PAIN fever & febrile convulsions
저자: Helena Gjone
1. Febrile seizures
1.1. Reassure parents: this is common & may not necessarily lead to epilepsy
1.2. Signs: loss of conciousness, twitching/ jerking of limbs, going pale or blue, eyes rolling
1.3. If seizure persists after 5 mins, call ambulance! 000
2. DO NOT USE ASPIRIN ever (Reys syndrome) OR CODIENE!!!!
2.1. Can use oxycodone!
2.2. Not recommended to use paracetamol + ibuprofen together
3. PAIN
3.1. Common pain: earache, nappy rash, teething, sore throat, stomach pain, stings, bites, falls
3.2. Signs: 1= facial changes, PLUS crying, sleep patterns changed, quiet/ withdrawn, lack of movement
3.3. Q: Question child U: Use a pain rating scale E: Evaluate behaviour/ psych changes S: Sensitise parents T: TAKE ACTION
4. Fever
4.1. Treatment: Paracetamol = <12 yrs = 15mg/kg every 4-6 hrs. Above 12 = treat like adult ?
4.2. Ibuprofen: >3 5-10mg/kg 3-4 times per day
4.3. Definition: 38 or greater
4.4. Non-pharmacological: fluid intake, Remove clothes, cold bath AVOIDED!, wet face cloth