Handling Fever In Children (fever seizure) 3

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Practical Guide to handle child fever:
-The room is maintained so as not to heat, install the fan. Children who do not wear thick clothes
-Extra fluids, often Drinking: Water, water, soup, fresh fruit juices that are mixed with water, ice cubes, ice cream. When frequent vomiting or diarrhea, give a drink which contains electrolytes:
Pedialyte, ORS
-Let the kids eat what she wants, do not be forced. Avoid fatty foods, foods that are difficult to digest.
Tepid sponging-(compress of warm water)
Children do not attend school, but that does not mean should be in bed all day.

Sponging to ease fever
Compress to relieve fever
Not infrequently parents stunned when I do not give medicine and
states - just compress it.
Warm compresses will reduce your child's temperature within 30-45 minutes.

When do we compress the child's fever?
1. Uncomfortable
2. Temperature (40C)
3. Ever febrile seizures or close relatives had suffered from febrile seizures
4. Vomiting so that drugs can not enter

How do I compress the child's fever?
1. Place the child in the bath tub / bucket filled with warm water bath temperature of 30 - 32c; or
2. Rub warm water in the whole body infant / child
If the child refuses, have sat on the bucket / bath tub, give a toy, get to play

Shivering, Seizures
Management of febrile convulsion
Parents are often difficult to distinguish between shivering with seizures.
At the time of shivering children, children do not lose consciousness, do not stop breathing. Child fever shivering as the temperature increases. Parents are also difficult to differentiate between febrile seizures / steup - dg seizures due to brain infection.

Seizures due to fever is a generalized (involving the entire body), lasted an instant, after the seizures - the child unconscious.
Seizures due to brain infection last long, repetitive, neck
stiff, and after the seizure, the child is not conscious.

We recommend that you compute the length of the old org seizures with a stop watch - not uncommon, due to a frightening appearance, so parents feel convulsive long though actually only take place within seconds or minutes.

Some practical guidelines to handle child febrile seizures:
-Stay calm, do not panic, carefully observe the child's condition
-Lay the child / baby in a safe place (floor)
-When children seizures, not in "Rejeng" (to prevent the occurrence of fractures)
-Prevent the seizure when the child does not choke (position the child face down or sideways)
-Do not put anything on the child's mouth (eg spoon)

Fever Medication (drug fever)

Consult a physician Ibuprophen AcetaminophenAcetosal Metamizole. Effect Pain, fever, fever, inflammation, fever, pain pain, fever, inflammatory pain, fever, inflammation

Dose of 5-10 mg / kg 10-15 XX XX
Side effects of gastric irritation / GI tract (bleeding), kidney disorders. Do not give if child muntah2 and / or diarrhea. Most safe - as long as the dose is not excessive. If an overdose, can cause liver damage Reye's Syndrome (disorder of the brain and liver), irritation of the stomach. Not recommended: Children <12 years, viral infections Bone marrow suppression

Some principles are worth noting:
2-Do not give fever medication such as ibuprofen or acetaminophen acertaminophen with the aspirin.
- Let's not mix acetaminophen with phenobarbital (luminal).
Luminal pressure that his liver enzymes that neutralize acetaminophen acetaminophen levels in the blood will increase and increase the risk of acetaminophen intoxication.
- Do not mix drugs fever with steroids (prednisone, oradexon, kenacort, etc.) because steroids will increase the risk of gastrointestinal bleeding.
- Acetaminophen is the safest drug for the dose given to the appropriate (not excessive).
- Do not treat a fever that high.
- Do not give aspirin (asetosal / ASPILET) in children <12 years. In viral infections, aspirin increases the risk of Reye's syndrome, a condition that mmenyebabkan severe liver failure and impairment of consciousness.

Source website bayidananak.com/2008/11/19/demam-pada-anak/


Additional
Did Mother, 1 / 3 cases of febrile seizure will be repeated until the child was 5 years old. The attack is usually the same DNG pertama.Biasanya attack encourages doctors to provide a febrifuge or anti-seizure medication which inserted into the rectum at home. Seizures fever is most often caused by upper respiratory tract infection, but can also by other infectious agents.

Handlers who can do when his baby mother Fever Seizures are:

Remain calm and observe the condition of the child such as: calculating the length of seizures, seizures in one or several parts of the body, infant behavior before and after seizures, is accompanied by fever. then put the child in place safely dng yg oblique posture / prone to avoid choking on saliva or vomit.

- Do not put anything into your child's mouth, also do not include a spoon when the child is seizure Fever, krn it can actually inhibit oxygen entrant (obstruct breathing)

- Never give febrifuge through the mouth when the child seizures, by mouth may be given after a seizure-free children and aware, Do not force the holding / pressing krn child's body can cause broken bones, & hub doctor in case of recurrent seizures

Source: facebook BundaCermat and personal

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Handling Fever In Children (fever seizure) 2

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How to cope with a fever
1.Minum a lot, because a fever can cause dehydration (read "loss of a distinguished
can occur because of a fever ").
2.Kompres child with warm water.
Why not with cold water? because when given the cold water, our brain will
thought that the cold temperatures outside the body so that the brain will tell your body
to raise its temperature by shivering to produce heat.
As a result, instead of the child's body temperature down, but the added heat.
We recommend a compress made when: a child feel uncomfortable, the temperature reached 40C, had a febrile seizure / immediate family ever suffered from febrile seizures or children muntah2 so that drugs can not enter. How to compress: put the child in the bath tub with warm water bath (30-32c) disekujur warm water or wipe the child's body. If the child refuses, sitting in the bath tub toys give & take play.
3.Beri febrifuge, such as acetaminophen or paracetamol tempra, Panadol, or paracetol, Tylenol, according to the dosage. Whenever febrifuge given? When the temperature is above 38.5C, or if the child uncomfortable. Better not give fever medicine if the heat is not too high (below 38.5C).

Complication
Fever is generally just needed as a form of resistance to infections. But is there a downside? Losses that could occur due to fever:
1.Dehidrasi - because at the time of fever, there is increased expenditure so that body fluids can cause dehydration.
2.Kejang fever, but chances are very small. In addition, febrile seizures only on infants aged 6 months to 3 year olds. Occurs in

The first day of fever, the first attack rarely occurs at age <6 months or> 3 years. Symptoms: the child is unconscious, seizures appear as gerakan2 all hands and feet that occurs within a very short time. Generally NOT DANGEROUS, do not cause BRAIN DAMAGE.

Principles in fever management
What is most important in dealing with child fever?
-Finding out what causes the heat.
-By knowing the problem, then we can act rationally.

The main principle of governance like fever (according to the guidelines of Mayo Clinic, USA):
-Parents do not need to panic, it is generally not life-threatening fever. The main thing to do is observe the child's behavior. When the temperature is rather low when the child is still active, still cheerful, still want to play, then we need not worry.
-Do not give medicine when fever is not high heat
-Prevent the possibility of dehydration
-Knowing when to worry and should contact a doctor

On the other hand, every disease that is his nature masing2, such as common cold - 30-10 days - so do not ask for 1-2 days of recovery. We can not fight nature.

American Academy of Pediatrics - make recommendations on the handling of fever with
specify the conditions under which parents should contact their doctors:
-When infants aged <3 months with a body temperature of 38C ³
-When a baby aged 3-6 months with body temperature of 38.3C ³
-Infants and children aged> 6 months, with a body temperature of 40C ³

Several other conditions where you need to communicate with a doctor
-Do not want to drink or are already dehydrated
-Iritabel or crying continuously, can not be appeased
Sleep-continuous, weak and difficult to wake (lethargic)
-Seizures
Stiff neck-neck,
-Shortness of breath
-Fidget, vomiting, diarrhea
Great-Headache

Thus, laboratory tests on the first day of fever, generally not needed except in conditions such as those mentioned above.

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Handling Fever In Children (fever seizure) 1

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Reviews related to:
-Fever in infants / children
High-heat in infants / children
Convulsions in infants / children
and how to overcome them. Mother's father was taken from mailing list ayah bunda

Fever In Children
Minutes Represents Seminar "Fever In Children" with speaker dr. Purnamawati

Definition of Fever:
Fever is a condition where the brain peg the temperature above the normal setting is on
above 38C. However, the real heat is when the temperature> 38.5C.
Due to increased demand they will be setting the body will produce heat.

Three Phase Fever
1. shivering - until the body temperature reaches its peak,
2. then settled
3. and finally down new

How and Why Timbul Fever
Increased body temperature is caused by the circulation of a small molecule
in our bodies called pyrogens dg - HOT SUBSTANCE originator.

What causes the increased formation of pyrogens? Many,
such as infection, inflammation, malignancy, allergy, teething, etc..

Inflammation - Fever
First, inflammation. What is inflammation? Infection?
In English, the inflammation is inflammation, not infection. With
Thus, inflammation can be caused by infection but could also not due to infection.
If because of an infection, could be an infection of germs (bacteria) or viral infections, fungal, parasitic, but most infections in infants and children caused by a virus.

What causes inflammation which is not infected? Can allergies (most common), can also trauma, teething (teething), or due to autoimmune disease (there is an error "program" in the body where the organs of the body thought of as an "enemy" and attacked by the immune system.

Second, what is it INFECTION?
Infection is the entry of micro-organisms (micro organisms or living things which
very small, generally not visible to the eye) into our bodies.
The entry of micro-organisms are not necessarily cause us to fall ill, depending on many things, among others, depending on how strong our immune system.

When our immune system is strong, we may not get sick or if pain, only mild pain, and even then form the substance of our body's immune (antibody). Micro-organism or microorganisms can tsb bacterial germs, can be viruses, fungi, etc.

Third, FEVER. What is a fever? Disease or symptom?
Fever is not a disease, fever is a symptom that something is going on in our bodies. Coughing, vomiting, diarrhea was not a disease but a symptom. Faced with these symptoms, the most important is finding out what the cause.

What is SURE THAT FEVER INFECTION? Not necessarily, although the vast majority were
due to infection. In infants and children most is a viral infection.

Why should a fever if the infection?
It is proven that the fever was deliberately created by our body as an effort to help the body get rid of the infection.
Pd when stricken with the infection, the body would have to eradicate the infection tsb.
The trick? By mobilizing the immune system. Commandos to fight the infection are white blood cells and in performing their duties to be effective and well targeted, white blood cells can not be alone, need the support of many parties including pyrogens. Pyrogen was carrying two missions:
1.Mengerahkan white blood cells or leukocytes to sites of infection
2.Menimbulkan fever that would kill viruses because viruses are not temperature resistant
high, the virus thrives in low temperatures.

Where febrifuge role?
Febrifuge, inhibit the Cox enzyme - thus forming
prostaglandins, which in turn disrupted causing disruption of the increase
body temperature. Febrifuge absolutely not treat the cause of the fever itself.
Drugs that may enhance the body's temperature Anti-cancer
Antibiotics (ampicillin, clox, tetra, lincomycin, Bactrim, Septrim, INH, Flagyl), cimetidine, Primperan

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Child Sick? Perform First Aid (1)

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Panic! That usually happens when Little ill complain. In fact, it could be, the complaint did not show any symptoms of serious illnesses. Recognize that complaints often leveled, and mastered the proper way to handle it.

1. Fever
Fever is not a disease but a symptom of a disease. Fever is one of the conditions that often befall the children. According to Dr. Zakiudin Munasir, SpA (K), a Consultant Child Allergy Immunology, there is a fever that is not dangerous and can heal itself. "But there are also dangerous. For example, high fever or are related to respiratory tract." That is why, he said, as light as any fever should be addressed immediately.
Immediately measure every time a child with a fever thermometer. Approximately 30-50 percent of the fever caused by infection. The largest is the upper respiratory tract infections (ARI), dengue fever, and typhoid fever. Alert if the temperature of more than 41 degrees Celsius, because it can damage the tissue on the central nervous system (brain).
Action taken on the type of heat. Tolerance limits on a child's body temperature 38 degrees Celsius. First step is to give febrifuge, as he sought the cause of the fever. Wear loose clothes and absorb sweat so that your child does not kegerakan, and place it in the room air circulates well. If the high heat can be aided by warm water compress on the head area, underarms, and groin. "If cold water is compressed by narrowing the blood vessels so that heat can not be removed and detained," said Zaki.
If the heat does not need to be brought down to the doctor, might be just the common cold due to environmental factors or temperature. Give enough to eat and drink. Bring to a doctor if the fever does not subside after three days treatment itself. For children who have a talent seizure without delay. Immediately take your child to the doctor so the temperature past the normal limit.

2. Flu, Cough, Colds
Cold cough is a disease of the rainy season and transition subscriptions. Coughing caused by a viral infection such as influenza, can heal itself in three to five days. The most important feeding and drinking enough. Do not be provided with food and miuman which stimulates a cough. For example, chocolate, instant noodles, ice.
Provision of free cough medicine tailored to the type of cough. No mucus to cough that is holding were given cough medicine (antitusif). Mucoid cough cough medicine given specifically for slimy. If the cough does not subside after 3 days treated yourself, take it to the doctor immediately.
While the characteristics of the flu are the body's temperature rises, the body feels weak, and headaches. Then, clear the snot out too long from his nose thickens. The disease is rapidly transmitted through air. If the child's condition was not healthy, easy to catch. Equipment provided warm meals and drink enough water, plenty of rest. If not healed well, take it to the doctor.
Try to keep giving your child a lot of drinking. Give warm water, milk, or fruit juice. If the nose is blocked aid by inhaling steam from a basin of warm water.

3. Convulsions
There are many types of seizures. Seizures of short duration is called simple, while that lasted about 15 minutes called complex febrile seizures. The causes varied, such as epilepsy (epilepsy), muscle spasms / cramps, or seizures due to fever.
Because of epileptic seizures occur when the attack occurred. If your child suffered from epilepsy, keep it away from trigger attacks, such as emotional disturbances (stress, tension, anxiety), the light was blinking. If convulsions appear, try the pain gets free air, trying to stop kejangnya, because seizures can damage brain cells.
Wedge child's mouth with a spoon wrapped in a cloth, because the condition makes the patient seizure was unconscious so his tongue "falls". "If not elevated, teeth can be broken, his tongue could be bitten, and even break," said Zaki. Then, lay the child on the bed. The important thing to be free of air flow there is no load. Parents who have children often have to provide drug seizures are usually inserted into the rectum.
If the child has the "talent" febrile seizures, ie seizures in children aged 3 months - 5 years was not caused abnormalities in the head or another, be aware when your baby's body temperature to rise above 38 degrees Celsius.

4. Diarrhea and vomiting
Diarrhea is a watery discharge sewage which more often than usual. In a day could be three times or more diarrhea and no shaped aka liquid stools. In fact, can form mucoid fluid or no blood. May be accompanied by vomiting, refusing to drink, limp, eyes look sunken.
Diarrhea can cause dehydration and shock, even death. "First Aid usually replaces the liquid that had come out to give ORS to the child. The composition of ORS is the same with a liquid that comes out from diarrhea." Zaki warned, do not give your child medication for adult diarrhea. "It's dangerous, because kumannya detained, not out, could result in worse."
If you do not have a supply of ORS at home, the liquid sugar can be replaced with a salt solution, consisting of one teaspoon of sugar and 0.5 teaspoons of salt with a glass of water. If a child is unwilling to drink ORS or sugar mixture of salt, give him a vegetable juices, mineral water, or broth.
If diarrhea containing blood, immediately take it to the doctor. Similarly, if the diarrhea does not heal within three days. "Take also go to the doctor if vomiting continues, and given intravenous fluids."

To be continued, Doc. Nova

Source Web Tabloid Nova

WHEN TO CONTACT A DOCTOR2

21:56 Posted In , , , , , , , , , , Edit This
Source hypnobirthing email Indonesia

Diarrhea

* No wet diapers for 8 hours, and signs of dehydration are already mentioned above.
* High fever.
* Bloody stool.
* Drowsiness extraordinary, limp, difficult to wake.
* If children experience chronic diarrhea.

EAR INFECTION

* Bring the kids to the doctor if you suspect otitis media. But please remember, your doctor will not automatically give antibiotics every time the child's ear looked red.
* Infants and young children at risk for frequent ear infections
* Otitis media did not always have to be treated with antibiotics
* For a long time (up to 3 months) after otitis media, there will be fluid in the middle ear cavity. This is a normal condition and does not require any treatment.

Vomiting
Vomiting is not accompanied by other symptoms and does not repeat, usually not something to worry about. Bring your child immediately to hospital if:

* Vomiting green.
* Stomach pain for 6 hours.
* The spots are pink / purple that does not disappear when pressed.

Call your doctor if the child shows the following symptoms:

* The baby vomited during the last 6 hours or a child for 12 hours
* If your baby shows symptoms of dehydration (large crown concave (baby), his eyes sunken, dry lips; urinate a little older and more colorful than usual; decreased skin elasticity.
* Do not want to drink.
* Drowsiness extraordinary and fussy.

Emergency CONDITIONS: Identify

o Drowsiness extraordinary (drowsiness). Somewhat decreased awareness, decreased eye contact. Various stimuli (including the sound stimulus) caused no response from the child's party
o lethargy or decreased activity. Children lay limp, feet and hands are rarely driven. Children are also not interested to engage in an activity.
o Disturbance of breath. Children breathing fast or moaning while breathing, or every time you inhale, your chest muscles drawn into.
o Do not want to drink or eat (poor feeding). Drank much less than usual. Babies do not want to suck or meneteknya very rare and weak hisapannya. Non-breastfed babies drink only half of the needs within 24 hours. Babies also refused to eat altogether.
o Vomiting spraying. Vomiting is nothing to do with eating or drinking, there is no relation to the cough. Strong vomiting occur suddenly. Think about the possibility of increased pressure in the cavity of the head as is common in meningitis.
o The production of urine decreases or severe dehydration. Children urinate less than 4 times in 24 hours (diaper remains dry for 6 to 8 hours).
o The baby choked on (a baby can not breathe, face becomes red and blue).
o Diarrhea continually over the last 12 hours. Great vomiting.
o Other conditions which also need to be brought to the health care unit is green berwana vomiting, recurrent seizures or long, high fever (especially fever in bayiberusia less than 6 months), hernias, and constantly fussing inconsolably
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