Strategies for coping with pediatric summer fever (5)

  5, the child fever home care (1) close observation of the condition: regular measurement of body temperature, pulse, respiration. The measurement of body temperature is divided into oral, anal, axillary three ways, axillary measurement clean and hygienic, convenient and safe, the most suitable for home application.  In general, the pulse rate increases 10 times for every 1°C rise in body temperature. It is fastest in newborns, 100 to 120 beats per minute in infants, and about 100 beats per minute in children aged 1 to 3 years. A disproportionate pulse and body temperature often indicate certain diseases. For example, in infants with pneumonia combined with abscess chest or otitis media, the pulse rate may reach 140 to 160 beats per minute, which is not proportional to the increase in body temperature. The normal respiratory rate for adults is 16 to 20 times per minute, while children are relatively fast.  (2) Pay attention to the room environment: Keep the indoor air fresh, pay attention to ventilation, and prevent smoke and dust. Room temperature should be about 20℃. When ventilating, be careful not to let the wind blow directly on the child. If the house is dry, you should sprinkle some water or use a humidifier.  When your child has a fever, you should let your child drink more water, you can use air conditioning, but don’t let the temperature be too low, maintain the room temperature between 25℃~27℃, so that the body temperature will slowly drop, so the child will also feel more comfortable. However, if his limbs are cold and chills, it is necessary to cover with a blanket.  (3) pay attention to diet and nutrition: when the baby has a fever, the secretion of digestive juices is greatly reduced, the digestive capacity is also greatly weakened, and the peristaltic speed of the stomach and intestines begins to slow down. Therefore, for fever babies, must give sufficient water, supplement a large amount of inorganic salts and vitamins, supply the right amount of heat and protein, must be mainly liquid and semi-liquid diet, advocate small meals.  The common liquid foods are: ① Milk. Milk can supply children with a certain amount of protein, and the right amount of rice soup can supply some carbohydrates.  ② Rice soup. Rice soup can supply children with carbohydrates, and its water is sufficient to facilitate the absorption of the sick child’s intestines. Boil the rice and remove the residue to get rice soup.  (3) Mung bean soup. Mung beans are benign and have the effect of clearing heat and detoxifying the summer heat.  (3) Fresh fruit juice. In the summer, you can drink watermelon juice, it has the effect of clearing heat and relieving summer heat, quenching thirst and diuretic; in the autumn and winter season, you can drink fresh pear juice, it has the effect of moistening the lungs, clearing the heart, relieving cough and removing phlegm; fresh orange juice, it has the effect of removing dampness, resolving phlegm, clearing the lungs and passing through the lung.  Common semi-liquid foods include thin rice, eggs, rotten noodles, etc.  It is worth noting that liquid food is generally consumed during the acute period of illness, and semi-liquid food is consumed during the recovery period or fever reduction period.  If a child with fever has a poor appetite, do not force him to eat, so that he does not vomit after eating, but be sure to pay attention to hydration.  In addition, do not suddenly increase the food that the child with fever has not eaten in the past during the fever period, so as not to cause diarrhea.  (1) Keeping clean: Patients with fever sweat a lot, so they should change their underwear regularly. Underwear should be clean and soft, with pure cotton and silk being preferred. To commonly rinse the mouth with light salt water to maintain oral hygiene. Pay attention to heat preservation when washing face and feet in the morning and evening.  (2) Do not use alcohol to rub your child’s body: some parents think that the choice of alcohol or cold water rubbing bath can play a rapid antipyretic work (2) Do not use alcohol to rub your child’s body: some parents think that the choice of alcohol or cold water rubbing bath can play a rapid antipyretic work strong contraction, causing infants and young children chills, shivering and other uncomfortable symptoms, and even aggravate the hypoxemia of infants and young children hypoxia. If the concentration of alcohol is too high, such as with 95% concentration, also can not play the role of antipyretic, and may cause dehydration of the skin of infants and children, plus with, in fact, when the child is feverish, the skin’s blood vessels expand, body temperature and cold water temperature difference is large, will cause infants and children’s vascular heavy condition. In addition, alcohol rubbing baths can cause chills in addition to alcohol can also make the skin allergic, breathing in the vapors of alcohol may make your child irritable.