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Approach to a child with fever

Approach to a child with fever. Definition. Fever : elevated body temperature due to change in hypothalamic set point Hyperthermia : elevated body temperature due to environmental heat, dehydration, overclothing, excessive internal heat production. Normal body temperature.

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Approach to a child with fever

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  1. Approach to a child with fever

  2. Definition • Fever: elevated body temperature due to change in hypothalamic set point • Hyperthermia: elevated body temperature due to environmental heat, dehydration, overclothing, excessive internal heat production

  3. Normal body temperature • Rectal : 38.3⁰С , most sensitive, infants • Oral: 37.8⁰С, sensitive, > 5 yr • Axillary: 37.2⁰С, less sensitive, 1-5 yr

  4. Indications of treatment of fever • High fever( > 39⁰C) • Chronic cardiopulmonary disorders • Chronic metabolic disorders • Neurologic disorders • Risk of febrile convulsion

  5. Control of fever • Acetaminophen • Ibuprofen • Combined acetaminophen and ibuprofen • No aspirin • No diclofenac Na • No corticosteroid • External cooling : in hyperthermia, very young infants, severe liver disease, neurologic disorder

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