1.What is the purpose of using antipyretics?
*The main goal of fever is to relieve the discomfort caused by fever, i.e., to improve comfort, rather than simply to restore normal body temperature. In addition to symptomatic fever, it is also necessary to actively find out and ** the cause of fever. When the body temperature is too high (central fever, such as encephalitis), it is necessary to actively cool down to protect the function of the organs.
2.What is the body temperature of antipyretics?
The general recommended temperature is 385 or more when used (guidelines for armpit 38.)2) According to the child's situation. If the general malaise is significant, the headache is high, and the limbs are sore, antipyretics can also be used for low-grade fever. If you are in good spirits and there is no obvious discomfort, even if the body temperature is 385 or more, it is not necessary to use antipyretics.
3.Do you use antipyretics by weight or age?
In general, the dose is calculated according to body weight, and if the actual weight significantly exceeds the standard weight of the same age, a small dose is selected within the effective dose range. In any case, the dosage for children should not exceed the recommended dose.
4.Which antipyretic should my child choose?
The only recommended antipyretics for children are ibuprofen and acetaminophen. Depending on age, acetaminophen is preferred in children aged 2 to 6 months; Acetaminophen or ibuprofen can be used in children 6 months of age and older, and the overall efficacy and safety profile of both are similar. For babies with fever and gastrointestinal upset, acetaminophen has high gastrointestinal safety, and acetaminophen is preferred. Fever with renal dysfunction, acetaminophen is preferred; Abnormal liver function, ibuprofen is preferred; Cardiac dysfunction, acetaminophen of choice; Babies with fava bean disease use ibuprofen to reduce fever. Oral dosage forms, such as drops or suspensions, are preferred. For younger children (e.g., under 3 years of age), drops with high concentration and small volume are preferred. Oral medications are difficult and suppositories are an option.
5.What should I do if I don't get a fever after using antipyretics?
The child's fever is generally the cause of infection, and it is generally reversed, and the antipyretic can be reused at an interval of 4-6 hours. The drug has a certain onset time, and the antipyretic effect generally appears after 1 hour of taking the drug. After using antipyretics, it is necessary to pay attention to the child's mental state, such as good mental state, warm hands and feet, and other appropriate physical cooling measures can be taken to assist in taking other appropriate physical cooling measures, and pay attention to body temperature changes; If the fever is not reduced, check whether the antipyretic is used correctly, including whether the drug exceeds the expiration date, shake the suspension before use, and whether the dosage is accurate. If the child has persistent high fever, poor mental state, or worsening condition, it is necessary to seek medical attention in time, and the dose and frequency of use of the drug should not be increased.
6.What should I do if I use a combination cold medicine when I have a fever?
Many compound cold medicines, such as paediatric aminophen xanthamine granules, aminophen Mamei dry suspension, etc., contain a certain amount of acetaminophen, if these drugs have been used, the body temperature change can be temporarily observed; If the fever does not defervre, acetaminophen can be used four hours apart. If you have used it for a short time, you can also look at the acetaminophen content of the drug, and if the recommended dose is not reached, you can also take the corresponding dose of acetaminophen.
Some Chinese patent medicines may be used when the fever occurs, such as children's Chai Gui antipyretic granules, Xiao Chai Hu granules, pediatric soy qiao Qingre granules, etc., these drugs are not considered antipyretics, and when the body temperature is too high, it does not affect the use of ibuprofen or acetaminophen, and there is no need to interval.