Useful Tips

How to bring down the temperature 38, 39, 42ºC


High fever is a common symptom of such common diseases as SARS, tonsillitis, pneumonia. To reduce fever and alleviate the condition of the patient, doctors recommend taking antipyretic drugs, but this is not always possible. Too frequent use of these drugs can lead to allergic reactions, and to an overdose - poisoning. It also happens that there are simply no antipyretic drugs in the house. In such situations, it is worth using non-drug, but therefore no less effective ways to lower the temperature. Here are a few of them.

To lower the patient’s temperature, a sponge or towel is moistened in cool water, the body, face, and limbs are wrung out and gently wiped. The droplets of liquid remaining on the skin are allowed to dry on their own. To enhance the effect, add a few drops of table vinegar or vodka in a 1: 1 ratio to the water. It is better for children to wipe with water at room temperature (otherwise the procedure can provoke shock and febrile seizures caused by vasospasm).

The procedure of wiping with water, even water at room temperature, gives the effect of reducing heat by 1-2 degrees for 1-1.5 hours.

Applying ice

To reduce the temperature, the ice is split into small pieces, placed in a plastic bag and applied to the projection sites of large vessels: to the forehead, to the axillary regions, inguinal folds, popliteal fossae. To protect the patient from hypothermia, a rolled cotton towel should be laid between the skin and ice. It is better not to continue applying ice for more than 5-7 minutes, after a quarter of an hour the procedure can be repeated.

How to effectively bring down the heat

  • Observe bed rest - any load will cause the organs to work in an enhanced mode, which can adversely affect health.
  • Drink more fluids, but in small portions. Give preference to mineral water without gas, compotes, berry juices, cranberry juice. An increase in temperature accelerates the evaporation of moisture and can cause dehydration. Drinking plenty of fluids helps remove harmful foods from the body.
  • Provide the body with excess heat. Do not wrap yourself so as not to provoke heat stroke. The optimal temperature in the room should be about 20-21 degrees. You can use a fan or air conditioning.
  • Wet wraps help reduce temperature due to the high heat transfer of the skin. Soak a cotton towel in cold water and apply to your body. When the fabric becomes warm, repeat the procedure again. The best effect will be obtained by wraps if yarrow infusion is added to the water.
  • Wiping with a solution of vinegar can be carried out every 2-3 hours. Take one tablespoon of vinegar (9%) and five tablespoons of water, mix, wipe the stomach, back, legs and arms.
  • Prepare a peppermint decoction. Cool it, moisten tissue wipes and attach them to the locations of large arteries: temples, lateral surfaces of the neck, armpits, elbow bends, wrists, inguinal regions, popliteal fossae. Renew compresses every 10 minutes.
  • Take an antipyretic drug. Temperature medicines contain acetylsalicylic acid, paracetamol, ibuprofen, or analgin. These substances can be in the dosage form individually or in combination, so before buying, read the contents of the drug. Preference should be given to instant tablets and powders.
  • Safe action on the body with minimal side effects paracetamol. A single dosage of paracetamol is 15 mg / kg. (1-2 tablets of 500 mg for an adult). Caution in its application should be shown to people with liver diseases.

There are cases when it is necessary to bring down the temperature without using medication, such cases are mainly in people who are contraindicated in antipyretic drugs.

After you have assisted the patient, put him to bed, while creating an environment conducive to healthy sleep. And do not forget to consult a doctor, even if you managed to bring down the heat.

Cool enema

An antipyretic enema is an unpleasant procedure that is recommended if all other methods of lowering the temperature are unacceptable or have not produced tangible results. For these purposes, warm water is used, as a rule, 2 degrees lower than the body temperature at the moment, with salt (based on ½ teaspoon per 100 ml of water). The amount of fluid for the enema depends on the age of the patient:

  • 1 year - 120 ml,
  • 2 years - 200 ml,
  • 5 years - 500 ml,
  • over 10 years old - 1 liter.

All of the above physical methods of lowering body temperature (wiping ice, enema) are contraindicated in children under one year old - especially with a tendency to cramps, heart defects. In addition, these procedures are prohibited for use with cold hyperthermia (chills, ice limbs, cyanotic skin color) - in this case they will only aggravate the patient's condition.

3. Drink more

With fever, the body sweats actively. On the one hand, it’s good, because sweat cools. On the other hand, it’s bad: the body loses moisture. And the less moisture, the worse the thermoregulation. In addition, dehydration affects health in general, which is certainly not necessary during illness.

To prevent dangerous moisture loss, try to drink as much as possible - water, tea, compote, fruit drinks ... And watch for well-being: dry mouth, dry lips, rare urination, dark urine - all these are signs of dehydration, in which water should be pushed.

If it is difficult to pour liquid into glasses, drink a rehydron (follow the instructions) or an isotonic sports drink (such a liquid contains electrolytes that are important for metabolism and functioning of the nervous system, which are lost during intense perspiration).

4. Take an over-the-counter pain medication.

Best of all - paracetamol based. Ibuprofen is also toleratedandm, but he has contraindications. So, it should not be taken to children under 6 months of age. In addition, it can worsen if the temperature is caused by a disease such as chickenpox Nonstero>.

If there are no contraindications, and paracetamol did not work (the temperature after an hour and a half after taking it did not decrease), you can additionally take an agent based on ibuprofen.

5. Put a cold compress on your forehead or wipe your body with a wet sponge

Enough half an hour of such cooling water procedures so that the body temperature drops significantly Comparison of Cold Water Sponging and Acetaminophen in Control of Fever Among Children Attending a Tertiary Hospital in South Nigeria. True, then the fever will return.

To prevent this, take paracetamol or ibuprofen, and until they work, lower the temperature with compresses and wipes.

How not to bring down the temperature

The methods listed below are unfortunately common. But from this they do not become less harmful. That's what First A> cannot do in any case.

  • Give aspirin to children under 14 years of age. This drug can cause Reye’s syndrome, a dangerous complication associated with swelling of the liver and brain (Reye's syndrome).
  • Rub the body with cold water with vinegar or alcohol. Especially when it comes to the child. During evaporation, alcohol enters the respiratory tract, and in addition, it is absorbed through the skin - all this can cause alcohol poisoning. Regarding vinegar, there is a risk of skin burns.
  • Immerse a burning person in a cold bath without consulting a doctor. A sharp temperature drop can cause vasospasm, which will worsen, but not improve.

When you need to urgently seek help

Immediately Treating Fever in Children, call an ambulance or at least get a consultation with a therapist (by phone or other available means) if:

  • The temperature has risen above 40 ° C and you cannot bring it down.
  • Fever is accompanied by repeated vomiting or diarrhea.
  • Signs of dehydration are obvious.
  • At high temperatures there is no sweating.
  • The heat is accompanied by severe headache and / or confusion.
  • The heat is accompanied by the appearance of a rash or bruising of any kind.
  • There are breathing problems.
  • The neck is numb, it is difficult to tilt the head.
  • Convulsions appeared.

Heavy drink

Drinking plenty of water at high body temperature is recommended so that the patient has something to sweat - and sweat, as you know, has a high cooling effect. With this drinking regimen, the elimination of toxins is activated, and the fluid reserves lost during sweating are replenished in time. In the treatment of acute respiratory viral infections, it is recommended to drink drinks rich in vitamin C: a decoction of rose hips, dried fruits, cranberry juice, tea with lemon, and orange juice. Tea with raspberry jam and other antipyretics enhances sweating, but you should drink something else before using it. Drinks should be drunk slowly, in small sips, so as not to cause vomiting. With a feeling of heat, the drink should be warm (about 30 ° C), and with chills - hot. In order for the body to give off heat, the air in the room should be cool (no more than 18 ° C).

Natural antipyretics (antipyretic)

Natural antipyretics are fruits and plants with antipyretic properties.

The first group of such plants contains salicylic acid, which is part of aspirin, only in a lower concentration. These are strawberries, raspberries, cherries, black and red currants, prunes, oranges. You can eat berries and fruits in any form, but it is better as fruit drinks and jam added to tea.

The second group of antipyretics is plants with a diaphoretic effect: oregano, birch buds, calendula, linden blossom. Of these, it is better to prepare a decoction: 2 tbsp. l dry raw materials pour 200 g of boiling water and insist for 2 hours.

Ordinary honey is also an antipyretic, and it contains salicylic acid and gives a diaphoretic effect. In addition, honey strengthens the immune system, thereby providing an antibacterial and antiviral effect.

Any natural antipyretics should be used with caution, since they are all capable of causing allergies.

In conclusion, it is worth noting that heat reduction with non-medication is allowed as emergency measures or in the case of persistent hyperthermia that is not amenable to drugs. However, lowering the temperature does not exclude going to the doctor for treatment.

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Education: First Moscow State Medical University named after I.M. Sechenov, specialty "General Medicine".

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