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Actions of parents when their child has a high temperature. High body temperature - fever

A high temperature is the body’s reaction to viruses, pathogenic bacteria that attack it, as well as ongoing inflammatory processes. In most cases, no special drug treatment is required to reduce it.

Doctors do not recommend taking any medications if it does not exceed 38.5 degrees in an adult.

But what to do if the temperature rises to 40°C? This may indicate the presence of very serious diseases, the treatment of which should not be delayed.

The causes of hyperthermia can be very different, from simple overwork to very serious ones that can lead to severe and irreversible consequences.

A temperature of 40 degrees puts a very large strain on the patient’s heart, which poses a great danger for people with problems with the cardiovascular system or metabolism, since blood circulation is impaired.

In addition, fever with pyretic thermometer values causes disruption in the functioning of the brain and central nervous system, leading to a decrease in blood pressure. Delayed assistance can result in serious consequences for life and health.

Therefore, if an adult has a fever of 40°C, the first thing to do is to take any effective antipyretic drug, having first read its contraindications.

After this, you need to consult a doctor to find out the causes of this condition.

What do, If at adult temperature rose to 40 °C?

To avoid severe consequences, high temperatures exceeding 38.5 degrees in adults must be lowered, not to mention higher temperatures of 39-40°C.

How to bring down a temperature of 40°C in an adult? Before answering this question, it is worth recalling that seeing a doctor is necessary, and lowering such a high temperature is only a temporary measure aimed at alleviating the patient’s condition until the ambulance arrives. It is unacceptable to limit yourself to only taking antipyretics, ignoring the root cause of the fever.

A quick effect can be achieved by taking a set of measures at home:

Take an antipyretic. The first place among these, in terms of safety and with the fewest side effects, is Paracetamol and other drugs based on it:

panadol;
ibuclin;
efferalgan;
Theraflu;
Coldrex;
Rinza.

A strong antipyretic at a temperature of 40°C, is Aspirin. The main active ingredient is acetylsalicylic acid. Aspirin has a wider list of side effects than paracetamol. In particular, you should not take it if you have the flu, as well as any blood diseases. In addition, it is contraindicated for children.

Good for reducing fever Ibuprofen And Voltaren. They also help relieve pain. Many of these drugs have a number of contraindications, so you should read the instructions before taking them.

Antipyretics should be taken every 4-6 hours, but no more than 3 times a day. Powders are more effective and fast-acting. It is especially important to cope with hyperthermia as quickly as possible for people suffering from the following diseases:

diabetes;
thyrotoxicosis;
diseases of the central nervous system;
suffering from chronic heart and lung diseases.

Causes

There are many reasons why temperatures rise to 40 degrees. In 80% of cases they are colds and influenza viruses. However, hyperthermia can be a symptom of the development of more serious diseases.

Infectious diseases

Thus, the main infectious causes may be:

Viral infections of ARVI and influenza;
Mononucleosis;
Meningitis;
Malaria;
Gastroenteritis;

Particularly dangerous infections and their causative agents: cholera, plague, yellow fever, anthrax.
Respiratory tract infections: rhinitis, sinusitis, pharyngitis, tuberculosis, pneumonia.
Diphtheria, dysentery.

Infections of the genitourinary system:

gonorrhea, candidiasis, chlamydia, herpes;
chicken pox;
Tetanus.

Urgent medical attention is needed if one or more of the following accompanying symptoms are detected:

high drowsiness;
rash;
headache;
severe sore throat that makes it difficult to swallow;
increased salivation;
chest pain;
labored breathing;
frequent vomiting;
blood in stool;
abdominal pain;
confusion and loss of consciousness;
inflammation or swelling of any part of the body.

Some of these dangerous diseases, in addition to high fever, may be asymptomatic.

Causes of high fever without symptoms

If a temperature of 40 degrees in an adult without other symptoms lasts for several days, this may be the cause of the following serious diseases:

If during the day the temperature drops and then rises again, this may be a sign of tuberculosis or accumulation of pus;
Typhoid fever. This disease is also characterized by a rise in high body temperature without other visible symptoms;
Various injuries and tissue damage can also lead to a temperature of 40;
Benign and malignant neoplasms;
Endocrine diseases (goiter, hyperthyroidism, porphyria);
Myocardial infarction;
Blood diseases (leukemia, lymphoma);
Infectious endocarditis. It may occur after acute respiratory viral infections, tonsillitis, or influenza;
Meningococcal infection. A very dangerous and insidious disease that is difficult to diagnose in time. Treatment started at the wrong time often ends in death;
Chronic pyelonephritis;
Rheumatoid arthritis and other inflammatory joint diseases;
Development of catarrhal tonsillitis;
Allergic reaction;
Lupus erythematosus.

What to do at a temperature of 40 °C without additional symptoms?

First aid for fever

(part 1)
There is probably no person in the world who, at least once in his life, has not experienced a rise in temperature in himself and his loved ones. An increase in temperature is a symptom of diseases for which consultation with a specialist is one way or another necessary, but nevertheless, every person should have basic skills in providing first aid to combat this condition.

In order to competently help a person with an elevated temperature, you need to study this condition a little closer and determine when you can talk about an elevated temperature in principle. Normally, the optimal human body temperature at which all biochemical processes take place is considered to be from 36.6 °C to 37.5 °C, and in America the norm is considered to be a body temperature up to 38.0 °C inclusive. There are only two basic concepts associated with increased temperature, hyperthermia and fever. Knowing this difference is necessary in order to understand what we are dealing with and what the future medical prognosis will be.

Most often you have to deal with fever. Fever is a state of elevated temperature characteristic of infectious diseases. Here it is very important to know what kind of help it is:

Low-grade fever – body temperature not higher than 37.9°C.
Moderate fever with body temperature in the range of 38.0-39.0°C.
High fever body temperature in the range of 39.0-41.0°C.
Hyperpyretic fever body temperature over 41.0°C

Hyperthermia is a condition in which the body temperature rises as a result of impaired heat production and release, not associated with infectious factors and untreatable with antipyretic drugs. Hyperthermia can be caused by both internal factors, ranging from hormonal imbalance to serious diseases such as cancer, and external factors, when, as a result of exposure to external environmental factors, the process of heat transfer is disrupted, for example, this can be observed with heat or sunstroke, which many of us have heard of. There is also physiological hyperthermia, i.e. occurring normally, for example, hyperthermia in children 1 month of age up to 38.0°C.

Both hyperthermia and fever are divided into “white” or also called “cold” and “red” or “hot”. This is important to know, since the assistance for these two types will be different. "Red" fever is characterized by the following signs: the skin, mucous membranes of the nose and mouth of the patient are red, dry, hot. The person breathes frequently and complains of feeling hot. As a rule, such a patient remains active until the body temperature rises high. "White" fever is characterized by the following signs: the skin, mucous membranes of the nose and mouth of the patient are pale, cold, and wet. The hands and feet are simply “icy” to the touch. The patient breathes frequently and complains of lethargy and chills.
How and how to measure body temperature
Body temperature can be measured not only in the armpit, where the normal body temperature is the same 36.6 to 37.5 ° C, but also in the groin fold, elbow crease, in these areas the normal temperature should be 36.2-37, 0°C, you can also measure body temperature in the rectum (rectally) 36.9 - 37.4°C, in the oral cavity the normal temperature is 36.8-37.3°C and in the vagina, here during the first half of the cycle the temperature should not exceed 36.7°C; in the second half of the cycle, the numbers typically increase to 37.5°C.

How to measure body temperature correctly

At any age, temperature measurement is carried out at
state of rest. It is undesirable, for example, to walk around with a thermometer
apartment, while simultaneously solving household problems. Especially
It is important to remember this when taking your child's temperature.
The area of the body in contact with the thermometer must be dry.
The contact of the thermometer with the body should be tight.
At least half the area of the thermometer must be in contact with the surface
bodies.
It is advisable not to wrap yourself in a blanket while taking your temperature.
and do not wear more clothes than usual.
The duration of temperature measurement should be at least 5 minutes, unless there are special instructions in the instructions for the thermometer.
After measuring the temperature, it is advisable to wash the thermometer with soapy water.
water or wipe with an alcohol wipe.

It must be remembered that in women in labor and nursing mothers, body temperature is measured in the elbow to avoid falsely high values in the armpit, and in children under one year of age for convenience and correct readings in the groin area.
How to measure temperature
They have invented a lot of things recently to measure body temperature. We will now consider the most popular types of thermometers.

This is a thermometer. Reliable, most accurate, but fragile, contains metal that is hazardous to health, and can cause injury from glass fragments.
Glass thermometer with tin, indium, gallium. Reliable, accurate, does not contain substances hazardous to health, suitable for both axillary and rectal temperature measurement. Among the disadvantages, just like a mercury thermometer, it is fragile and can cause injury from glass fragments.
A heat-sensitive strip is a special strip that, when applied to the body, changes its color depending on the temperature. It is easy to use and quickly produces results, but this result is very approximate.
Thermometer - pacifier. The most important advantage of such a thermometer is that it is convenient to use for children who suck a pacifier, but for the most reliable result it must be placed deep under the tongue (in the place where the lingual artery passes), which is very difficult to do. If used incorrectly, the result will be inaccurate. Not to mention the fact that it is not possible to give a pacifier to a child in any condition.
Digital Thermometer. The most popular thermometers at the moment. They quickly provide results (in 1-2 minutes), are convenient for measuring temperature in any area, have memory, are durable and safe. The only downside is that their results depend on the battery charge level and, as a result, they tend to underestimate readings.
It is very rare to find an infrared thermometer. This thermometer is hygienic (the tips of this thermometer are disposable), easy to use, and gives results quickly. However, such a thermometer is expensive. Not suitable for a newborn because the tip is too large. In case of otitis (inflammation of the middle ear) or crying, the measurement result will be overestimated.

Everyone decides what to use for themselves, depending on their wallet, convenience and other circumstances, but the most accurate are a mercury thermometer and a thermometer with tin, indium, and gallium.
What to do when the temperature rises
In any case of increased temperature, it is necessary to consult a specialist, such as a local doctor, however, there are emergency conditions that require calling an ambulance. These conditions include:

High fever and hyperthermia (body temperature in the range of 39.0-41.0°C), hyperpyretic fever and hyperthermia (body temperature more than 41.0°C) unresponsive to drug therapy.
Fever with rash.
Fever with other manifestations, such as loss of consciousness, sudden hoarseness or difficulty breathing in children (manifestations of false croup), a feeling of interruptions in the heartbeat, pain in the heart, and other phenomena that alarm you.

In all other cases, you can call your local doctor. Under no circumstances should you tolerate a high temperature on your feet, which can lead to unwanted complications, and you should not go to the clinic on your own for an appointment, as you may be contagious to others.

How to treat a fever
While waiting for the local doctor or ambulance, depending on the type and type of fever, it is necessary to carry out a number of first aid measures.

It must be remembered that low-grade fever, i.e. body temperature at which up to 38.5°C does not require any reduction. The body responds to infection by producing all sorts of immune substances that will fight the infection. One of these substances is interferon. Many people have heard about interferon. It is prescribed for ARVI in one form or another. The higher the temperature, the more interferon, the more effectively the body fights infection. When do you need to lower the temperature?

Body temperature above 39.0 °C at any age, i.e. in case of high and hyperpyretic fever, because such a high temperature for more than an hour does more harm than good and can provoke seizures.
Body temperature above 38.0 °C in children under one year of age.
Body temperature above 38.0 °C in patients with epilepsy, convulsive syndrome, increased intracranial pressure, and heart defects.
Poor temperature tolerance.
In all cases of "cold" fever.

What and how to reduce the temperature
For red fever
The patient must be undressed. Do not wrap up under any circumstances. The baby's diaper must be removed. This must be done so that the heat has somewhere to go.

Try to provide cool, fresh air in the room where the patient is located. The optimal air temperature for the room is 16-18 °C. Firstly, it helps thermoregulation, as was written above, and secondly, it deprives many viruses and bacteria of a favorable environment for development and reduces the risk of infecting others.

Provide plenty of fluids. At high temperatures, profuse sweating occurs, which helps reduce it and also prevents blood from thickening. The more active the sweating, the more you need to drink, i.e. replenish lost fluid. Simple clean water is best, but you can successfully drink dried fruit compote, fruit juice, tea, mineral water, herbal decoctions, viburnum, rose hips, currants, etc. You can use raspberries with tea, but you should remember that raspberries increase sweating and therefore, before taking it, you need to drink something, for example, the same water. Raspberries should not be used by children under one year of age. The temperature of the liquid that the patient drinks should be plus or minus 5 degrees from his body temperature, because... the liquid will not enter the blood from the stomach until it warms or cools in the stomach to body temperature.

Only after what is described above can you begin drug treatment.

For adults and children, the first-line drug is paracetamol and ibuprofen in age-appropriate dosages. They are available in suppositories, tablets and syrup and are sold under a variety of commercial names. They are available in any pharmacy and you should have them in your home medicine cabinet. It is necessary to use drugs to reduce fever not according to a schedule, but until the effect is achieved, i.e. until the temperature drops. Thus, if there is a temperature, we give medicine, if not, we don’t give it. We evaluate the effectiveness of treatment by measuring body temperature no earlier than after 40 minutes-hour. Paracetamol and ibuprofen can be alternated every 3-4 hours. That is, if the temperature is present, does not decrease, or decreased, and then rose again, you can give, for example, paracetamol first, and the next time it rises, ibuprofen. Remember, you cannot give paracetamol more than 4 times a day and for more than 3 days in a row. Based on the positive or negative effect of paracetamol, we can judge whether we are dealing with hyperthermia or fever. It has already been written above that hyperthermia cannot be treated with antipyretics. That’s differential diagnosis, and here you can’t put off visiting a specialist until later.

Second-line drugs include analgin (which, by the way, is in suppositories) and aspirin (acetylsalicylic acid). Here you need to remember that they are used when everything described above does not help and that analgin is not used in children under 3 years of age, and aspirin up to 10 years of age. "Analgin" and (or) "Aspirin" also begin to act after 30-50 minutes, their duration of action is 4-6 hours. Analgin and aspirin can be taken 3 times a day. If necessary, they can be given alternately (every 4 hours) or together (every 8 hours). The method of administration depends on the frequency of temperature rise. It is worth paying attention to the fact that the ambulance uses analgin in injection form to reduce the temperature, regardless of age. This is worth remembering when you are trying to call a team specifically to lower the temperature.

Help for “white” or “cold” fever will be the same as described above, with the exception of one important point, namely, with “white” fever all peripheral i.e. are “closed”. vessels close to the skin and, as a result, there is no heat transfer. The body “cooks” itself, like in a pressure cooker. In view of this, the body must first be helped to open the peripheral vessels and only then bring down the temperature. For these purposes you need to do the following:

Do everything described above as for “red” fever, but it is necessary to warm the patient’s hands and feet, and dress him in light clothing and woolen socks. You can apply warm heating pads to your extremities. Heating pads should not be hot, so as not to burn the patient, but rather warm and applied through the fabric. If you don't have heating pads, you can use plastic bottles.

After which you can use one of the antispasmodics such as papaverine or dibazole. After this, you can treat as described above.

Help with hyperthermia is provided in the same way as in the case of “white” or “red” fever, however, given that the mechanism of development of this condition differs from the mechanism of development of fever, antipyretic drugs are not used in this case, but analgin is immediately used in age-appropriate dosages.

What mistakes are made when treating high fever?
Typically you encounter the following mistakes when treating high fever:

An attempt to bring down a low-grade fever, i.e. temperature up to 38.5 Why? The body must fight.
Using physical cooling methods such as wiping with water, water with alcohol, or water with vinegar, cold heating pads, cold water enemas, cold sheets. All this is possible only under the supervision of doctors, because... may cause harm. A cool room without wrapping up is enough. If the patient sweats, the temperature will drop on its own, especially if medications have been taken. In the case of white fever or hyperthermia, such actions can be completely fatal, because the peripheral vessels are “closed”, and when receiving a sharp dose of cold, the body also tries to warm up sharply; as a result, the temperature may not decrease, but rise sharply. In the case of “red” fever or hyperthermia, the temperature can drop uncontrollably very quickly i.e. fall lytically, which can also negatively affect health.
The use of means that increase temperature, such as alcohol, mustard plasters, alcohol compresses, caffeine-containing drinks, baths.
Wrapping up. The body needs to give off heat, when the patient is wrapped up, there is nowhere for the heat to go and instead of decreasing the temperature, it increases.
Heating the room. To transfer heat, as was written above, a cool, well-ventilated room is necessary. Firstly, it helps thermoregulation, and secondly, it deprives many viruses and bacteria of a favorable environment for development and reduces the risk of infecting others.

I would like to hope that this article was useful to you and now, when faced with a high temperature, you will not be confused and will be able to provide first medical aid competently, both to yourself and to your loved ones, and I would also like to hope that it will not be useful at all. Do not be ill!
St. Petersburg State Budgetary Healthcare Institution "City Clinic No. 91"
Morozov I.G.

Save so you don't lose! Pediatricians advise! Very useful information, thanks! I didn’t know everything, but now I’ll take note. Told in detail and...

Save so you don't lose! Pediatricians advise!

Very useful information, thanks! I didn’t know everything, but now I’ll take note. It is told in detail and simply, without unnecessary complications.

Now that children get sick so often, every mother needs this knowledge! It’s so important to help your child and not harm!

1. How and when to bring down a child’s temperature

We knock it down if it is above 38. Your task is to reduce T to 37.5 C armpit.
To reduce T, use paracetamol (acetominophen), ibuprofen. Never use aspirin, especially if your child has chickenpox.
Undress the child (do not wrap him up!). Don't forget about cool, fresh air in the room.
To reduce T, you can also use cool baths (water temperature corresponds to normal body temperature).
Do not use alcohol rubs, especially on young children. Remember, alcohol is poison for a child.

2. Why do Paracetamol and Ibuprofen not always help?

The fact is that all drugs in pediatric practice are calculated based on the weight of a particular child. Medicines must be taken, correctly calculating the dose for the weight of a particular child, using special measuring syringes. Manufacturers, especially of cheap paracetamols, for some reason underestimate doses, and focusing on the recommendation - “from 6 months to 3 years” is also not reasonable, since One dose of the drug may be suitable for a child weighing from 8 to 18 kg.

3. How to take antipyretics correctly? (Calculate the dose of the medicine)

Paracetamol (Panadol, Efferalgan, Cefekon D) single dose of the drug – 15 mg/kg. That is, for a child weighing 10 kg, a single dose will be 10 kg X 15 = 150 mg. For a child weighing 15 kg - 15X15=225 mg. This dose can be given up to 4 times a day, if necessary.

Ibuprofen (nurofen, ibufen) Single dose of the drug 10 mg/kg. That is, a child weighing 8 kg needs 80 mg, and a child weighing 20 kg needs 200 mg. The drug can be given no more than 3 times a day.
The drugs reduce the temperature within an hour and a half, by about 1-1.5 degrees; you should not expect a decrease in temperature to the “normal” 36.6.

4. What drugs should NOT be given to a child?

Analgin (metamizole sodium). The use of the drug in the civilized world is not approved due to its high toxicity and inhibitory effect on hematopoiesis. In Russia it is widely used, especially in emergency situations, as part of a “lytic mixture”. A single administration of the drug is possible in conditions where other, safer drugs are not available. But constant use of analgin with every increase in temperature is absolutely unacceptable.

Aspirin (Acetylsalicylic acid) - the use of the drug in children under 12 years of age for viral infections is prohibited due to the possible development of toxic encephalopathy with liver damage - Reye's syndrome.

Nimesulide (Nise, Nimulid) - several years ago was widely advertised as an antipyretic in children due to gaps in legislation. Reduces temperature remarkably. Produced only in India. In the civilized world, use in childhood is prohibited due to the possibility of developing severe liver damage (toxic hepatitis). At the moment, the use of the drug in children under 12 years of age in Russia is prohibited by the pharmaceutical committee.

5. You can’t!

Applying cold objects to a child’s “fevering” body provokes a spasm of skin blood vessels. And if a decrease in skin temperature occurs, the temperature of the internal organs, on the contrary, increases, which poses an exceptional danger. - You cannot rub with alcohol or vinegar, because these substances enter the child’s body through the skin, which means poisoning is possible.

6. What to do in case of ‘white fever’?

Is there any benefit to high temperature? Without a doubt! Fever is a response to infection, a protective mechanism that helps the body fight viruses; when body temperature rises, protective factors are produced in the body. If your child's skin, despite the high temperature, is pink and moist to the touch, you can be relatively calm - the balance between heat production and heat transfer is not disturbed. But if at a high temperature the skin is pale, the hands and feet are cold, and the child has chills, then this is “white fever”, in which vasospasm occurs. The cause may be damage to the central nervous system, lack of fluid, decreased blood pressure, and other reasons. For white fever:

1) Try giving half a tablet of Nosh-pa and intensively rub the child’s cold limbs with your hands. Please note that antipyretics will not begin to act in full force until the vasospasm passes. Be sure to call an ambulance - they will inject a ‘lytic mixture’!

2) Eliminate any methods of physical cooling - rubbing, wrapping in cold sheets, etc.! Your child is already experiencing spasm of skin blood vessels.

7. Which form of medication should I choose?

When choosing the form of a medicine (liquid mixture, syrup, chewable tablets, suppositories), it should be taken into account that drugs in solution or syrup act in 20-30 minutes, in suppositories - after 30-45 minutes, but their effect is longer. Suppositories can be used in a situation where a child vomits when taking liquid or refuses to take medicine. It is better to use suppositories after the child has had a bowel movement; they are convenient to administer at night.

High body temperature(fever) is a protective-adaptive reaction of the body that occurs in response to exposure to pathogenic stimuli and is characterized by a restructuring of thermoregulation processes, leading to an increase in body temperature.

Depending on the degree of increase in body temperature, there are:

low-grade fever (37.2 – 38.0);
febrile (38.1 -39.0);
hyperthermic (39.1 and above).

The most common causes of fever are:

Infectious-toxic conditions
Severe metabolic disorders
Overheating
Post-transfusion conditions
Endocrine disorders

High body temperature leads to impaired microcirculation, metabolic disorders and progressively increasing dysfunction of vital organs, so it is necessary to call an ambulance.

In a patient with high body temperature, a distinction is made between “red” and “white” hyperthermia. It is important to find out the cause of the high temperature.

The more prognostically favorable “red” hyperthermia (heat production corresponds to heat transfer) is more common. The skin is moderately hyperemic, hot, moist, limbs are warm, increased heart rate and respiration,
The following signs are characteristic of “white” hyperthermia: pale “marbled” skin, with a cynical tint to the nail beds and lips. Cold extremities, increased heart rate, shortness of breath. The patient's behavior is disturbed - lethargy, possibly agitation, delirium and convulsions. In this regard, immediate consultation with an emergency physician is indicated.

When the temperature rises, it is necessary to decide the question: is it necessary to reduce the temperature? In accordance with the recommendations for emergency care for hyperthermia, antipyretic therapy should be carried out when the body temperature is above 38.5. However, if, against the background of elevated temperature, there is a deterioration in the condition, chills, pallor of the skin and other manifestations of toxicosis, antipyretic (antipyretic) therapy should be prescribed immediately.

Patients from the “risk group for the development of complications due to high body temperature” require the prescription of antipyretics for “red” fever at a temperature above 38.0, and for “white” fever - even at low-grade fever. The risk group for the development of complications due to high body temperature includes children: the first three months of life, with a history of febrile convulsions, with diseases of the central nervous system, with chronic heart and lung diseases, with hereditary metabolic diseases. Such children require immediate consultation with an emergency physician.

First aid for high body temperature:

For “red” hyperthermia: it is necessary to expose the patient as much as possible, to ensure access to fresh air (avoiding drafts). Prescribe plenty of fluids (0.5-1 liters more than the age norm of fluid per day). Use physical cooling methods (blowing with a fan, a cool wet bandage on the forehead, vodka-vinegar (9% table vinegar) rubdowns - wipe with a damp swab). Prescribe paracetamol orally or rectally (Panadol, Calpol, Tylinol, Efferalgan Upsa, etc.) in a single dose of 10-15 mg/kg orally or in suppositories 15-20 mg/kg. Or - ibuprofen in a single dose of 5-10 mg/kg (for children over 1 year). If the body temperature does not decrease within 30-45 minutes, an antipyretic mixture is administered intramuscularly: 50% analgin solution (for children under 1 year of age, dose 0.01 ml/kg, over 1 year of age, dose 0.1 ml/year of life) , 2.5% solution of pipolfen (diprazine) for children under one year of age at a dose of 0.01 ml/kg, over 1 year - 0.1-0.15 ml/year of life. A combination of drugs in one syringe is acceptable.
For “white” hyperthermia: simultaneously with antipyretics (see above), vasodilators are given orally and intramuscularly: papaverine or no-spa at a dose of 1 mg/kg orally; 2% papaverine solution for children under 1 year - 0.1-0.2 ml, over 1 year 0.1-0.2 ml/year of life or no-shpa solution at a dose of 0.1 ml/year of life or 1% dibazole solution at a dose of 0.1 ml/year of life; you can also use a 0.25% solution of droperidol at a dose of 0.1-0.2 ml/kg intramuscularly.

Patients with intractable medications, high body temperature after providing first emergency aid they should be hospitalized. The choice of hospital department and etiotropic therapy is determined by the nature and severity of the underlying pathological process that caused the increase in body temperature.

When a child’s temperature rises, his parents, especially if they are young, begin to panic, but in such a situation one should never panic. There are clear actions that parents must take to alleviate the baby’s condition before the ambulance arrives.

If the child’s behavior has changed, he has become sad, apathetic, whiny, then it’s time to take his temperature. How to do this correctly? You need to know that there are three ways to measure temperature: in the armpit, in the mouth and in the rectum. In the mouth and rectum the readings will be slightly higher than in the armpit, and this must be taken into account. Thanks to modern thermometers, electronic and infrared, this process now takes a matter of minutes, or even seconds. But there are some nuances. An electronic thermometer shows a more accurate result if you hold it for about 5 minutes, rather than a minute, as the instructions say. It is best to take readings from an infrared thermometer several times.

The body temperature of a healthy person is 36 degrees; when it rises, this is a signal that inflammatory processes have begun in the body, but with children, especially newborns, the situation is somewhat different. In children under six months of age, a temperature of up to 37.3 degrees is considered normal. This is due to the unfinished process of formation of the thermoregulation system.

The cause of elevated temperature is most often an infectious disease, but it can also be caused by simple overheating in the sun or when the child is dressed too warmly. May lead to a rise in temperature and a long bath in a hot bath. In children under one year of age, the temperature may rise after vaccination or during teething. Therefore, it is extremely important when measuring the temperature to follow the rule: you can take readings only half an hour after a walk, bathing or feeding.

By increasing the overall body temperature, the body fights the internal inflammatory process. In fact, this is a natural defensive reaction that uses all the forces of the immune system to suppress the source of the disease. Of course, the question here is quite appropriate: is it worth suppressing it? Usually the temperature begins to drop when it reaches 38.5 degrees, but you need to be careful with children. Here it is necessary to look at the general condition of the baby; if he tolerates elevated temperature quite easily, then it is better not to rush with antipyretics. But there are situations when it is not recommended to wait, so as not to cause low-grade seizures in the child.

If parents are convinced that the child has a fever, they must undress him immediately. Be sure to remove the diaper. You can wipe the baby’s body with a cotton swab dipped in vodka, lingering longer in the places where the main vessels pass (wrists, inguinal folds, under the knees, ankles). This “old-fashioned” method is surprisingly effective, since the alcohol contained in vodka quickly evaporates, improving heat transfer from the body, and the temperature begins to drop. Under no circumstances should you wipe your baby with pure alcohol diluted with water in a 1:1 ratio, otherwise you can “burn” the baby’s delicate skin. The air in the nursery should be fresh; for this you need to ventilate the room more often, taking the child to another room. If necessary, you need to give an antipyretic either in the form of syrup or in the form of suppositories, and be sure to call a doctor at home.

What mommies advise:

Elena.“If a child has a fever, you should definitely give him something to drink, but not a lot, otherwise he may start vomiting. I gave it to my daughter literally a drop at a time, but often, and wet her lips.”

Catherine.“I know that the temperature can be reduced if you bathe the child in water that is slightly lower in temperature than the baby’s body. This is really a very effective way. I always start to bring his temperature down.”

LeeSa.“There is one “folk” remedy that I have tested in my own experience. I use it at very high temperatures, up to 39 degrees. You need to act like this: put on the child socks soaked in a water-vinegar solution, or simply in cool water. Helps us a lot! This method is only suitable when the legs are hot. You can also wipe the baby’s hands and head!”

Alla. “When a child has a fever and his arms and legs are cold, this is a sign of vascular spasm. In this case, wiping is strictly prohibited!”

Natalia. “I believe that wiping the entire surface of the body is far from harmless; it’s still alcohol, albeit diluted. It is correct to rub only the baby’s palms and feet. There will definitely be an effect! In addition, we also massage bioactive points at the same time!!!”

Sveta.“When asked what is better to use syrup or suppositories for fever, I answer that it is individual: if a child is vomiting, then suppositories; if there is diarrhea, then syrup, of course)).”

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