Treatment Of Viral Fever In Children

Question: I have 2 children, one to 3, one to 7. Recently, I saw some neighbors with virus fever, I was very worried. So when children have viral fever, how to handle? (Mai Thanh Hiep - Lang Son)
Reply:

Most viral illnesses do not yet have a specific drug, mainly symptomatic treatment, for viral fever in children as well as adults.
First of all, the thermocouple for children. The thermometer must be held in the armpit for at least 3 minutes, the baby's arm against the chest

. Antipyretic for children when the temperature is 38.5oC or higher, usually paracetamol dose of 10mg / kg body weight, every 6 hours.
Apply a cool compress to a child with a cool towel, wipe off the sweat, leave the child in a cool place, and wear light clothes Undress, remove blankets for children with high fever.




Use a soft, clean towel, soak warm water (1 cup of boiling water + 3-3.5 cups of cold water) wipe the child until the body temperature drops to 37oC. Absolutely do not apply cold water because it will cause higher fever due to peripheral vasoconstriction mechanism.
If your child has a high fever of 39-40oC, use antipyretics along with anticonvulsants as directed by your doctor, especially those with a history of seizures when high fever. If the child is still breastfed, continue to breastfeed more than usual, and give ORS (oresol) rehydration as directed.
In case children do not drink, use ORS clean cotton dots on the lips, baby mouth constantly to the lip mucosa, mouth absorbs water, avoiding lack of water and electrolytes.
Hygiene and hygiene for children, eye drops, nose with 0 9% natriclorid, to avoid superinfection of respiratory bacteria.



In addition, attention should be paid to the diet, children should be diluted as porridge, soup, drink plenty of water, water, fruit juice like oranges, lemons ... Body hygiene for children clean, bathe with warm water in closed room.
Children must be taken to the health facility right away when there are the following signs: when a child has a fever higher than 38.5oC, especially above 39oC, but the fever-reducing medicine does not respond.
Drowsiness, lethargy, excessive sleep, convulsions, persistent and progressive headache, nausea, vomiting many times, fever lasting for more than 5 days..

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