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Author:Kangdi 14-03-2022
1. The timing of drug antipyretic
(1) Look at changes in body temperature
The body temperature range recommended for adults to use drugs to reduce fever, this part mainly discusses "children" and "critically ill patients".
Above 38.3°C, antipyretics can be used to improve the child's overall comfort. Rectal temperature ≥ 39.0℃ (oral temperature 38.5℃, axillary temperature 38.2℃), or febrile children with discomfort and depression due to fever, oral acetaminophen or ibuprofen is recommended to reduce fever.
(2) Look at the mental state and behavior changes of the person with fever
Taking a child with fever as an example, the primary goal of antipyretic treatment is to improve the child’s overall comfort. When there are changes in activity, sleep, and behavior, medication can be used to reduce fever.
Pediatricians emphasized children's overall comfort and symptoms of critical illness, not once normothermia.
2. How many ways to reduce fever?
(1) Physical cooling
Clothing less and keeping your environment cool are good non-drug treatments for fever. At the same time need to add enough water. A warm water bath can lower your body temperature.
(2) Antipyretic drugs
Antipyretics for adults: non-steroidal anti-inflammatory drugs (acetaminophen, ibuprofen, aspirin, diclofenac sodium, etc.), glucocorticoids (dexamethasone, methylprednisolone, etc., for acute inflammatory response syndrome Or in severe cases, unconventional medication).
Antipyretics for children: Only acetaminophen and ibuprofen are recommended, and the combined or alternate use of acetaminophen and ibuprofen is not recommended for antipyretic in children.
A Cochrane systematic review showed that acetaminophen in combination with ibuprofen or in alternation with ibuprofen was more effective in lowering body temperature than either drug alone, but did not improve comfort.
And some studies have shown that: although the combination of acetaminophen and warm water for a short period of time has better antipyretic effect, it will significantly increase the discomfort of children.
Therefore, it is not recommended to use warm water rubbing baths to reduce fever on the basis of combined drug antipyretics, let alone ice water or ethanol rubbing baths to reduce fever.