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09.02.2014
Acute fever

 

  

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First aid

Literature

 

 

 

 

 

First aid

At an acute fever in young patients without complicating factors, and at satisfactory general condition of subject, the routine use of antipyretics and antimicrobial agents aren’t usually shown because of it doesn't influencе for prognosis and duration of disease. Such patients should be given comfortable regimen, a sufficient and various food, to exclude loading duties. Necessary to observed the disease development, perhaps to prescribe the antiviral agents.  High fever (above 41 ° C) should be treated with antipyretics and cooling, rubbing the body with a wet sponge. Prescribing of antipyretics is proved in the following cases: fever above 41 ° C (possible damage to the nervous system), fever above 38 ° C in patients with decompensated cardiovascular and bronchopulmonary diseases, which may worsen as a result of increased oxygen demand, a fever above 38 C at the postoperative period, at psychoses (including alcoholic) and senile dementia, at children under 5 years of age (the risk of febrile convulsions). Poor tolerability of a fever of any level. As the fever-reducing medicine more often as antipyretics used acetylsalicylic acid, ibuprofen and paracetamol.  Paracetamol (650 mg) every 3 hours during a day is effective in treating most cases of fever.  The advantage of the drug in that it does not mask the symptoms of inflammation (which may suggest the reason of fever), does not violate the platelet function, does not cause Rey syndrome in children. Nonsteroidal anti-inflammatory drugs (NSAIDs) and aspirin have anti-inflammatory and antipyretic effect. NSAIDs are particularly relevant at a fever caused by a tumor. Low or not high fever can not be treated, except for situations such as: febrile convulsions in children, pregnancy, cardiac, lung and brain desoders.

 

 

Used literature

1. Bryazgunov I. Infectious and noninfectious hyperthermia.- Medical Newspaper, 2001, № 89 and 90

2. http://cito.medcity.ru/sreports.html 
3. Pomarancev V.P. Acute fevers of unknown origin in out-patient practice. - Therapeutic Archives, 1993, № 6, p. 77-80. 

4. Marino P. Intensive care. / Trans. from English. ons. / Ch. Ed. AI Martynov. - M.: "GEOTAR-Medicine", 1998. - 640. 

6. http://www.spruce.ru/symptoms/febris/03.html 

7. Vinogradov A.V. Differential Diagnosis of Internal Medicine: Handbook for Physicians.- M.: Medicina, 1987. - 592. 

8. Magyar I. Differential diagnosis of diseases of internal organs. In 2 vols. Trans. with Hungary. - Budapest: Publishing House of the Hungarian Academy of Sciences, 1987. 
9. Murtagh J. Handbook GP. Trans. from English. - Moscow: Praktika, 1998. - 1230 sec.

 

 

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