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[ China Pharmaceutical Network Health and Wellness ] Entering the autumn and winter season, newborns are prone to colds and fever. Many children will have body heat, which directly affects the child's health. In daily life, everyone needs to pay attention to the existence of this phenomenon. To regulate the body, then, how does the newborn have fever?
(Expert reminder: newborn baby fever should try to avoid eating antipyretics picture source: Baidu pictures)
Newborn baby fever try to avoid eating antipyretics
Antipyretics are the most commonly used drugs in pediatrics. Parents are familiar and can name the drugs. However, many parents do not fully understand the usage and function of antipyretics, so they are sometimes used improperly and bring some unnecessary troubles.
Antipyretic is not a panacea, not a cause of fever. After using antipyretics, the body temperature will drop from high heat to normal, and it will not rise. The effect of antipyretics is only temporary cooling, and it is not possible to completely fall to normal. The action time is 2 hours, and the obsolete body temperature has to rise. This is the effective energy of the antipyretic.
Some parents use antipyretics in the same way as other medicines, regardless of body temperature, once every 4 hours. Sometimes it is not appropriate to take antipyretics when the body temperature is not too high. Antipyretics are only temporary medications and there is no need to take them regularly. Antipyretic drugs are only used in high heat, infants and young children whose body temperature exceeds 39 °C, and older children exceed 38.5 °C.
Infants within 3 months, especially newborns, should not take antipyretics. Because the body temperature regulation center has not been fully developed, the sweat glands of newborns are still underdeveloped. Antipyretic drugs do not play much role, and sometimes they will cause collapse. Therefore, newborns should not be taken, and infants should be used with caution in two or three months, or as directed by a doctor.
Body temperature below 38.5 °C does not need to eat antipyretics
Timing: body temperature ≥ 38.5 ° C to eat
Xiaokai, 5 years old, had a fever on his forehead after returning home on the first day of school. Grandma was anxious and couldn't help him to take his temperature. He took two bottles of Baoji Oral Liquid for him to drink, but it didn't seem to have any effect. I remembered the antipyretics left in the last fever, and Grandma gave him a few more. After a while, I found that Xiao Kai’s forehead was hotter and he started diarrhea that night. The mother was panicked and hurriedly sent Xiaokai to the community hospital.
According to Qiu Zhenwen, deputy director of the Pharmacy Department of the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, fever is a protective mechanism against bacteria after the human body encounters bacteria or viruses. However, because the brain development of the child is not mature enough, the body temperature regulation center is sensitive. If an external infection is encountered, the phenomenon of excessive regulation or hyperthermia often occurs. When the body temperature reaches 38.5 ° C, it is considered a fever.
“Chinese parents often worry that fever will burn their heads. As long as the child is feverish, many parents will take the antipyretics to them. Some parents do not take the medicine according to the instructions. I hope that this will immediately lower the body temperature. The practice is actually very unscientific.†Qiu Zhenwen told the New Express reporter that the most important thing to treat fever is to find out the cause of fever. If it is caused by a cold, after the symptoms of cold medicine are relieved, it will naturally fall back. In general, only when the child's body temperature reaches 38.5 ° C and above, it is necessary to take antipyretics for fever. Because antipyretics mainly reduce the temperature by inhibiting the synthesis of prostaglandins, accompanied by sweating, it does not solve the fundamental problem of causing fever. Patients with fever often have poor appetite, can not eat, drink less water, too active medication may lead to gastrointestinal symptoms such as collapse, gastric mucosal injury. In addition, antipyretics have certain side effects.
Medicinal dose: only one drug is administered up to 4 times/day
Qiu Zhenwen particularly stressed that there are several types of antipyretics sold in hospitals and pharmacies. The dosage forms are water, tablets, suppositories and injections. Oral antipyretics have a similar mechanism of action. You only need to take one drug when you have a fever. It is best not to take different antipyretics at the same time, and do not increase the dose by yourself. The maximum number of doses per day is 4 times. Excessive overdose will cause the child to sweat too much, but it will easily aggravate the symptoms of cold, and the body temperature will drop too fast, which will lead to hypothermia (≤36 °C), convulsions and even shock.
In drug selection, Qiu Zhenwen recommended acetaminophen, paracetamol, Merrill, Baifuning, and ibuprofen, which are commonly used as antipyretic drugs with less side effects. He said that infants and young children over 2 months old are recommended to take Xiaoerbaifuning drops when they are fever. For children over 6 months, ibuprofen and Merrill's solution can be used. If the child can not tolerate oral medication, the suppository used in the rectum can be selected, and the antipyretic suppository can be inserted into the anus and absorbed by the intestine. The antipyretic effect is rapid and very convenient.
"Children have a certain pattern of colds and fever, and a high fever caused by a normal cold. If the body temperature has not decreased after using antipyretics for 3 days, it means that the condition is more complicated and it is necessary to go to the hospital to find a pediatric specialist." Qiu Zhenwen said.
Body temperature <39 ° C physical fever is safer
"In addition to taking drugs to reduce fever, physical cooling is actually a safer choice." According to Qiu Zhenwen, when the child's body temperature is lower than 39 °C, the body can be warmed down by physical cooling, such as wiping the carotid artery with low-concentration alcohol. Chest and back; use ice pack or antipyretic paste on the forehead or temple position. Physical therapy also includes drinking more water to increase urination, warm water baths, and even pillow ice packs.
Usually you need to pay attention to avoid eating antipyretics, but also pay attention to changes in temperature, and in daily life must pay attention to choose a reasonable treatment, in order to avoid causing the child to be affected, we must pay attention to the child's physical and mental changes, comprehensive conditioning In order to avoid the harm to the child's health, comprehensive care, and in daily life, we need to pay attention to some correct treatment, do not worry too much.