FEVER PARENT EDUCATION

Guidelines

Fever Parent Education

  • WHAT IS THE NORMAL TEMPERATURE RANGE?
    • The normal body temperature - for females 98.2 and for males 98.6.
    • Body temperature increases 1° f by evening.
    • The normal temperature ranges based on the routes of temperature assessment, are the following:
    • Rectal: 97.9, to 100.4° f, ear: 96.4 to 100.4°f, oral: 95.9 to 99.5°, and axillary 97.8to 99.5°f.
  • RECOMMENDED TEMPERATURE MEASURING TECHNIQUES BASED ON THE AGE
    • AGE RECOMMENDED TECHNIQUE
    0 TO 6 MONTHSRECTAL OR AXILLARY (FOR SCREENING LOW RISK CHILDREN)
    6 MONTHS TO 2 YEARSAXILLARY OR RECTAL
    2 YEARS TO 5 YEARSAXILLARY OR RECTAL (OR TEMPORAL ARTERY IF IN HOSPITAL) (SCREENING)
    > 5 YEARSORAL (DEFINITIVE), AXILLARY, TYMPANIC (OR TEMPORAL IF IN HOSPITAL) (SCREENING)

  • THERMOMETERS AND ACCURACY

    • The most accurate thermometer is digital thermometer.

    Eardrum thermometer is good for quick screening. Whereas the forehead strip, infrared emitting detectors etc. are comparatively less reliable.

  • PRIMARY GOALS OF TREATMENT

    • The primary goals of treating a fever are the following:

    • Ensure that the child is getting adequate sleep.
    • Focus on sufficient fluid and food intake of the child.
    • Focus on general wellbeing of the child and lessen the irritability.
      • Most of the viral fevers do not cause brain damage or febrile seizure.

  • BENEFITS OF ANTIPYRETIC THERAPHY
    • To reduce the overall discomfort of the child.
    • To reduce water loss due to dehydration.
    • To buy time to investigate and diagnose the underlying problem.
  • THE POTENTIAL BENEFITS OF FEVER INCLUDE

    • Retardation of bacterial or viral growth, proliferation of t lymphocytes, production of neutrophils, and elicit acute phase reaction. Limited data shows that not treating a viral fever may actually help in shortening the course of fever, as the high temperature may kill the viruses.

  • COMMON CONCERNS BY THE PARENTS AND ANSWERS BY THE CLINICIAN
    • START ANTIPYRETICS EVEN IF THE FEVER IS < 100°F NOT NECESSARY
    SHOULD WAKE UP THE CHILD FOR THE MEDICATION NOT NECESSARY. SLEEP IS NECESSERY FOR RECOVERY.
    THE DRUG DOSAGE IS TOO MUCH OR TOO LITTLE (50% OF THE PARENTS). SUPRANORMAL DOSES (15% OF THE PARENTS)THE DRUG DOSAGE SHOULD BE DETERMINED BASED ON THE WEIGHT OF THE CHILD. AN ACCURATE MEASURING OF THE DRUG IS IMPORTANT.

  • DO’S AND DON’TS FOR HOME CARE:

    • DO’S

    • Use tepid water for sponging, avoid alcohol or cold water.
    • Make the child to wear loose clothes while taking rest.
    • Keep room cool with overhead fan / cooler or AC.
    • Encourage the child to sip fluids in between medications.
    • Watch for urine output and hydration.
    • Medication may be given empty stomach.

    DON’TS

    • Avoid wrapping the child in wet clothes while sponging.
    • Avoid overclothing.
    • Do not wake up the child to take medications.
    • Don’t use adult medication for children
    • Don’t use household cups and teaspoon for measuring drugs.
    • Should not give > 5 doses of crocin within 24 hours
    • Ibuprofen should be given only if the child’s water intake is adequate and is not recommended in < 6 months of infants.
  • WHEN TO SEEK MEDICAL ATTENTION?
    • Temp ≥ 103°f
    • Child < 6 months old.
    • Fever more than 24 hours
    • Fever combined with rashes, or if the child is looking sick, sleepy, lethargic, excessive cranky, fussy and irritable or not responding.
    • Seizures
  • WHAT TEMPERATURE IS BAD

    • Hyperthermia is a condition where the body temp. rises, since the outside temp is too much for the body ‘s cooling system to manage. There is a greater possibility of getting a heat stroke when temperature is too high, as it is beyond the body’s capacity to dissipate heat.

  • गृह देखभाल के लिए क्या करना और क्या नहीं करना
    • करना है : -
    • (स्पंजिंग) पानी से पट्टी करने के लिए सामान्य पानी का उपयोग करें ठन्डे पानी या स्पिरिट का नहीं।
    • बच्चे को हल्के और ढीले कपडे पहनायें।
    • कमरे को पंखा / कूलर/ ए.सी. से ठंडा रखें।
    • दवाइयाँ देते समय बीच - बीच में बच्चें को तरल पढ़ार्थ का सेवन करवायें।
    • बच्चे में पानी की कमी न होने दे, ध्यान दे की बच्चा बराबर मात्रा में पेशाब करता रहें।
    • दवाइयाँ खाली पेट भी दी जा सकती हैं।
    क्या न करें: -
    • पानी की पट्टी करते समय बच्चे को गीले कपडे में न लपेटे, न ही पट्टी को सिर पर रखे ।
    • बच्चे को ज़्यादा कपडे न पहनायें।
    • सोते समय बच्चे को दवाई लेने के लिए न उठायें ।
    • किसी भी बड़े व्यक्ति की दवाई बच्चो को न दे।
    • दवाइयाँ देते समय दवा को मापने के लिए घर में उपयोग होने वाली चमच्च या कटोरी का इस्तेमाल न करें।
    • 24 घंटे के भीतर क्रोसीन की 5 से ज्यादा खुराक नहीं देनी चाहिए।
    • 6 महीने से कम उम्र के बच्चे को इबुप्रोफेन न दे। इबुप्रोफेन देते समय ध्यान रखे की बच्चा बराबर पानी लेता रहे।
  • चिकित्सक को कब दिखाये / खतरे के लक्ष्ण!
    • TEMP ≥ 103͒F
    • 6 महीने से कम उम्र के बच्चे को बुखार आये ।
    • 24 घंटे से अधिक उच्च तापमान हो ।
    • बुखार के साथ शरीर पर चकते पड़ना, बच्चा सुस्त हो, चिड़चिड़ा हो , बेहोश हो , परेशानी ज्यादा लगे, बड़बड़ाए ( कुछ कुछ कहना ), आहार न ले आदि लक्ष्ण दिखे।
    • बुखार के साथ दौरा आये ।

IMP- DON’T LEAVE THE CHILDREN ALONE IN A CAR, AS THERE IS AN INCREASED RISK FOR HYPERTHERMIA DUE TO HEAT TRAPPING.
A UNIT OF GIRDHAR HEALTHCARE PVT LTD
A Center For Gynecological, Obstetric and Pediatric Services

Links

Address

  • Address: Bawa Tarana Road, Khanna Colony Near Bus Stand,
    Sonipat, Haryana - 131001
  • Phone: 0130 - 2237470
  • Phone: +91 - 98128 10370
  • Email: girdharhospital@gmail.com

Reach Us

Powered by: Exact IT Solutions Pvt. Ltd.