going to school. parent meetings, forgot the names of friends, was not interested in your successes, did not keep drawings and homemade cards. You replay all this to yourself and hope that it will be compensated for in the present. That mom will say how sorry she is that she behaved this way in the past. Or that she will become more interested in your present. Or what will be more caring and open to communication.

This is a toxic belief “I wasn’t given enough, I wasn’t loved”. Essentially, you remain such an insatiable child for whom everything is not enough. Whatever your mother does for you today: walk for two hours with your son, cook lunch or give a scarf for New Year, this will still not be enough. After all, then, 15 years ago, she never took you to drawing classes. Or didn't show up school competition beauty, although all the other mothers came. This constant feeling of deprivation, coming from childhood, stands like a ghost between the real you and your mother. Childhood grievances distort what is happening and prevent you from seeing a real, living person with his own problems and disappointments.

2. Change mom. You still hope that you can do something for her that will help her become stronger. That you can influence her, and she will suddenly become a more resourceful figure for you. For example, you have always worried that your mother is not very confident in herself and cannot stand up for herself. And you hope that you will take her to a psychologist or buy expensive clothes and you will have a new, confident mother.

This is a false belief "I can make my mother happy". You can't change your mom. No matter how much you want it. And you can’t give her something so that her life changes, and she suddenly becomes the mother you dreamed of throughout your childhood. At a minimum, because you can’t go back to childhood. Yes, you can help your mother in a specific situation where she needs it. But you cannot force her to grow up, to grow in her a “core” on which you could rely, to help overcome your own psychological trauma.

What to do? You can influence your attitude towards your mother and the events that happened to you in childhood. It is best to do this under the guidance of a psychotherapist. But you can do it yourself, using the technique of a diary of memories and feelings. The following short written techniques also work well:

— To search for a resource. Try to remember and write down 3-5 good memories associated with your mother. For example, how she taught you something (jump rope, bake pies) or how she made a pleasant surprise. Write them down and mentally thank your mother for this.

— Freewriting to free your feelings. Essentially, this is a letter in which you can pour out all the grievances, dissatisfaction, anger, sadness associated with your mother. Don't hold back, don't criticize, just write. Then you can re-read and tear/burn the written pages. Don't stop your tears if you feel like crying.

If your mother is alive, you have the opportunity to establish a relationship with the real her (and not the image from your head). I'm talking about a woman who is now N years old, who has a lived life behind her. Try to see it through the eyes of an adult, not a child. Use for this simple technique: imagine your mother as she looks now. In as much detail as possible, her hairstyle, clothes, face, figure. Now imagine that she is sitting opposite you. Look at her with kindness and understanding, without judgment. It’s as if you were getting to know her again, with the attitude that this is a person close to you, and you want to establish a relationship with him. It seems simple, but we often see opposite us not a woman who is already 55/60/65 years old, but that image from the past and we make claims against it. The past no longer exists, there is only the present moment, where you can communicate with your mother as two adults. Our parents gave us life and this is theirs. main gift, everything else is already luxury. When we forget this, we get stuck in the repetition of should-should-owe. But the advantage of adulthood is that we can satisfy our own needs and not expect this from others.

There are no statistics that would say exactly how many people seek help from a psychologist because they have bad relationship with Mother. But I am sure that this is an impressive figure. It’s like the joke: “Whatever you are ideal parents, your children will always find something to tell the therapist.” You can always complain about an imperfect/bad/different mother. You can also leave her alone and do something more useful. For example, go and hug your child. Or go to dance/vocal lessons/cooking lessons or whatever you wanted to do as a child, but your mom didn’t take you?

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A hot head and cold feet when a child has a fever is an unusual combination temperature indicators body and limbs. Found in most clinical pictures for colds and viral diseases. The condition is unpleasant and dangerous for a small patient and requires medical attention. Systemic circulation is impaired, internal organs suffer from oxygen starvation. Therefore, if a child has a high fever and cold feet, you need to seek help from your local pediatrician.

What is a child's temperature?

This is a symptom of a cold or viral disease, which is accompanied by general weakness, tinnitus, and sweating. In this case, the child has a hot forehead and the temperature regime of the whole body is disturbed. Seizures elevated temperature accompanied by chills, fever, require immediate use of non-steroidal anti-inflammatory drugs. Cold extremities when a child has a fever indicate a condition that doctors call “white fever.”

What body temperature is considered elevated?

Ideally, a child’s body temperature reaches 36.6 degrees, and a level of 37 and above is considered elevated. Separately worth noting physiological characteristics infants who have acceptable indicator is the range of 37 – 37.3 degrees. In the latter case, much depends on room temperature, others external factors. Symptoms of white fever occur with an increase in body temperature, while the body's thermoregulation, especially lower limbs broken. The color of the skin is pale and bluish.

High temperature in a child and cold extremities

With inflammation and acute infections, the body temperature rises significantly, while the patient experiences severe pain in the joints, aches throughout the body, weakness and increased drowsiness. The head and forehead are hot, there is perspiration. Feet can remain cold even in warm socks, have a pale tint. Other symptoms feeling unwell become:

• attacks of dizziness;
• nausea, less often – vomiting;
• hyperthermia;
• decline in physical activity;
• instability of the emotional sphere;
• signs of weak immunity.

What happens to a child’s blood circulation at high temperatures?

Many people believe that there is no need to bring down the temperature of 39, it is necessary to give the immune system the opportunity to independently cope with the health problem that has arisen. This erroneous opinion, since in the case of white fever a spasm is observed in the affected body, blood circulation is disrupted. Among the complications of white or pink fever, doctors identify convulsions and acute oxygen deprivation.

Why are my hands and feet cold at temperatures?

A hot head and cold feet are a sign of a disease that needs to be treated promptly. Since vascular spasm predominates in the child’s body, limiting blood flow, doctors recommend warming the baby with warm drinks and rubbing the feet with alcohol. Thereby stimulating systemic blood circulation, normalizing the processes of heat reception and heat transfer. If the blood reaches the arms and legs in insufficient quantities, they become cold, and convulsions are possible in the future.

Why is high temperature dangerous?

Progressive vasospasm at fever in a child - dangerous condition which leads to seizures and disability. This is one of the few explanations why disturbed body temperature with cold extremities of a child requires timely treatment conservative methods. It is necessary to start with the recommended dosages of the medicine when the thermometer reaches 37.5 degrees.

What to do with high fever and cold extremities

If parents notice cold feet at a high temperature in a child, they should immediately seek advice from a pediatrician, and feel the child’s forehead and hands. Self-medication is prohibited, as it can only worsen general health little patient. Compresses with cool water on the forehead will not be superfluous, but non-steroidal anti-inflammatory drugs may not work. Here are recommendations from knowledgeable experts:

1. To warm the child, you need to put a warm heating pad under his feet and first put on woolen socks.
2. A good effect can be obtained from rubbing the limbs, but after completing the procedure it is necessary to put warm socks on your feet.
3. It is advisable to drink more warm liquids to forcefully stimulate the slow systemic blood flow.

Medications

A sick child may be wet from a high body temperature, while the feet remain cold. Treatment can be carried out in home environment, while on the recommendation of a specialist, it is important to involve several pharmacological groups with representatives different forms release:

• antispasmodics to relieve spasms of smooth muscles: No-Shpa, Drotaverine;
• antihistamines: Zodak, Zyrtec, Suprastin;
• ointments with a warming effect: Doctor Theiss ointment, turpentine ointment, Doctor Mom.

Antipyretic drugs

You can reduce body temperature with cold extremities with Ibuprofen or Papaverine. In the first case, we are talking about a medicinal suspension with a pleasant taste, in the second - about suppositories that are supposed to be administered rectally. The child will be wet within 15 - 20 minutes, but will need to sweat a little more. Here are the effective ones medical supplies in a given direction:

1. Panadol. Children's syrup has a sweet taste and is approved for use by children already in the first year of life, according to the instructions for use. Daily doses are determined by the individual weight of the patient, the course of treatment is 5–7 days.
2. Nurofen. The drug is prescribed for intolerance to paracetamol and the inactivity of the above medication. The active ingredient is ibuprofen. Available in the form of a sweet suspension, it is used according to the principle described above for 5 - 7 days, according to the patient’s weight category.

Antispasmodics

No-shpa is recommended to be used in case of severe vascular spasms, preferably intramuscularly to speed up the overall therapeutic effect. Children are more often prescribed rectal suppositories with Papaverine, which begin to act 15 to 20 minutes after the administration of a single dose. Here are effective antispasmodics if your child has cold feet at a fever:

1. No-shpa. Relieves spasms, lasts up to 4 – 8 hours. Recommended daily dose– up to 3 tablets, but not at once. The course of treatment is until the alarming symptoms disappear.
2. Drotaverine. Another reliable antispasmodic that restores vascular tone. The drug is available in tablets. It is recommended to take 1 – 3 pieces per day, no more.

Use of lytic mixture

Cold hands and feet at a child's temperature need to be warmed, and for this it is recommended to rub the palms and feet with alcohol, and wiping with vinegar will not be superfluous. To quickly restore general state for a small patient, pediatricians recommend using a lytic mixture. This is a resuscitation measure in the form of intramuscular injections, which effectively relieves high temperature, removes spasms, normalizes the child’s well-being.

You can prepare a lytic mixture at home, and for this you need to combine the following pharmacological ingredients:

• But Shpa;
• Diphenhydramine;
• Analgin.

Method of preparation, rules of use:

1. You need to combine 1 ml of each ingredient and mix the composition.
2. The solution will be injected into the gluteal or femoral muscle.
3. Improvements come after a few minutes.

In this way, you can normalize the temperature, warm your legs and arms, and prevent the formation of cramps. Use medicinal composition systematically is extremely undesirable, since the body very soon gets used to such treatment, and it becomes ineffective. This is a one-time event that gives a lasting effect at temperature.

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