If the child's temperature does not go astray with Nurofen. What to do if a child has a high fever that does not go astray

However if heat does not get lost, the fever negatively affects the patient's condition.

Causes

Fever is an adaptive process that involves a targeted change in the characteristics of heat production and heat transfer and is accompanied by a shift in the thermosetting point. Among the reasons, there are groups such as:

infectious;
non-infectious.

Most often, both patients and doctors observe variants of infectious fever. It is included in the complex of symptoms for respiratory infections, various infectious and inflammatory lesions of internal organs (nephritis, hepatitis, etc.).

An increase in temperature can characterize the course of the disease - for example, special types of temperature curves are observed with typhoid fever, malaria.

Causes of non-infectious fever include:

hemolysis of erythrocytes, thrombosis;
blood transfusion (blood transfusion);
tissue necrosis (with heart attacks of various localization);
malignant neoplasms;
systemic connective tissue diseases;
reactions to medications, intravenous infusion.

Persistent fever is an unconditional sign of a pathological process, although the temperature level cannot always be correlated with the severity of the disease. Despite the detailed list of etiological factors, most often a sudden rise in temperature occurs, as a rule, in the presence of a focus of purulent infection, especially in the absence of antibiotic therapy.

There is also a condition caused by impaired thermoregulation and thermal imbalance. This is a hyperthermic syndrome - an increase in body temperature that is resistant to standard antipyretic therapy with non-steroidal anti-inflammatory drugs.

Features of hyperthermic syndrome

A pathological type of fever, characterized by a significant increase in body temperature in a short time and accompanied by circulatory disorders in the microcirculatory bed and metabolic disorders, is called hyperthermic syndrome.

In conditions of persistent hyperthermia, there is a risk of developing dysfunction of organs and systems and, as a consequence, a significant deterioration in the patient's condition.

The development of hyperthermic syndrome is due to a distortion of the mechanisms of thermoregulation, while in ordinary fever, an increase in the temperature level is a process controlled by the body that is necessary for the implementation of protective functions.

The fundamental factor is the violation of heat transfer with high heat production and significant heat accumulation. In addition to infectious diseases, the causes of hyperthermia can be trauma, exposure to poisons, dehydration, and respiratory distress syndrome.

Hyperthermic syndrome includes such signs as:

An increase in body temperature for 6 hours or more.
No daily temperature fluctuations.
Lack of response to antipyretics (antipyretics).

Among the most characteristic symptoms:

Hyperthermic syndrome occurs most often in childhood... Considering the pathological effect of high temperature on the body, therapy should be started on time, since there is a danger of cerebral edema, decompensation of chronic diseases.

Infectious fever

Quite often, high body temperature is caused by infectious diseases of a bacterial nature.

Persistent fever is characteristic of abscesses of various localization, phlegmon and gangrene, as well as sepsis, accompanied by massive bacteremia and toxemia, that is, the ingress of bacteria and their toxins into the blood.

When the fever does not subside for 4 days, one should think primarily of a bacterial infection. Traumatic injuries, wounds as a result of surgical interventions, especially those performed in improper conditions in violation of the rules of asepsis and antisepsis, become the "entrance gate" for her.

These include, in particular, criminal abortions, traumatic osteomyelitis with gunshot wounds, although the infectious focus can be located in any organ (lungs, liver, etc.). The untimely initiation of antibiotic therapy and the ineffectiveness of the selected drug are also important. If the bacterial agent does not show sensitivity to antibiotics, the temperature remains at the same level, there is no tendency to improve in the patient's condition.

Treatment

To bring down the high temperature, it is necessary to provide the body with the possibility of heat transfer. Excess heat is eliminated by sweating during evaporation, so it is recommended to drink a lot. Better if it is water (not cold), compote or tea.

You cannot wrap yourself in blankets, rub your skin with alcohol, drink alcoholic beverages - such events aggravate the condition and disrupt the processes of thermoregulation.

The algorithm for the treatment of hyperthermia syndrome includes:

Bed rest, a minimum of clothing for adequate cooling of the skin surface, correction of the room temperature (the air should be cool, humidified).
Drinking plenty of water, cold on the area of \u200b\u200blarge vessels, rubbing with water at room temperature (it is recommended to take an antipyretic agent - paracetamol, ibuprofen in an age-specific dosage).
Drugs that promote vasodilation (no-shpa, papaverine, nicotinic acid).
Glucocorticosteroids (prednisone, dexamethasone).

The doctor prescribes drug therapy after examining the patient and assessing his condition.

Emergency call medical care is necessary for the development of seizures, impaired consciousness, the appearance of delirium, hallucinations, severe respiratory disorders.

If the high temperature does not go astray in an adult or a child due to a purulent-inflammatory disease, you should immediately consult a doctor. Self-treatment and taking antibacterial agents can lead to the development of complications - sepsis, infectious-toxic shock.

An elevated body temperature is something that all parents face. Fighting it is not always a reason to take medication. Let's take a closer look at how to help a baby with a fever, and also find out what to do if the child's temperature does not go astray.

Ways to fight without drugs

It should be said that with these methods it is necessary to begin the fight against fever. If the baby's temperature has risen, then the first thing to do is to reduce the body's heat production and increase heat transfer. It is known that when moving, the body temperature only rises, which means that an active baby must be put to bed.

In the regulation of heat production of the body, it is the temperature of the inhaled air that is important. Therefore, the next step is to ventilate the room, cool the air to the optimal level of 18 - maximum 21 ° C. If the baby is uncomfortable in such a room, then it is necessary to dress him warmly, to cover him. But remember that humid and cool air is an important part of coping with heat.

To carry out heat transfer, the body needs to sweat, which means that the baby must drink a lot. Often, parents give their children tea with raspberries. You should know that this drink strongly stimulates both urination and perspiration. Thus, if we give this tea to the baby, then we further aggravate the loss of fluid, and we cannot do this now. It is ideal to give your child drinks that contain mineral salts, trace elements and glucose during the temperature. Decoctions of raisins, dried apricots, various compotes with sugar are suitable. By the way, do not regret sugar - in this situation the child needs it. Raspberry tea should be given when the baby has already received enough liquid.

You can do wipes or baths, i.e. immerse the child in water for a few minutes. But the water temperature during such procedures should not be low, otherwise there will be a spasm of the skin vessels, i.e. its temperature will drop, and the internal organs, on the contrary, will rise. Therefore, the baby should be in contact with water close to 32–35 ° C. This is, indeed, the most comfortable water temperature for his already unpleasant state.

Let's say you decide to give your baby medicine. If the child's temperature does not go astray, then most likely you have not followed the basic methods that we mentioned above. Those. if the mother did not drink her child in time, then the blood became thick from the temperature. This means that the medicine will not be effective in helping the body.

To summarize: the task of parents at high temperatures is to create certain conditions for the child to be able to lose heat:

dress him moderately (1 layer of loose, sweat-proof clothing) and cover with a blanket;
place the baby in a clean, cool and damp room;
give a lot to drink.

In situations where the child's body temperature is 39 ° C and higher, nothing gets lost, parents give them enemas. This method can be applied, but remember that water or herbal decoction should not be cold - 32–35 ° C. Low temperature liquid for an enema will cause a spasm of blood vessels in the colon.

But if all else fails, and the child's temperature of 39 ° C does not go astray, then the time comes for medicines.

When do you need medicine?

Consider the reasons for bringing down the temperature with medications:

if the child does not tolerate the temperature well, even not very high, i.e. the baby does not eat, does not drink, lies, etc.;
loss of fluid due to diarrhea, vomiting, or dry and warm air in the room;
for some reason, it is impossible to water the child and, accordingly, he is threatened with dehydration;
the presence of diseases of the nervous system in the baby: cerebral palsy, epilepsy, meningitis, which at high temperatures can cause
if the child has a temperature of 39.5 ° C and it does not go astray in other ways.

What drugs should you use to help your baby?

Temperature over 39 ° C is accompanied by vasospasm, so many remedies will be ineffective. For example, antipyretic suppositories work when the body temperature does not exceed 38.5 ° C, otherwise it is simply not absorbed anywhere. They are good to use if the child's temperature is not very high in the evening, but at night it rises. To get your baby to sleep well, then you can insert a candle before bedtime.

A very convenient way for children is syrups. They are well absorbed by the stomach, but, again, if the temperature is already very high, a spasm of the vessels of the stomach occurs, and he may not take medicine.

What to do if the child's temperature does not go astray? Typically, antipyretics work within 30 to 40 minutes after taking them. If the effect has not come, then this is definitely a reason to call an ambulance. At home, you are already unable to cope with the high temperature. The baby most likely needs injections.

So, we have considered an important question: what to do if the child's temperature of 39 ° does not go astray. Take advantage of our tips and keep your kids healthy!

Once again, we got acquainted with the next ambulance team. At first, my son's temperature rose sharply to 39.6C, although she did not go astray for long. And after five hours, everything repeated again, only now the mercury column rose to 40C. I had to call doctors, but what to do? The temperature was high and it was getting close to night.

And the most unpleasant thing in this situation was that the temperature did not go astray. At times it fell slightly and not for a long time, and then rose again. The ambulance doctor carefully examined the child, checked for a rash (we did not have a rash), if the throat was red (slightly), asked about seizures - if they were (not). And then she asked her son to lie on the sofa, lower his head and touch his chin to his chest (while helping him, supporting his head).

Nobody has ever done such "gymnastics" with us, although at high temperatures we always call doctors. As it turned out later, the doctor checked whether the son had a suspicion of meningitis - with meningitis, the body temperature is very high, the neck is tense, and the child does not allow him to tilt his head to the chest.

After all the manipulations, the doctor issued a verdict - an infectious disease. And she gave instructions on what to do at a temperature, including at an unbreakable temperature. But since we already had the experience of communicating with emergency teams, the following tips are rather a "hodgepodge" of recommendations from all doctors and the information that I collected when trying to repeatedly bring down my son's temperature.

Does the child have a fever?

Let's start with one simple rule. To reduce the temperature, domestic doctors most often prescribe to children paracetamol and ibuprofen... These two drugs are approved for pediatric use. But since not all children will want to take a pill (and even breast crumbs), for young patients these two drugs are available in the form of a syrup. The most common two antipyretic syrups are Efferalgan (contains paracetamol) and Nurofen (contains ibuprofen).

And here is another common remedy among adults - aspirin - giving children is undesirable due to possible side effects.

It is advisable to keep these two syrups together in the medicine cabinet. And if the baby's temperature does not go astray, then you should alternate their reception... For example, first they gave Efferalgan, watch the baby - the temperature does not go astray - after an hour they gave Nurofen.
At high temperatures, ambulance doctors give the child an injection of analgin and diphenhydramine. The effect of such an injection is lightning fast and the temperature drops before the eyes. If you are not a doctor, then at home you are unlikely to be able to give an injection to your child, but lighting a candle is easy. There are such candles analdim, they contain analgin and diphenhydramine. If the antipyretic syrup does not help and the child has a fever, carefully insert the Analdim suppository into the rectum. Allowable doses are 1-3 times a day (in the pharmacy, ask for suppositories with the required content of analgin and diphenhydramine - they differ depending on the child's age).
What else to do? While the antipyretic agent starts to work, it may take more than a dozen minutes. The child has a fever, so he must definitely bring down the temperature, a good way is rubbing with a solution of water, vodka and vinegar (how to prepare and apply it). They also saved our grandmothers, but modern pediatricians, for example, the famous doctor Komarovsky, do not allow the use of physical methods of lowering the temperature: rubdowns, enemas, etc. He says vodka and vinegar are absorbed through the skin and acid and alcohol poisoning is added to the elevated temperature.
If you are afraid to use this truly effective method, then you can limit yourself to rubbing with warm water - undress the child, heat up the water (it should be warm, but not cold!), Dip the cloth in water, squeeze and wipe the child. But do not use rubdowns if the child's feet and hands are cold - in this case, you need to give him No-shpa to expand the vessels.

If the child has convulsions, call an ambulance immediately!

The instructions for antipyretic drugs often write the permissible dosages. For example, the same Nurofen or Efferalgan cannot be used more than 3 times a day, which means that repeated doses are acceptable after 8 hours. But where did you see the temperature drop by 8 hours? Even if it gets lost, then for a maximum of 2-4 hours, and then everything repeats. What to do?

For me, this question remained unresolved until a certain time, until I asked the ambulance doctors - how many times can a child be given antipyretic? The answer was - if the remedy did not help, repeat the technique after a while. Only, as mentioned above, alternate the drugs.

If you gave one syrup, and the temperature continues to rise, then after 40-60 minutes, give another antipyretic agent, but preferably another one, or use a candle.

This information is provided for guidance only and does not replace medical advice.

An increase in body temperature always indicates that viruses and bacteria have entered the body, and it tries to actively fight them. It is a kind of body defense reaction that promotes the production of antibodies. But many parents are confused by the question why the body temperature does not decrease after taking antipyretic drugs.

First of all, let's get acquainted with what indicator on the thermometer obliges the child to give antipyretic drugs. Some pediatricians, in spite of the parents 'anxiety, suggest knocking down the increased one, without explaining that this can not only prevent the crumbs' body from fighting the virus on its own, but also increases the risk of complications.

Quite often, there are cases when, after taking antipyretic drugs, after a while the temperature again takes its previous positions. This does not indicate the severity of the disease, but only indicates that the child's immune system is ready to fight viruses and bacteria.

Give your child antipyretic drugs only after the recommendation of a doctor. First of all, you should pay attention to the general condition of the child. If he feels great with a thermometer reading of 38-39 degrees, then there is no need to rush with drugs - let the body cope with the infection on its own.

If elevated temperature accompanied by vomiting, shortness of breath and convulsions, then in this case it is impossible to hesitate, but to take the correct and adequate steps.
When the child has been prescribed any antibacterial agents, it is not recommended to give antipyretics.

Rules for the use of antipyretic drugs

Before giving a child an antipyretic drug, parents must make sure that it is completely safe for the child. The most effective and safe drugs today are:

Nurofen,
Ibuprofen,
Cefekon.

You should also observe the dosage of the drug in accordance with the age and weight of the baby.

What to do if the temperature does not decrease after taking antipyretic drugs?

First of all, let's take a look at the rules of parenting behavior. If your child is sick, then you must provide him with a comfortable environment. In most cases, it is possible to lower the temperature even without medication. These methods are as old as the world, but still relevant.

1. Well ventilated area. To ensure high heat transfer from the patient's body, it is necessary that the temperature in the room be lower than body temperature. The recommended thermometer in the room is + 20 ° C.
2. Humidity. Dry air causes fluid loss from the body. Moreover, the patient's inflamed mucous membranes may dry out. The ideal indoor humidity is 60%. Damp mop or use a humidifier periodically.
3. Drink plenty of fluids. You need to drink often and a lot - fruit drink, compote, water, tea with lemon. It is necessary to give the child to drink until the color of his urine acquires a light yellow color, and urination becomes frequent.
4. Do not overfeed. The process of digesting food stimulates the temperature to rise. The child should be given food only when he really wants it.
5. Lightweight clothing. If the baby is hot, do not wear warm clothes on him.

Caution! Rubbing! Dr. Komarovsky in his programs more than once warned parents about rubbing with vodka or vinegar - once "effective grandmother's methods"! He is also wary of rubbing with a cold towel, which can lead to peripheral vasospasm. Rubbing can be carried out only after taking drugs that reduce vasospasm of the skin and only under the supervision of a doctor.

It is allowed to rub the baby's skin with warm water. But only on condition that the child does not open up, cry and scream during the process, which in turn stimulates a rise in temperature.

It is possible to bring down the temperature only in the following cases:

If the indicator of the thermometer exceeds 39 ° C,
if the temperature is above 38 ° C in children under 3 years old,
if there is difficulty breathing,
there are diseases of the nervous system,
if the baby refuses to drink, and the temperature is accompanied by vomiting and diarrhea.

Failure to comply with all the above rules of behavior of parents can lead to the fact that after taking antipyretic drugs after a while the temperature will be as before. Therefore, first of all, provide the child with the necessary conditions and only after that take specific measures.

If, after taking an antipyretic drug, provided that the parents follow all the above rules, the child's body temperature rises again, then, first of all, you need to call a doctor.

Paracetamol is the safest and most effective drug, but only with a viral infection. It has no anti-inflammatory properties. Therefore, with a bacterial infection, it does not help to lower the temperature, and even if it can be done, then for a short time. This is a very important point to assess the severity of the infection.
Ibuprofen is a drug that can reduce fever in both viral and bacterial infections.
Analgin is the most pronounced antipyretic effect. In the case when neither one nor the other drug helps, then analgin should help. But analgin reduces hemoglobin and destroys leukocytes in the blood. Therefore, it should be given only in extreme cases and only under the supervision of a doctor.
It is worth remembering that ibuprofen and paracetamol can be given to a child only once every 6 hours. Therefore, if after 2-3 hours the temperature rises again after paracetamol, then doctors recommend changing the drug. That is, after 3 hours, you can give Ibuprofen and closely monitor the child's condition.

Remember that the temperature rises not only when colds... Therefore, first of all, it is necessary to find out the main reason that caused the fever in the child.
Sometimes a child's temperature can rise during teething, and sometimes during an attack of appendicitis, where no antipyretic drugs will help, but surgery is required.
Be vigilant and never self-medicate, especially when it comes to your child.

Causes

When it comes to infectious disease, fever, first of all - a defensive reaction.

When the temperature rises, immune mechanisms are activated to fight the infection, and it becomes more difficult for pathogens to multiply and simply exist in changed and extremely unfavorable conditions for them.

In this case, the thermosetting point is shifted under the influence of pyrogenic substances, and the maintenance of temperature at any level, its increase or decrease is controlled by the thermoregulation center.

Fever accompanies:

respiratory infections;
intestinal infections;
purulent-destructive processes, etc.

Among infectious pathologies, the first place in terms of prevalence in children is occupied by ARVI (acute respiratory viral infections), followed by OCI (acute intestinal infections). The presence of purulent foci (lung abscess, osteomyelitis) causes a child's temperature, which does not subside for 3 days or even longer.

If you have complaints of persistent fever, you should pay attention to whether the temperature is lost by taking antipyretics or is resistant to them.

There is a fundamental difference between persistent and intermittent fever. It should be distinguished from the usual febrile reaction, hyperthermic syndrome, which is characterized by insufficient thermoregulation mechanisms, as a result of which the child's temperature does not decrease even after antipyretic drugs.

Symptoms

With manifestations of acute respiratory infections (ARI) are familiar to most people - both children and adults are sick with them. After the transferred disease, persistent immunity does not form, so a person can be re-infected with the same type of pathogen. The group of provocateurs of ARI includes influenza viruses, adenoviruses, rhinoviruses, staphylococci, streptococci, etc. Common symptoms are similar and include:

Headache.
Muscle pain.
Fever.
Lack of appetite.
Cough.

Some ARIs have distinctive features - for example, eye damage from adenovirus infection. If the temperature above 38 ° C in a child does not subside for more than two to three days, one should think about the bacterial etiology of the disease.

Intestinal infections are characterized by:

Weakness, headache.
Nausea, vomiting, lack of appetite.
Diarrhea.
Abdominal pain.

Rotavirus infection also manifests itself as sore throat, runny nose, and redness of the eyes. The child's temperature of 37 ° C and higher does not subside for several days, it normalizes after the use of antipyretic drugs.

With purulent infections, a high temperature is observed, which is accompanied by severe weakness, sweating, sometimes nausea, vomiting.

There may be pain at the site of localization of a purulent focus with osteomyelitis, a cough with purulent sputum with a lung abscess. The child's temperature does not go astray by Nurofen or rises soon after a short-term decrease.

Hyperthermic syndrome

Hyperthermia syndrome occurs when heat transfer is impaired, although the body produces a large amount of heat. Among the reasons for development:

infectious diseases;
dysfunction of the endocrine system;
metabolic disorders;
the use of anesthesia.

The symptoms are presented in the list:

A child's temperature of 39 ° C, which does not subside after the use of antipyretics, provided the above symptoms are present, is a dangerous damaging factor.

Treatment

If the high temperature is eliminated by taking antipyretics, it is necessary to ensure:

plentiful drink;
cool humid air in the room;
lightweight diet.

You can not force to eat, for children over infancy, it is necessary to prepare easily digestible food. Antipyretics (paracetamol, ibuprofen) should be used at temperatures above 38.5 ° C with an interval of at least 5 or 6 hours between each dose. Acetylsalicylic acid (aspirin) is not prescribed for children under 16 years of age due to the toxic effect on the liver.

With intestinal infections, replenishing fluid loss (rehydration) is the key to treatment. The child must drink, and not only water, but also special solutions containing the necessary components (rehydron).

Hyperthermia syndrome is a difficult condition to cope with at home. An uncontrolled rise in temperature can lead to a number of complications, including febrile seizures. To help a child before a doctor's visit, use:

drinking in large quantities;
antipyretic drugs;
putting on socks on the feet, rubbing the limbs with warm hands.

To eliminate fever in hyperthermic syndrome, analgin (metamizole sodium), antispasmodics (drotaverin), neuroleptics (droperidol), glucocorticosteroids (prednisolone) are used. All of these funds are administered in an injection form under the supervision of a physician.