Prevent Complications When The Elderly Have A Fever

When the weather changes, the elderly, due to the changing physiological characteristics, the ineffective immune system is susceptible to a number of diseases such as infections in the respiratory tract, digestive tract, etc. The first is the fever. However, if you do not know how to handle properly when the elderly have a fever, some complications can affect their health.
Infection - The leading cause of fever in the elderly
There are many causes of fever in the elderly (NCT) but the most common is fever due to bacterial infections. Infectious diseases in the elderly can be respiratory tract such as sore throat, rhinitis, sinus, bronchitis, pneumonia, pulmonary abscess, tuberculosis

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Infectious diseases in the elderly can also be found in the gastrointestinal tract such as enteritis, acute cholangitis or inflammation of the urinary tract or viral diseases such as dengue fever, rash, malaria .. In addition In fact, people can see that the elderly can also have fever due to bacterial infections such as some cancers, blood diseases, fractures, endocrine diseases .



..
Fever may be acute or persistent. Fever can also be very high, but it is also possible that the body temperature only exceeds the normal range of 0.5 to 1 or 2 degrees.
Fever can be relatively divided as mild fever is body temperature from above 37oC to under 38oC; average fever is body temperature between 38oC and below 39oC and high fever is when body temperature is above 39oC.
Some complications can occur when an elderly person has a fever
When the elderly have a fever, if they do not manage in time, it is likely that some complications, even life-threatening complications, especially fever in some patients with chronic diseases such as cardiovascular disease, will increase blood pressure, diabetes, kidney disease, diseases of the respiratory system (pneumonia, asthma, tuberculosis, chronic obstructive pneumonia .



..).
The most common complication is the nervous system, mild headache, dizziness, worse, drowsiness, delirium, even convulsions. The cardiovascular system can cause tachycardia, arrhythmia, increased blood pressure (if the patient has a history of hypertension, it is very dangerous).
Fever in older persons can also cause nausea, vomiting, abdominal pain, loss of appetite or ingestion, and irritation. When fever can cause ELT breathing disorders such as shortness of breath, shallow breathing and when fever is also very likely to cause little urination because water is released through the sweat excretion and so will affect post function secretion of the kidneys.
Things to do and should avoid
Things to do: Firstly, you need a thermometer to see how much the temperature is.



The normal body temperature is 37 ° C, provided that the thermometer is in the mouth or anus. But since most are the armpit thermocouple, if the armpit thermocouple is added, it should be 0.5 more to get the actual body temperature.
Fever means that the body temperature exceeds 37oC. However, there may be some cases in elderly patients with severe infections but when the thermocouple does not show an increase in body temperature (no fever), even the body temperature drops. The reason may be due to the body's resistance and reflexes are too weak, especially in patients of advanced age, weak health, prolonged lying, malnutrition.
When the elderly have a fever, they need to be well cared for, make sure to drink enough water, be it fresh fruit juice such as lemon, orange, mango, watermelon ..



. In addition, it is necessary to drink more water mixed from osezol solution, take antipyretics and use antibiotics if there is an infection.
What to avoid: For older persons who have a fever, absolutely do not give fluids at home or in places that are not eligible for shock.
Because of the infusion technique, many nursing nurses can perform it competently, but the management of shock (reaction) during infusion is not everyone's solution. For EL who had a fever and had hypertension, did not give fluids.
When using antipyretic drugs, the average dose for adults is 0.5 g once and after 4-6 hours can be used again, if there is still a fever above 38oC but it should be noted that the effervescent paracetamol tablet has Adding sodium bicarbonate salt components should not be used by people with hypertension. In addition, paracetamol if used for a long time is not good because they have many side effects, affecting liver function.



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