Fever is one of the problems that pediatricians frequently encounter. Fever is not a disease. It is the body's protection mechanism. Increased body temperature due to infection or non-infectious reasons is defined as fever. The most common cause of fever is infectious diseases. Fever, which is the body's defense mechanism against the infectious agent entering the body, worries families and unnecessary antipyretics are used.
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Armpit 37.5 degrees
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Ear Values above 37.8 degrees can be defined as fever. It is not right to use medicine for fever that is not high. In this case, other antipyretic approaches should be used before starting medication.
The relationship between fever and seizures makes families anxious and they quickly give antipyretics. Recent studies emphasize that antipyretics are given in high doses and at frequent intervals.
Anti-antipyretics should be given to infants and children based on weight (kg) and age.
The most commonly used antipyretics are Paracetamol and Ibuprofen.
*Paracetamol syrup
* Tablet
* Suppository
* Intravenous form is available.
Syrup form is available. *120 mg / ml
*250 mg/ml is available in two forms.
Tablet *500 mg
Suppository * 120 mg
* It is available in two forms as 240 mg.
*Adolescents over 60 kg can use 500 mg tablets.
Paracetamol is given as 15 mg per kg. A maximum of 4 doses can be given per day. Dosing intervals should be 4-6 hours. It is not used in babies younger than 1 month.
The intravenous form of paracetamol can only be administered under hospital conditions. It is used by people over 11 years of age. Available in 10 mg/ml. Delivery time is 15 minutes. It can be applied at most 4 times a day with an interval of 4 hours.
The half-life of paracetamol is 1.5 - 2 hours. It is metabolized in the liver. Paracetamol given in high doses has a toxic effect on the liver. It is recommended that patients given paracetamol drink sufficient fluids.
Another antipyretic is Ibuprofen.
There are two forms of syrup: *100 mg
*120 mg.
>The tablet is *200 mg
*400 mg.
It can be used in babies older than 3-6 months. Ibuprofen in children with diarrhea and It should be avoided. When given in overdose;
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Stomach ulcer
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Bleeding
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Kidney problems.
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It may increase wheezing in asthmatic patients.
Ibuprofen should not be given on an empty stomach. 10 -15 mg per kg can be given (maximum dose is 40 mg kg). Dosage intervals should be 6-8 hours. It cannot be given more than 3 doses a day.
Children over 40 kg can be given 200 mg tablet form 3 times a day.
ASPIRIN cannot be used in individuals under 16 years of age. Aspirin use in this age group causes Reye's syndrome, which is a fatal disease.
Another approach to reducing fever is the sequential use of antipyretics. Although it is emphasized that the side effects of consecutive antipyretics are few, the application can only be used in cases where there is no response to a single antipyretic.
Many symptom-relieving preparations are used unconsciously. The amounts of antipyretics in these preparations are not constant, and sometimes the amounts of Paracetamol and Ibuprofen are high, and they are combined with other symptom-relieving drugs, which are not recommended for use in children under 6 years of age.
The dose to be given when using antipyretics is based on the child's weight.
Do not start antipyretics immediately for fevers that are not high.
Try to reduce the child's fever by first undressing, lowering the room temperature, taking a shower and giving plenty of fluids.
When using antipyretic drugs, use single preparations containing Parecatamol and Ibuprofen (instead of a combination drug (symptom relieving drug).
Pay attention to how many mg are in 1 scoop = 5 ml of the antipyretic you use.
>Do not use combined preparations containing antipyretic preparations haphazardly.
Be aware that some combined preparations contain high doses of antipyretics and may cause side effects when given at the recommended dose.
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