发烧宝宝的24小时护理.doc

发烧宝宝的24小时护理照顾发烧的宝宝，不仅需要耐心，还需要知道一些相关的护理知识。否则，面对宝宝体温的升降起伏，你可能难以应付！ 怀疑宝宝发烧，首先要给宝宝测量体温，确切了解宝宝体温的高低，以便采取不同的措施。 发热的分度color=#000000,strength=3);宝宝发热的分度目前尚不统一，但大多数都采用以下标准： 1 37.5 38为低热 2 38.1 39为中度发热 3 39.1 40.4为高热 4 40.5以上为超高热 上午10：00 宝宝发烧了！ 如果宝宝体温在38.5以内，不必要吃退烧药，可采取其他措施降温。首先应保持室内环境安静、温度适中(1825)、通风良好，衣被不可过厚，如果出汗多，要及时为宝宝更换干净衣服，并用温水擦洗。宝宝发烧时，呼吸会加快，蒸发的水分多，所以要及时补充水分，让宝宝多喝温开水，促使多排尿、多发汗而降温。 上午11：30 做物理降温！ 如果宝宝体温较高，又没有到吃退烧药的程度，可以做物理降温。具体方法是：用温水蘸湿毛巾，拧得稍干后，给宝宝擦脖子、胳膊、前胸、后背、 大腿等部位，位于肘窝、腋窝、颈部的大血管部位要多擦 几下，以微红为适度。也可将冰袋或冷毛巾放在孩子前额， 降低脑部的耗氧量，起到降低体温、保护大脑的作用。 不要用酒精擦浴降温，因为宝宝的皮肤娇嫩，酒精容 易吸收入体内，会引起宝宝烦躁、哭闹。 下午3：00 体温升高了！ 如果宝宝体温在38.5以上，可成都优惠服用退热药。给宝宝使用退热药物应严格按体重服用。宝宝常用的退烧药物有对乙酰氨基酚( 如泰诺林、百服宁)和布洛芬( 如美林、托恩)，这些都属于解热镇痛类药物。对乙酰氨基酚起效快、作用强、安全性高，可首选该药。布洛芬退热快而平稳，退热持续时间达6 8 小时，一般用于6 个月以上的儿童。 退热药是通过发汗达到退烧目的的，所以，吃了退热药后，要给宝宝多喝温水发汗，或用温水擦浴协助退热。 下午6：00 体温再次升高！ 很多妈妈都会遇到这种情况，宝宝吃了退烧药后不到4 个小时，体温又升到了38.5以上，这时候又不能再给宝宝吃退烧药，只能看着宝宝烧。其实应对这种情况是有办法的，就是同时准备对乙酰氨基酚( 如泰诺林) 和布洛芬( 如美林) 两种不同成分的药物，将两种药物交替使用，这样可以减少每种药物24 小时内使用的次数，还能减少药物的副作用。 具体服用方法是：使用对乙酰氨基酚后4 个小时，可给宝宝服用布洛芬；服用布洛芬后6 小时后，如果体温再次升高，可再服用对乙酰氨基酚。如果宝宝服药后不到4 个小时体温再次升高，不能继续吃上一次吃的退烧药，而要换另外一种退热药物。如果宝宝出现高热惊厥，两种药物可以同时选用，剂量照旧。 凌晨2：30 半夜发高烧！ 很多父母都有这样的感觉：宝宝成都美食优惠在夜间容易发高烧。这是因为宝宝身体的含水比例较成人高，只要轻度缺水就影响散热，导致体温升高。而宝宝生病的时候，精神差、睡得久，夜间长时间不进食、不喝水，体温就更容易升高。 如果晚上宝宝睡着了，体温很高，要把他叫起来喂退烧药或做物理降温，否则体温过高会导致高热惊厥。若宝宝体温持续超过39，且精神萎靡或有高热惊厥病史，可先在家中口服退热药后，及时送医院就诊。 早上7：00 体温下降了！ 通常宝宝的体温在上午会有所降低，但如果引起的发烧病因未去除，体温在几个小时后还会再次升高，如果宝宝是因为病毒性感冒引起的发烧，可以继续像前一天那样做降温处理. 大部分的感冒都是病毒引起的，病毒性感冒一般多呈体温持续升高，退热药物有一定的效果。而且病毒性感冒有自限性，到了一定的病程，体温就自然而然地降下来了。所以，病毒性感冒引起的发烧期间，要让宝宝多喝水、多休息，体温超过38.5时使用退热药。 Tips: 4 个月以下的小宝宝不宜使用退热药，只需成都打折多喂水、解松包被或适当减少衣服散热即可，如果体温降不下来，要带宝宝去医院看医生。 目前不主张肌肉注射解热剂，因其可能引起局部感染或臀肌萎缩、坐骨神经损伤等。尤其是安痛定或复方氨基比林，注射后还可产生急性粒细胞缺乏症。 发烧，体内第一道“防护墙” 发烧是一种症状，是体内一种正常的免疫反应，有帮助杀菌及提升抵抗力的作用。发烧时，机体内的各种免疫功能都被“激活”，新陈代谢增快、抗体合成增加和吞噬细胞活性增强等。这些免疫反应，可以抑制病原体的生长、繁殖，有利于病情的恢复。因此，发烧是体内的一道“防护墙”，是人体的一种自我保护。如果在确诊病因前就急于用药物强行降温，等于支持了病原体的致病作用，这样做反而会让孩子病得更重，病程更长。The baby have a fever 24 hours of careTake care of the baby have a fever, not only requires patience,need to know some relevant nursing knowledge. Otherwise, in the face of elevating the baby body temperature, you may find it difficult to cope with! Doubt the baby have a fever, the first to give the baby to know exactly what the baby temperature, high or low temperature, in order to take different measures. color=#000000 degree fever, strength=3); indexing baby fever is not uniform, butmost have adopted the following criteria: 137.5 38 to 238.1 39 low to moderate fever 339.1 40.4 above 440.5 for ultra high fever baby have a fever at 10:00 in the morning! If the baby body temperature at 38.5 , dont need to eatantipyretics, may adopt other cooling measures. We should keep indoor environment quiet, moderate temperature (18 25 ),good ventilation, clothing should not be too thick, if sweat more,should replace with clean clothes for the baby in time, and use warm water to wash. The baby have a fever, breathing becomes faster, the evaporation of water, so to replenish moisture, let your baby drink plenty of warm boiling water, prompting much micturition, sweating and cooling. 11:30 am doing physical cooling! If the baby body temperature is higher, and not to take fever medicine degree, can do physical cooling. The specific method is: use warm water to wet towel, wring too dry, baby wipeneck, arms, chest, back, thighs and other parts, large blood vessels in the antecubital fossa, axillary, neck to rub a few, with reddish as appropriate. Can also be ice packs or cold towel on his forehead, reducing oxygen consumption of the brain, to reduce the temperature, protective effects. Do not use alcohol sponge bath temperature, because the babys delicate skin, alcohol is easy to absorb the body, the baby will cause irritability, crying.Afternoon 3:00 elevated body temperature! If the baby body temperature at 38.5 , taking antifebrile. Give the baby useantipyretic drugs should be strictly according to the body weight.The baby common anti-fever drugs with acetaminophen (such as Tylenol, Bufferin) and ibuprofen (such as Merrill Lynch, tone),these all belong to the antipyretic analgesic drugs.Acetaminophen is fast, strong function, high safety, can be the first choice of the drug. Bloven /default.php fever quickly and smoothly, feverlasted 6 to 8 hours, generally used for more than 6 months of children. Antipyretic through sweating to allay a fever the purpose,therefore, ate febrifuge, to give the baby drink more warm watertranspiration, or sponge bath with warm water and assist thefever. Afternoon 6:00 temperature rise again! Many mothers willencounter this kind of situation, less than 4 hours after the babyate antipyretic, the temperature rose to 38.5 , it can not give the baby to eat antipyretics, only looked at the babys fever. In fact,there is a way to deal with this situation, is also /coupon/ ready toacetaminophen (such as Tylenol) and ibuprofen (such as Merrill Lynch) two kinds of drug, the two drugs used alternately, this canreduce the number of each kind of drug within 24 hours of use,also can reduce the side effects of drugs. The specific method is: take use of the 4 hours of acetaminophen, ibuprofen can give the baby; 6 hours after taking ibuprofen, if the temperature rises up again, then take acetaminophen. If the baby after less than 4 hours the temperature rose again, can not continue to eat eat afever medicine, and to another one kind of antipyretic drugs. If the baby of febrile seizures, two kinds of drugs can be selected at the same time, dose. 2:30 in the morning the night fever! Many parents have such feeling: the baby easy fever at night. This is because the water ratio of the baby body than adult high, as /shop/defaultc.php long as the slight water deficit on the impact of heat, causes the body temperature to rise. The baby is sick, poor spirit, slept long, nightlong time without food, do not drink water, temperature rise more easily. If the night the baby fell asleep, temperature is very high,to rouse him to feed the anti-fever medicine or physical cooling, or the body temperature is too high will lead to convulsion. If the baby body temperature over 39 , and apathetic or have a history of febrile seizures, first at home oral febrifuge, promptly sent to the hospital. 7:00 in the morning temperature decreased!Usually, the babys body temperature will be lower in the morning,but if the cause have a fever etiology is not removed, the temperature in a few hours will rise again, if the baby is caused byviral cold have a fever, can continue to be like the day before thatcooling treatment. Most colds are caused by viruses, viral influenza usually a temperature continues to rise, antipyretic drugs have certain effect. But the virus sex cold self-limiting, to a certain duration, body temperature will come very naturally down.So, have a fever caused during viral cold, want the baby to drink water more, rest more, use antipyretic temperature over 38.5 .Tips:, the following 4 months of the baby should not useantipyretic, only need to feed water, loose coated or reduceclothes radiation can be, if the temperature drop down, to take the baby to the hospital to see a doctor. currently does not advocate the intramuscular injection ofantipyretic, because it may cause local infection or atrophy of gluteal