Neonate constitution is weak, do not notice to be able to have a fever a little bit of circumstance, novice parents can want to pay special attention to, encounter darling to have a fever how to do? Do not panic, the following precautions to see carefully Oh!
What should I do if my baby has a 38 degree fever
The temperature of the newborn is calculated as fever. The normal temperature of the newborn is based on the axillary temperature measurement of the baby:
Low heat is 37.4-38 ℃;
Moderate fever: 38.1-39 ℃;
High heat: 39.1 ~ 41 ℃;
Super high heat: above 41 ℃.
* Note:
The baby's temperature is often hot in the afternoon and at night, and it is also hot when the baby is sweating. In the morning, the axillary temperature is generally 36-37 ℃. More than 40 degrees can cause convulsion and even brain damage, which should be paid great attention to by parents.
Because the function of newborn's thermoregulation center is not perfect, and the development of sweat gland is not perfect, especially for premature infants and newborns within 10 days of birth, the tolerance degree and reaction intensity to heat are much worse than that of adults.
Therefore, when the temperature in the room is too high (more than 30 degrees) in summer, the temperature of the newborn will rise. Some newborns born for 2-3 days, due to the mother's lack of milk, do not give the child water or other dairy products, and the environment temperature is high or the package is more, the child will have temperature rise, dehydration, weight loss, less urine, restlessness and restlessness Ann and other manifestations, known as' neonatal dehydration heat '.
The most dangerous thing is that in the cold season of winter and spring, some parents are afraid that their children will catch cold, put on too many clothes and covers for their children, even wrap their heads and faces tightly, and cover them for a long time, which can make their children's temperature rise more than 40 degrees all the time, cause convulsions (or convulsions), coma of the severe, which is called cover syndrome.
Differentiated response to neonatal fever
We should make a preliminary assessment of the fever of newborn babies, that is, to distinguish whether the fever is caused by environmental factors or disease factors. Secondly, choose a good and safe way to reduce fever.
In real life, the most common cause of neonatal fever caused by environmental factors is excessive heat preservation: such as too much clothing, too much cover. Especially when the indoor temperature is close to 30 ℃, if the mother's milk secretion is insufficient, the newborn's milk intake will be reduced, which can cause the newborn to dehydrate and cause the baby to have fever.
This kind of factor causes the fever, the baby performance is fidgety, the crying, the whole body skin is flushed, the hands and feet are hot and the urine is little.
Do not panic in case of fever caused by the above conditions. After properly reducing the ambient temperature (22-25 ℃ is the best living room temperature for newborns), releasing the quilt or adding more water, the baby's temperature can be reduced to normal.
If the newborn baby's fever is accompanied by poor response, pale face, loss of appetite, and cold hands and feet, this is the fever caused by disease factors, the parents should deal with it rationally, and it's better to send it to the hospital in time. On the way of transfer, the baby should be less wrapped, and the head can be pillow cold water bag.
When the body temperature is over 39 ℃, warm water bath or warm water bath can be given at home first. The water temperature is 33 ℃ ~ 35 ℃, and the bath place is forehead, limbs, groin and armpit. Avoid rubbing bath with alcohol to prevent the temperature from dropping sharply, even lower than 35 ℃, which will cause adverse effects.
Physical cooling below 38 degrees is recommended
1. More ventilation, pay attention to heat dissipation. Keep the indoor temperature at 21 ℃ ~ 23 ℃;
2. Let children rest in bed, sleep more, to ensure adequate sleep can be conducive to the recovery of the disease. Open the quilt or take off too many clothes, dress wide, do not use quilt package;
3. The children were fed with warm boiled water or vitamin C juice frequently, 250 ml a night;
4. Apply ice bag to forehead;
5. High fever can use alcohol to wipe the baby's joints, take a warm bath, immerse the baby in warm water that is 4 ℃ ~ 6 ℃ lower than the body temperature for 5 ~ 10 minutes, then dry the whole body with a large towel and gently massage the skin until it turns red;
It can also use 32 ℃ ~ 34 ℃ warm water, which is suitable for adults to wash the inner skin of wrists without scalding. It focuses on scrubbing the forehead, neck, armpit, groin and limbs. The whole scrubbing time is 10 ~ 15 minutes, until the temperature of children drops to 38 ℃. This physical cooling method has a good effect.
Tips for fever medication
For babies, there are two relatively safe antipyretics: Paracetamol and ibuprofen.
But we should pay attention to: each mother should use the right medicine according to the age of the baby at home. Children over 3 months can choose paracetamol, and those over 6 months can choose paracetamol or ibuprofen.
Ibuprofen can not be used to reduce fever in children with dehydration, poor renal function and confirmed varicella. Acetaminophen is not specifically prohibited unless the child is allergic to acetaminophen or has severe liver and kidney function damage. However, it is recommended not to mix the two drugs.
In addition, when using antipyretic drugs, we should not only follow the doctor's advice, but also cooperate with the family care methods mentioned above to make the children with fever more comfortable. At the same time, we should pay attention to rehydration to ensure enough water and electrolyte.
Is feverish hand and foot fever in antipyretic
Fever in the hands and feet of a child with a fever is good for lowering the temperature, which may indicate that the fever is going to subside.
When a child has a fever, his hands and feet are hot because it shows that the microcirculation of the child is good, and the blood carries the heat to the skin of the limbs, which is easier to emit. After all, the skin surface area of the limbs is much larger than the skin surface area of the trunk.
What are the symptoms of fever and fever
The most intuitive manifestation of fever and fever is that the child's temperature will drop, or the child will sweat more and sweat profusely. However, it should be noted that the sweating may be that the baby is in the process of fever reduction, and the temperature measured at this time may not be very high. The parents still need to make records and continuous monitoring to avoid ignoring that the baby may be a symptom of repeated fever.
How can children get rid of fever quickly
&; &; &; &; &; &; &; &; 1. Cover the front fontanelle to make it sweat
For infants under one and a half years old, the front fontanelle has not been completely closed. Parents can cover the front fontanelle with their hands and hearts after the child falls asleep, until the child's head is slightly sweaty. At this time, when looking at the baby again, the nose is open, the breath is stable, and the temperature has also dropped. At this time, the parents wake up the baby again, and give more warm boiled water or brown sugar water to the baby, and the baby will soon recover as before. When covering the front fontanelle with the palm of the hand for the baby, the parents should not worry. The best way is to operate it by the father of the child. The heat of the man is large, and the baby is easy to sweat.
2. Fever caused by cold can be dispelled by ginger and brown sugar water
Most children are still suffering from the fever caused by cold. When they are hot, their hands and feet are cold, their tongue coating is white, their face is pale, and the color of urine is light. Parents can use ginger brown sugar water to get rid of the cold for children. The effect is good. If ginger brown sugar water is added with 2-3 segments cut into one inch green white, the effect will be better.
If children are afraid of spicy food, they can add two pieces of ginger, two pieces of green onion and a few drops of vinegar to the porridge cooked for children. After cooking, remove the ginger and green onion and feed them to children, which can dispel cold and sweat. The effect of antipyretic is good, and children are willing to eat it. Parents can feed their children 2-3 times a day. After the fever subsides, they don't need to add onions. When the tongue coating is no longer white, they can also not put ginger.
3. Drink more water for fever caused by internal heat
If the child's hands and feet are not cold when he / she is hot, but his / her face is red, his / her throat is sore, his / her tongue is yellow or red, his / her urine is yellow, his / her smell is heavy, and his / her eyes are red, it means that the child's internal heat is heavy, so he / she can't drink ginger and brown sugar water. The parents should let the child drink a lot of warm boiled water, or add a small amount of salt into the water, and make it into light salt boiled water for the child to drink, which can eliminate internal heat. Only when children drink a lot of water and urinate several times, can their body's internal heat be discharged with urine, and their body temperature will drop, and their symptoms of burning will be improved.
4. Fever caused by internal heat or inflammation of the body should be light in diet
If the child has fever in the day and night, it means that there is internal heat or inflammation in the body. Parents can slice balsam pear, take 10 pieces, boil it with water for 5-10 minutes, then give it to the child, 2-3 times a day. When the child does not have fever in the day, don't drink it again. At the same time, try to give children more water, eat fresh fruit, and eat a relatively light diet, not fish, shrimp, but other meat and vegetables.
5. Fever caused by severe deficiency of cold in the body should be dispelled and supplemented with nutrition in time
If the child's temperature is normal during the day, it will rise in the evening, and then it will subside in the morning, which means that the child's fever is caused by the cold and deficiency in the body. At this time, the child should still drink ginger, brown sugar and scallion water. It's better to mix it with the AI Ye water to soak his feet to get rid of the cold. Moreover, the child can drink broth and light chicken soup. The Guyuan cream can be eaten twice a day, once a small half spoon, to timely supplement nutrition for the child, At the same time, let children drink more water.
6. Massage for children over 2 years old
For children over 2 years old, parents can massage their children. First rub the core of the child's feet, bring the heat down, wait for the feet to warm up, then rub the calves, up and down and back, rub the calves, then rub the child's small hands, arms, back and ears, and finally rub the Baihui acupoints in the middle of the child's head.
Parents should not use too much force when massaging their children. They should rub gently. The speed of rubbing should not be too fast. They should rub slowly for a while. They should not worry. They should rub at the same time and let the children drink more warm boiled water at the same time. If the child's fever does not subside, warm water can be used to wipe the whole body of the child, and a towel can be used to rub the child's skin red and hot, so that the child's body can heat itself. If children still have cold hands and feet, it means that they suffer from severe cold. Parents can drink ginger, brown sugar and scallion water several times continuously for children. After this treatment, most children can cool down.