What are the reasons for the baby's high fever?

Heating itself is not a disease, it is just a symptom, and many diseases can cause fever.

Heating is an immune protection response to the body's immune system in order to resist infection, which is conducive to inhibiting the growth and reproduction of the pathogen and the recovery of the baby.

When the axillary temperature is ≥37.5 ° C or anal temperature ≥38 ℃, it is called fever.

The degree of fever:

Low heat: body temperature ≤38 ℃

Middle fever: body temperature 38.1 ～ 39 ℃

High heat: body temperature 39.1 ～ 41 ℃

Ultra high heat: body temperature ≥41 ℃

So what causes high fever? There are usually 5 points:

Caused by illness

Such as children's acute rash, acute purulent tonsillitis, urinary infection, Kawasaki disease, etc.

Insufficient dosage of antipyretic drugs

For babies, the two antipyretic drugs are recommended for acetaminol (Tynolin) and ibuprofen (Merrillin).

However, if these two drugs are eaten according to the dose of the instructions, sometimes it will not be enough, resulting in a bad effect. Because the instructions are administered according to the common weight range of babies at different aged age, for children with a large weight, the dose will be small.

So how much should babies of different menstrual and different weights eat? Let me refer to you below.

Suggestions for the use of acetaminol (Tynolin)

Baby 3 to 1 year old

It is recommended to mix suspension (specifications: 15ml: 1.5g) for acetaminol, 10-15 mg/kg each time.

Note: Considering the actual operation, the following recommended doses are four houses and five, and only 1 number of decimal points is retained.

Baby over 1 year old

It is recommended to use acetaminophenol suspension (specification: 100ml: 3.2g, different specifications from babies of 3 months to 1 year old), each dosage of 10-15 mg/kg each time.

Note: Considering the actual operation, the following recommended doses are four houses and five, and only 1 number of decimal points is retained.

Children over 12 years old

Take acetylphenol, not to be calculated at a weight of 500mg at a time.

Suggestions for the use of ibuprofen (Merrillin)

Babies of 6 months to 1 year old

It is recommended to use the mixed drop of the ibuprofen (specification: 15ml: 0.6g), the amount of 10 mg/kg each time.

Note: Considering the actual operation, the following recommended doses are four houses and five, and only 1 number of decimal points is retained.

Baby over 1 year old

It is recommended to use a mixed suspension (specification: 100ml: 2g, 30ml: 0.6g), each dosage of 10 mg/kg each time.

Note: Considering the actual operation, the following recommended doses are four houses and five, and only 1 number of decimal points is retained.

Children over 12 years old

Taking ibuprofen, you don't have to calculate it according to weight, 200 mg each time.

Didn't shake well before drinking medicine

The two antipyretic drugs, both acetaminol (Tynolin) and ibuprofen (Merrillin), are suspension, which will be stratified for a period of time. If it is not shaken before drinking, it will cause insufficient efficacy.

There is no enough water

Children's repeated fever can cause a lot of loss of water. If you do not replenish water in time, even if you take antipyretics, it will not be easy to fever.

The ambient temperature is too high or the cover is too thick

If the environmental temperature is very hot, the baby is too much wearing, or the quilt is too thick, it will also affect the heat dissipation and not easy to reduce fever.

references

[1] Wan Chaotin, Zhang Chongfan, etc., in China 0 to 5 -year -old children's causes of unknown acute heating diagnosis and treatment of several issues (standard edition) [J]. Chinese evidence -based pediatric magazine. 2016,11 (2): 81 -96.

Experts in this article

Guo Yanxin

Cooperative expert

Deputy Chief Physician of the Pediatric Department of Luoyang Central Hospital affiliated to Zhengzhou University

Zhong Ying

Review expert

Shenzhen Xinfeng Holy Family Hospital Pediatrics and Children's Insurance Indications Doctors

Master of China Medical University (seven -year system)

Plan

Produced: MEI

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