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“Above 39.0 ° C”: Academician Namazova-Baranova told how to help if a child has a high temperature KXan 36 Daily News

Date: January 31, 2023 Time: 07:22:19

“Fever accompanies many diseases in childhood. Most often these are viral infections, then there are also symptoms such as cough, runny nose, sore throat. However, do not forget that fever is a protective reaction of the body that helps it fight infection. , – explained academician Namazova-Baranova. – It has been proven that lowering body temperature through the use of antipyretics does not shorten the duration of the disease and does not affect the risk of complications. In cases where a decrease in body temperature is still recommended , parents should not strive for a temperature of 36.6 °C, it will be enough to reduce it by 1-1.5 °C, which will improve the well-being of the child (although such decrease often seems insufficient to parents) difficult to diagnose Since fever helps the body fight the infectious agent , it is important to remember: if the child does not have a concomitant somatic pathology (for e.g. example, heart disease) and when the temperature rises, the child is still interested in what is happening around her, eats normally, it is recommended to reduce the body temperature when the value is above 39.0 ° C.

The head pediatrician of the Ministry of Health gave basic advice on what parents should do if their child has a fever.

1. Bringing the temperature down with antipyretic drugs should:

children under 3 months at a temperature above 38.0 ° C; children older than 3 months at a temperature above 39.0 ° C and a pronounced violation of general well-being; children with chronic diseases (congenital heart defects, diseases of the central nervous system, and others), with previously diagnosed febrile seizures (only for children under 5 years of age) at 38.5 °C.

2. Even before taking antipyretic drugs, it is possible to use physical methods of cooling: changing the child into light clothing or covering him with a sheet, a light blanket, maintaining a comfortable and even somewhat cool temperature of 18-22 ° C in the room. , ventilate the room regularly. If there is no cold, and the child’s hands and feet are warm, it can be cleaned with water at room temperature (20-25 ° C). The water will evaporate from the skin and cool the body.

3. If physical methods do not help, and the temperature continues to rise and reaches 39 ° C, you can give the child an antipyretic drug. Both parents and doctors should remember that only ibuprofen (allowed for children from 3 months) and paracetamol (allowed from 1 month) fully meet the criteria of high efficiency and, most importantly, safety and are officially recommended in pediatric practice.

Both drugs, based on ibuprofen and paracetamol, are presented in the form of a suspension, soluble tablets, coated tablets, capsules, suppositories. Suppositories (candles) are used when it is impossible to give medicine by mouth (for example, a child is vomiting).

The pediatrician must calculate the dose of the drug taking into account the body weight of the child at the time of the disease (in the instructions, doses are often indicated depending on age). If it is not possible to contact a doctor and an antipyretic (antipyretic drug) is required immediately, parents should remember that a single dose of ibuprofen should be 10 mg / kg of the child’s body weight (not more than 600 mg), and a single dose of paracetamol 15 mg/kg (not more than 1000 mg). Both medications should not be given more than 4-6 hours apart and no more than 3-4 times a day in total.

4. An important point: ibuprofen and paracetamol cannot be combined or alternated. This will not potentiate or prolong the antipyretic effect, but may cause acute liver failure. In addition, there is the possibility of confusion in the dosing of the drugs. But if the temperature remains elevated and the child’s discomfort does not subside 3-4 hours after taking ibuprofen or paracetamol, several experts suggest substituting ibuprofen for paracetamol, or vice versa.

With a prolonged absence of an antipyretic effect and a deterioration in the well-being of the child, it is necessary to contact a pediatrician.

5. Beware of overdose. This can happen with frequent and excessive use of antipyretic drugs. There is no specific antidote for ibuprofen and treatment is supportive. With an overdose of paracetamol, it is possible to give an antidote (N-acetylcysteine), which prevents the development of complications. If symptoms of overdose appear (decreased visual acuity, nystagmus (tremor or uncontrolled repetitive rhythmic spasms of the eyeballs with high frequency), seizures), consult a doctor immediately! Assistance must be provided in a hospital setting.

6. In what situations should you see a doctor?

fever in a child 3 months or younger; persistence of fever for more than 3 days – it is necessary to be examined (tests, instrumental examinations, etc.); increased symptoms of a cold that last more than a week; fever without signs of a viral infection (conjunctivitis, runny nose, red throat and etc.); a pronounced violation of the well-being of the child from the very beginning of the disease, even after taking antipyretic drugs; an increase in cervical lymph nodes.

7. When should an ambulance be called?

worsening of the condition, increased weakness; progression of drowsiness, irritability, tearfulness; appearance of a rash that does not go away with pressure; inability to tilt the head forward; a markedly negative reaction to light; discoloration of the skin and mucous membranes; shortness of breath, feeling short of breath, decreased frequency and amount of urination incessant vomiting lameness or pain in the lower extremities when moving sore throat, difficulty swallowing severe headache, pain in the chest or abdomen, pain of ear seizures.

Hansen Taylor
Hansen Taylor
Hansen Taylor is a full-time editor for ePrimefeed covering sports and movie news.

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