How to properly recognize the use of antipyretics!

First, antipyretics can not prevent febrile convulsions, and can not be used as a prophylactic application. Therefore, it is not recommended to give antipyretics to the child if the temperature is more than thirty-eight degrees five. The purpose of using antipyretics is to alleviate the child’s discomfort and improve comfort. When the child’s body temperature has exceeded thirty-eight degrees five, the spirit is still very good, no discomfort, generally do not need antipyretic treatment; when the child’s body temperature is not even not up to thirty-eight degrees five, but the spirit is not good, there are tired, pain and other discomforts can be used to deal with antipyretic drugs; if you take antipyretic drugs did not improve the child’s discomfort, you should consider switching to other drugs. You can’t use antipyretics just for the sake of reducing fever. Third, if the child’s body temperature increases cause parents excessive anxiety, can also be a factor in the use of antipyretics, need to be considered. Physical cooling (warm water baths or ice packs, alcohol body rubs, etc.) is not recommended. Warm water bath will help the body temperature down, but will increase the child’s discomfort, so it is not recommended; ice can not cool down, but also cause chills, goose bumps, crying and other discomforts, so it is not recommended; alcohol bath is more of a problem, and strongly do not recommend the use of. Fifth, children with fever should not not wear clothes, nor should they wear too much clothing. Moderation can be! Sixth, not to the height of the fever and fever duration to determine the degree of critical illness. Nor can we judge the criticality of the disease based on the speed and degree of temperature drop after the application of antipyretics. According to the age, combined with the mental reaction, respiration, heart rate, blood pressure, capillary refill time and peripheral percutaneous oxygen saturation, the presence or absence of cough, vomiting and diarrhea, rash and other accompanying symptoms to determine a comprehensive. 1.Do not use the criterion of temperature alone to identify critical illness in children over 6 months of age. 2. Children 3-6 months of age with a temperature of 39 degrees Celsius or above can be considered at least at intermediate risk. 3. A child under 3 months of age with a temperature of 38 degrees Celsius or higher is considered to be at high risk. 4. A febrile child with tachycardia is considered to be at least at intermediate risk. 5, do not use the duration of fever to determine the degree of criticality, but fever for more than 5 days should be considered Kawasaki disease and other diseases may be. Glucocorticoids should not be used as antipyretic agents to reduce fever in children. Eight, pediatric antipyretics recommended acetaminophen and ibuprofen. Both have similar antipyretic effects and safety. Acetaminophen greater than or equal to two months of infants can be applied, when the body temperature exceeds thirty-eight degrees Celsius two or due to fever caused by discomfort can be 15 mg per kilogram of body weight per dose. Greater than or equal to six months of infants and young children acetaminophen and ibuprofen can be used, ibuprofen according to each kilogram of body weight each time the dosage of 10 milligrams. Nine, the majority of febrile convulsions prognosis is good, has not been found to lead to children’s intellectual decline, poor academic performance or neurocognitive and behavioral abnormalities. Animal experiments have demonstrated that after hyperthermia-induced febrile convulsions in young rats, testing has not revealed significant cognitive and behavioral deficits. Studies have shown that 2-7.5% of children who have a first febrile convulsion will develop epilepsy in the future. Prophylactic medication reduces the recurrence of febrile convulsions, but the incidence of adverse effects is as high as 30%, while there is no evidence that prophylactic medication reduces the incidence of distant epilepsy. Valium may be given prophylactically selectively during a child’s fever, at a rate of 1 mg per kilogram of body weight per day in three divided doses for 2-3 days; or it may be taken until the temperature returns to normal and then discontinued. Because most attacks occur within the first 24 hours of fever, there are also advocates of taking or rectally injecting the drug only within the first 24 hours of fever. If this short-term prevention is not effective, long-term oral phenobarbital or sodium valproate can also be used for 1-2 years. It should be emphasized that such prophylaxis only prevents the recurrence of febrile convulsions and does not reduce the incidence of epilepsy in the distant future.