Parents have to figure out why children have fever
In pediatrics, fever is the most frequently seen by doctors.
Usually, if the child’s temperature is high and the fever symptoms are obvious, but the general condition is good, the doctor will give the child some antipyretics. It is recommended that the parents let the child go home to rest more, drink more water, continue to observe, and do not prescribe many medicines.Especially antibiotics.
However, many parents do not understand this approach of doctors.
Some parents said, “I’ll take a taxi and spend 150 yuan. You just give me a few words. What if we don’t prescribe any medicine and let us go back and the child will get fever again?” Some parents said, “If I go home,, The heat is still going on, how to do a dangle needle fast if the child’s brain is burned out, we ask for a dangle needle!
“Other parents went directly to the outpatient office and complained that the doctors were not responsible.
It doesn’t matter if the child has a fever. Should the child have a fever, he should immediately go to the big hospital to see a doctor, be sure to administer a needle, use antibiotics, and listen to the doctor’s statement.
What is the fever?
Different children have different development of the nervous system at different ages.
The younger the child, the less mature the body is.
When the surrounding temperature is high, wear more clothes, dehydration (too little water, sweating or diarrhea, etc.), keep crying, even the air in the room is not flowing, and it will cause fever when it is hot, but only to varying degrees.
At the same time, children’s immunity is relatively weak, and they are more vulnerable to external viruses and bacteria than adults, and fever is more common.
Generally speaking, fever can occur in two situations: one is caused by an infection and is medically known as infectious fever.
In fact, fever after infection is not entirely a bad thing. Fever is a defense response of the body to external bacteria and viruses.
The other is non-infectious fever, that is, fever is not caused by bacteria, viruses and other infections, such as rheumatic fever, drug fever, mild fever after injection.
The most common cause of fever in children is a cold.
Children’s ability to adapt to the environment is worse than adults, and the frequency of colds will be higher than adults, especially in the spring, winter and seasons.
Generally, preschool children may suffer 4 each year?
Parents should observe carefully when a child has a cold or fever.
If the child becomes depressed when the heat rises, he doesn’t want to eat, and once the heat is gone, he will jump around alive, basically no problem.
If the child still feels sluggish, his hands and feet are cold or has diarrhea, crying when urinating, etc., he must go to the hospital for treatment.
Fever will burn your brain?
Some parents worry that fever can “burn out” their children’s brains.
Actually, that’s not the case.
The reason everyone thinks this is mainly because in our daily life, when we see that some children are “stupid” because of the high fever, they mistakenly think that the high fever has “burned” their brains.
In fact, these children are suffering from intellectual decline due to encephalitis or other diseases, and fever is only a manifestation of the disease.
What’s more, brain tissue is a protein structure. To destroy proteins and damage brain cells, at least it must be burned above 42 ° C. Under normal circumstances, such a high degree of heat is unlikely to occur.
Of course, some fevers do have a certain effect on intelligence, the most typical being febrile seizures.
Some children are particularly sensitive and “cramps” when they get a little fever.
Repeated “cramps” will affect brain cell function and affect intelligence.
However, not every child will do this, and only sustained “cramps” and no treatment will damage brain cells.
If the effect is not good, change the medicine immediately?
After taking the medicine for a day, some children did not retreat, and the parents were so anxious that they went to the hospital again to see the doctor and resolutely asked the doctor to change the medicine.
In fact, if the drug is taken or injected intramuscularly or intravenously, it needs to be replenished to achieve an effective blood concentration.
It’s definitely not reasonable to say that this medicine is ineffective before the time is up.
Usually, at least one course of treatment is required for one medicine.
If it still does not work, it is not too late to change the medicine.
Fever must enter the big hospital?
They all say that “small illness enters the community, and serious illness enters the big hospital”, but it is similar to a “statement.”
For many parents, the child is ill, even if it is a minor illness, it is the most important thing. Be sure to go to a large hospital.
At the peak of the cold every year, the four well-known pediatric hospitals in Shanghai are always overcrowded, and they are even more “lively” than the vegetable market.
In fact, seeing a doctor in such an environment has no benefit to the child. Alternating waiting lines are long and cross infection is prone to occur.
In all fairness, you don’t have to go to a big hospital to see a cold.
Large hospitals may have better equipment and doctors with higher education levels, but these are not necessary to see a cold.
The level of large hospitals is mainly reflected in the treatment of incurable diseases. There is basically no difference between a doctor in a community hospital and a doctor in a tertiary hospital.
Is it necessary to have a blood test for fever?
The doctor will usually give a blood test for the fevered child, and let the child go for a blood test.
At this time, parents are distressed: My baby, let you poke a needle, it will bleed, how much pain, it is best not to have a blood test.
In fact, the blood test results are very important for doctors to judge the condition, it can prompt the child whether the fever is caused by a viral infection or a bacterial infection.
Although most of the children with fever are common viral influenza, a small number are caused by bacterial infections, or bacterial infections occur several days after common viral influenza.
If doctors treat all children as common viral infections, they will certainly delay some children’s illness.
Conversely, if doctors treat all children as bacterial infections, abuse of antibiotics is even more harmful to children.
Therefore, if the doctor orders the child to be tested, the parents may even feel distressed because it is good for the child.
Want to “hang algae”, take anti-inflammatory drugs?
Too many parents think that if their child has a cold, they must “hang the tank” and use anti-inflammatory drugs, otherwise they will not get better.
Some parents always ask the doctor to give their child the best and most expensive medicine.
In this way, the best and most expensive medicine is not necessarily the most useful for children.
This is not a question of more money but less money.
It is a question of how to prescribe the right medicine.
Is it necessary to use anti-inflammatory drugs for a cold?
The answer is, when you should, use it when you shouldn’t.
Antibiotics do not kill the virus. When fever is caused by a viral infection, antibiotics have no effect, and may cause damage to liver and kidney function, hearing, and more.
In particular, parents need to be reminded that children’s age, weight, and organ development are different, and the choice of medication types, dosage forms, and dosages are all different. It is by no means as simple as “a smaller person and a smaller amount”.
Children’s medication should be conducted under the guidance of a doctor. Parents must not give their children medication without authorization, let alone “order medicine” like ordering food in a restaurant.
Some parents prefer “hanging pots”. They felt that the child had a fever last time.
In essence, “do not hang the salt water”, we must specifically demonstrate the analysis.
Our principle is that if a disease can be taken orally, muscle injections are not required: if muscle injections are available, intravenous fluids are not an option.
Why avoid avoiding infusions?
The reasons are as follows: First, most drugs are absorbed very well after oral administration, and the drugs slowly enter the blood after being absorbed through the gastrointestinal tract. The adverse reactions are the lightest and the safest.
Intravenous infusion is different. Drugs directly enter the bloodstream. Adverse reactions can occur in a short period of time, and severe ones can quickly endanger life.
Therefore, oral administration can avoid some cross-infection caused by intramuscular or intravenous injection.
Third, it is painful to have muscle needles and vein needles, especially for young children.
Fourth, oral administration of 3 or 4 times a day can stabilize the blood concentration throughout the day at a higher level, which is more effective.
Intravenous infusions cannot do this, and unless they are infused 24 hours a day, blood levels will drop as soon as they restart.
Fifth, oral medication is simple and cheap. Infusions take a lot of time and are expensive.