Many parents are faced with a situation where the child has a high temperature and cold extremities. What to do in this case? An increase in temperature in a child is natural reaction organism to an irritant in the form of an infection or bacteria.

Antipyretics should not be used immediately. It is necessary to give the body the opportunity to cope with the disease on its own. As a result, stronger immunity will be developed, which will minimize the predisposition to diseases in the future.

What to do when a child has a high temperature and cold hands?

But the above should be observed only if the heat is not accompanied by cooling of the hands and feet. If such symptoms are present, other methods should be used.

Already 37.5 is considered a high mark. Children under 2 years of age have their temperature taken. rectal way. In this case, 38 is considered elevated.

The temperature, which is dangerous not only for health, but also for the life of a child, is a fever above 41 degrees (41.6, rectal). In this case, you should immediately call a doctor.

Causes of fever in a child

It is not the disease that causes the temperature, but the hypothalamus - a part of the brain. He gives the command to increase the temperature in order to destroy the bacteria, this happens when interferon is produced.

If fever does not appear, interferon is not produced. The same thing happens when the temperature is deliberately brought down with a medicine. This leads to disruption immune system. The body is able to raise the temperature to the desired level and lower it when the bacteria are destroyed.

Causes of cold hands

One of the causes of cold hands, in addition to infection, is overheating - when the child is wrapped too much. This effect is observed in the following cases:

• prolonged exposure to the sun;
• wrapping;
• too hot room.

That's when the heat rises, and the hands remain cold. Sometimes there is blood from the nose, dizzy,. These signs signal that a vasospasm is occurring. It turns out that blood enters the hands in not enough. Then it is urgent to make sure that the baby does not overheat, give him liquid in large volumes.

Fever is dangerous with consequences - it creates an extra load on the heart and lungs, speeds up the metabolism, disrupts the functioning of the nervous system. This situation is especially dangerous for children under one year old.

Causes of cold feet

The cause of cold feet at high temperatures is white (or pale) fever. In this state, the following symptoms are observed:

• shortness of breath and chills;
• pulse exceeds the norm;
• the child is delirious;
• pale and dry skin;
• cold extremities at general temperature.

It is delirium tremens that causes cold extremities. Why does this happen at high temperatures?

IN normal condition blood flows evenly vascular system but when it starts white fever and the heat rises, then the blood rushes to the internal organs in greater quantities, and at the same time the vessels in the legs and arms spasm, preventing blood from flowing to them. It turns out that the hands and feet remain cold.

Cold extremities in a child at a temperature indicate the presence of vasospasm

Clinical manifestations

Hyperthermia manifests itself in different ways:

• in the form of red fever - pink cover, skin moisture, but the baby feels relatively well;
• white (pale) fever - the hands and feet become cold, and the body itself is hot. The chills disturb, the skin turns pale, the condition is quite severe.

Additional symptoms

Hyperthermia is sometimes accompanied by the following symptoms:

Marble leather

Vessel network. This is not a disease, but a reaction of blood vessels to an irritant. In infants under six months, it is more common. If the child is older, and this phenomenon worries him, you should consult a doctor.

Diarrhea and vomiting

signal about intestinal disease. Vomiting still occurs heat stroke, in this case there is a general dehydration in the body, blood in the feces is possible.

Headache

More often warns of SARS, but tumor development processes are also possible. When the fever rises, the blood flow speeds up, this leads to an increase in pressure inside the skull, which causes a headache.

ARI or SARS often cause hyperthermia and dangerous complications, especially in toddlers

Hot body but cold head

This is how the fever starts. The forehead is cold, but the body and part of the head are hot. In such a state, an almost fainting state can be observed, sometimes accompanied by delirium and hallucinations. Don't hesitate, call an ambulance.

pressure drop

Often this means that the body is infected with a virus. The pressure decreases due to a decrease in tone and the release of certain hormones. For five days, it is necessary to measure the temperature of the child three times a day, and the pressure twice. If after this time the condition does not improve, you should consult a doctor and undergo an examination.

What to do in case of chills

If there is severe chills and the temperature exceeds 38 degrees, call an ambulance.

Forbidden:

• rub the body with alcohol or vinegar;
• wrap up;
• give aspirin;
• do cold compresses on the whole body, only on the forehead. The towel should be cool.

Necessary:

• Create a temperature in the room no higher than 20 degrees.
• Rub the legs and arms of the child with your own hands.
• Give your baby plenty of fluids to drink.
• To relieve spasm, give the child No-Shpu, Drotaverine or use Papaverine suppositories. Next, give an antihistamine - Zyrtec, Suprastin, etc. They will enhance the effect of drugs that relieve spasm.
• When the limbs become Pink colour- circulation is restored and fever can be reduced. Use drugs based on paracetamol.
• If the condition does not improve, take the child to the hospital.

What does fever mean when hands and feet are cold?

This signals a failure in thermoregulation. When the temperature rises, the blood becomes thicker and circulates poorly. Cold extremities with general hyperthermia signal the onset of white fever.

White fever occurs due to viruses - influenza, SARS. Scarlet fever, measles, whooping cough and other similar diseases also cause pale fever. Problems with the nasopharynx (pharyngitis, laryngitis, etc.) cause this condition.

The main signs of "white" fever

This problem is characterized by the following symptoms:

What is dangerous high temperature

Fever is dangerous with the so-called febrile convulsions, most often this condition occurs in children. preschool age. Everything must be done to prevent this. But if this happens, proceed as follows:

• Lay the child on their side on a hard surface. Turn your head towards the floor - this way the vomit will not get into Airways;
• remove dangerous objects around so that the baby is not injured;
• do not pour antipyretic drugs into the mouth, otherwise it will choke. Use candles;
• call an ambulance.

When to bring down the body temperature in a child

Most experts advise taking fever-reducing medications for:

What drugs can relieve spasm?

Spasm, which leads to chills and cold extremities, is relieved by antispasmodics. Doctors prefer to give Papaverine or No-Shpu. They affect perspiration, bringing it back to normal, this helps to reduce fever.

call family doctor, let him examine the child and decide on the appointment of an antispasmodic. Do not give antispasmodics on your own, only a physician is able to prescribe them in the correct amount.

No-Shpa (Drotaverine)

It has an antispasmodic effect, but it must be used as prescribed by the doctor and in the amount that he indicates. The active substance of the antispasmodic is drotaverine. Expands blood vessels, helping to improve blood circulation and solve the problem of cold hands and feet. Does not apply to drugs that reduce fever.

The drug can cause side effects, has contraindications, so take it with caution.

Use of lytic mixture

Usage lytic mixture at high temperature and vasospasm should be prescribed and performed by a doctor

This intramuscular injection, which relieves high temperature, removes spasm, normalizes the baby's condition, improves blood flow, helping to warm the legs and arms. The composition is mixed only by a qualified person, otherwise there is a risk of harming the child with the wrong proportions.

You can not use it systematically, it is addictive, and it becomes ineffective.

Papaverine

Papaverine is used from 6 months of age. Available as tablets, suppositories, injections. For children, there is a children's version of the medicine. It should be taken 20 minutes before taking antipyretics. If the interval is not observed, vasodilation will occur later, and thermoregulation will not be restored in time.

It is extremely important to combine antipyretics and antispasmodics under medical supervision. You can not independently decide which drugs to combine. Only a pediatrician can say for sure.

What happens when the ambulance arrives

The baby will not necessarily be taken to the hospital. Doctors often give advice over the phone. If the ambulance still arrives, they can simply inject the necessary ones. If the condition is really serious, hospitalization will be offered. But only you can give final consent or write a waiver of hospitalization.

Ambulance does not prescribe treatment

High temperature and cold extremities in a child: what does Dr. Komarovsky advise

Do not give a fast-acting fever-reducing drug - it will only increase the spasm. Do not apply cold compresses all over your body. It is advisable to give an antispasmodic to restore blood circulation, but follow the dosage. The antispasmodic helps to expand blood vessels, restoring blood circulation.

Thus, the problem of cold hands and feet is solved. Rub the limbs to bring blood to them. Let's drink a lot, but not a diuretic.

Be sure to call your doctor.

White fever, when there is fever and cold extremities, is caused by viruses and microorganisms. It can be a common cold, but also the flu. Therefore, do not hesitate and call your family doctor at home.

Feeling unwell, severe lethargy, chills, cold feet and hands are manifestations of hyperthermic syndrome, which proceeds like white fever. It's dangerous pathological condition, among the complications of which are edema and swelling of the brain, the development of disseminated intravascular coagulation syndrome and convulsive syndrome.

Hyperthermic syndrome is a violation of thermoregulation, manifested by a limitation of the possibility of discharging thermal energy in the presence of excess heat production. Toxins, autoantibodies, as well as medications capable of provoking pyrogenic reactions. It should be said that heat transfer is carried out with the help of the skin (about 70–80% of thermal energy), lungs (about 20%), with urine and feces. When a spasm of the peripheral vessels occurs in white fever, the release of heat through the skin is blocked; the temperature of the extremities decreases, and the internal (core temperature), on the contrary, grows.

Hyperthermic syndrome complicates the course infectious processes, accompanies metabolic disorders, endocrine disorders. May occur during trauma surgical intervention under anesthesia, using medicines. Hyperthermia also develops under the influence of high ambient temperature when adequate heat transfer is impossible.

In children, the risk of developing hyperthermia is higher:

• under the age of 3 months;
• with lesions of the central nervous system;
• at chronic diseases cardiovascular and respiratory system;
• in storage diseases.

The episodes of convulsions that have already occurred against the background of an increase in body temperature are also important. They are called febrile and can recur in children with infectious or non-infectious fevers, overheating.

Hyperthermic syndrome is characterized by:

1. Weakness, lethargy or, conversely, agitation, delirium, hallucinations.
2. Cold feet and hands at temperatures above 39-40 C.
3. Feeling chilly.
4. Paleness and marbling of the skin, cyanotic (bluish) nails.
5. Increased heart rate (tachycardia), shortness of breath.
6. Increase in blood pressure.

In the clinical picture of hyperthermic syndrome with white fever, one of the main signs is a steady increase in body temperature: it does not decrease or decreases slightly even after taking antipyretics.

With absence timely treatment the prognosis is unfavorable - hyperthermia has a pathological effect on the cardiovascular and nervous system, leads to dehydration, shifts in the acid-base state, thickening of the blood.

Children tolerate fever worse than adults; the highest risk of complications in patients with younger age group. Cold feet with a high temperature in a child is a symptom that cannot be ignored.

Hyperthermic syndrome is extremely dangerous state. You need to apply immediately for medical care. You can use it on your own:

• drinking plenty of water (in no case alcohol);
• careful rubbing of the limbs (without the use of alcohol solutions);
• applying warm heating pads to the legs, arms;
• antipyretics (paracetamol, ibuprofen).

The goal of antipyretic therapy is to reduce beneficial effect hyperthermia. If 30 minutes after taking the medicine, the temperature dropped by 1-1.5 C from the initial one, and the skin began to warm up, turned pink - this is a favorable sign. Children should not be given acetylsalicylic acid(aspirin), nimesulide (nimesil) - these drugs are extremely toxic and can cause serious complications. The use of physical methods of cooling (rubbing with water and alcohol, cold enemas) in pale fever is prohibited.

Consider the danger possible overdose antipyretics. When the temperature is resistant to the use of paracetamol or ibuprofen, frequent repeated use does not guarantee an antipyretic effect, but may be the cause of drug intoxication.

If the child’s legs are still cold at a temperature and there is no response to antipyretics, antispasmodics (no-shpa, papaverine), antipsychotics (droperidol), metamizole sodium, pipolfen, glucocorticosteroids, glucose solution infusions, crystalloids are used. At serious condition The patient is admitted to the intensive care unit.

http://prostudnik.ru/proyavleniya/temperatura/holodnye-nogi.html

High temperature in a child and cold extremities: what to do?

Children in most cases normally tolerate high temperatures, which rise with SARS, influenza and colds. However, there are exceptions to the rule. A child's high temperature and cold extremities (hands and feet are cold) are the first symptoms #171; of white fever #187;. Why does white fever occur and why is it dangerous?

#171;White fever#187;: causes and symptoms

This type of heat is very dangerous, since it is difficult to predict the rise in temperature and the duration of this condition.

#171;White fever#187; is a sharp and rapid increase in body temperature, in which the balance between the body's production of thermal energy and heat transfer is disturbed.

1. Lethargy, weakness in the whole body;
2. At a temperature of 37.5 and above, the child has cold hands, pale skin may turn blue lips, nails. Pallor of the skin during heat occurs due to spasms of peripheral vessels;
3. There is arrhythmia, tachycardia;
4. The baby has a headache, chills appear, blood pressure rises;
5. There are delirium, hallucinations, convulsions (at a temperature of 39 and above).

If the baby has cold feet and hands, and the temperature is 38, these are the first symptoms of #171; white #187;, or, as it is called, #171; pale #187; fever. Parents should urgently provide first aid, and if the child has a temperature of 39 and above, call a doctor.

Ways to treat #171;white fever#187;

In no case should you ignore the increase in body temperature in a baby. If a child complains of feeling unwell, his body temperature rises, and his limbs become cold, this indicates a violation of blood circulation in the vessels.

If you have the above symptoms little patient need to warm up urgently fast withdrawal spasms.

If children's legs and arms get cold, do not use mechanical methods fever relief. It is strictly forbidden:

1. Wipe the body with vinegar or an alcohol solution;
2. Wrap in a cold sheet;
3. To normalize the blood supply, the patient's limbs need to be warmed.

With symptoms of white fever, it is necessary to give the patient a large number of liquids. Warm teas, decoctions, infusions are suitable for drinking.

Important! If a child has white fever, taking antipyretic drugs should be combined with rubbing the child's limbs to reduce vasospasm.

Medications for young children

The spasm that leads to icy limbs is relieved with antispasmodic drugs. You can give the baby the drug No-Shpa in the appropriate dosage for the age. The drug is prescribed for children from 1 year. The medicine relieves spasm for about 5-8 hours.

Papaverine is suitable for a six-month-old baby to relieve spasms. The drug is available in the form of tablets, liquid for injection or suppositories.

Important! When diagnosing white fever, it is better for a child to give antipyretics in the form of syrup, since antipyretics in the form of suppositories may not work due to the spasms of peripheral vessels mentioned above.

When to lower the temperature:

1. Children under the age of 3 months inclusive, as well as children with a history of convulsions, serious illnesses lungs and heart, antipyretic drugs can be prescribed at temperatures below 38 degrees.
2. When the temperature rises to 38.5 degrees, the child feeling unwell prescribe an antipyretic (Ibuprofen, Panadol, Paracetamol, Nurofen, etc.). Medicines to reduce fever should not be used without consulting a pediatrician for more than 3 days.
3. If the child's temperature has risen to 39 degrees, it is recommended to lower it by 1-1.5 degrees, giving the baby an antipyretic. Temperatures above 39 degrees can cause febrile convulsions.

Important! If the temperature does not exceed 38.5 ° C and the child's condition does not worsen, it is not necessary to reduce it (with the exception of children under 3 months of age). Temperature #8212; it is not a disease, but the response of the body's immune system to the invasion of the virus.

1. Amidopyrine;
2. Phenacetin;
3. Antipyrine;
4. Nimesulide. The drug should not be given to children due to its hepatotoxicity;
5. Metamizole (analgin). The drug may cause anaphylactic shock. Its reception provokes agranulocytosis, which often leads to death;
6. Acetylsalicylic acid in viral diseases, chickenpox, influenza can lead to Reye's Syndrome. This severe encephalopathy is accompanied by liver failure. Fatal outcome is 50%.

The main signs and symptoms of "pink" fever.

Pink (or red) fever is much easier on children and has a more beneficial effect on the whole organism. With this rise in temperature skin pink, hot and moist. The fever is characterized increased heat transfer which reduces the risk of overheating of the child's body.

The main symptoms of "pink" fever in a baby:

• Warm and moist skin;
• Hot feet and hands;
• General health is satisfactory.

First aid for "pink" fever:

1. Rubbing the body with water. An excellent effect is the use of a solution with the addition of mint. Menthol has a cooling property, facilitates the condition of the baby;
2. Plentiful drink. At a high mark on the thermometer, a large amount of liquid evaporates. To restore the patient's water balance, it is often necessary to drink warm drinks. When refusing food, a small patient should be given a pharmacy solution of glucose, previously diluted in warm boiled water.
3. In the case of a significant increase in temperature, it must be knocked down with antipyretics. The safest drugs for babies are drugs that include paracetamol or ibuprofen. Candles are suitable for newborns and babies, older children will like syrup.

Important! Rose fever is a favorable sign of the immune system's fight against infection.

Why does the body need fever?

Why, then, in young children, a large number of diseases occur with elevated body temperature? Their immune system fights microbes in this way. The fever is protective function body for infection, viruses and inflammatory processes. During a fever in children:

• The work and activity of organs is activated;
• Accelerates metabolism;
• Immunity works effectively;
• Strongly produced antibodies;
• The reproduction of dangerous microbes and bacteria practically stops;
• The bactericidal property of blood increases;
• Toxins and harmful substances are removed from the body.

An increase in temperature in young children is a very important symptom that indicates the struggle of the immune system with the disease.

Remember what to put correct diagnosis only a doctor can, do not self-medicate without consultation and diagnosis by a qualified doctor.

http://lechenie-baby.ru/simptoms/belaya-lihoradka-u-rebenka.html

Why are hands and feet always cold and how to get rid of it?

The problem under discussion today worries a lot of women. In such representatives of the fair sex, the palms and feet remain icy even in the warmest summer weather. This phenomenon greatly worries most patients, because they have to constantly carefully insulate themselves and forget about thin stockings.

What is most surprising, even various tricks like heated socks and gloves do not allow to cope with the problem. Many doctors are trying to find ways to deal with it today. We will talk more about this amazing phenomenon in this article.

Reasons why hands and feet are constantly cold

Before you begin to deal with the problem under discussion, you should accurately determine the cause of its occurrence. Indeed, in some cases it may even be some serious illness. In this case, only a doctor can accurately diagnose and begin treatment.

Why do limbs in adults regularly freeze?

Scientists have proven that thermoregulation in the body of the fair sex is weaker than in the male. Therefore, we can say that nature “rewarded” the girls with cold hands and feet. But sometimes the reasons are more serious.

For example, thyroid disease. In such cases, the amount of hormones produced by the thyroid gland is not enough for the entire body. Due to lack of energy, the whole organism can freeze as a whole.

Another possible cause is vegetative-vascular dystonia. Residents of large cities are especially susceptible to this disease.

Also in the list of causes of constantly cold hands and feet is a lack of iron in the body or too low-calorie nutrition. With a lack of iron, the heat is wasted too quickly and the person begins to freeze. Incorrectly formulated diets lead to the same result. No matter how much you want to lose weight, it should be remembered that our body still needs fat.

Causes of the phenomenon in a child

If cold hands or feet are observed in a child, this may indicate that he is very cold or even has a cold. In this case additional symptoms fever, runny nose, cough, etc. will become The problem goes along with the disease. First of all, use a thermometer. to know body temperature.

The phenomenon under discussion also occurs in infants. If at the same time he eats well and sleeps peacefully, then there is no reason for alarm. After all, the heat exchange in babies is not at all the same as in adults.

What do cold fingers and toes mean at a high temperature?

Such a situation, when at a high temperature the limbs are cold, has its own name - “white fever”. In this case, lowering the body temperature is much more difficult. Blood accumulates in the central large organs, and the limbs spasm.

Physical methods of reduction in this case will be completely ineffective. Therefore, special strong antipyretic drugs should be taken as early as possible.

An often discussed phenomenon suggests that temperatures will continue to rise. As soon as it subsides, the limbs and ears will become warm and may even turn slightly red.

What to do and how to get rid of it?

First of all, you should find out if the cause of the current situation is a serious illness. If so, then you need to start treating it as soon as possible. As a result, along with recovery, these unpleasant symptoms will also go away.

Folk methods of treatment

But there are also various folk ways troubleshooting. First of all, this physical activity. To recharge your batteries and disperse the blood, you should start every day with a full-fledged gymnastics. This will also affect general condition organism and will allow without special efforts imperceptibly improve the figure.

If a person does not have problems with the heart and blood vessels, then a bath or sauna will help to deal with constantly freezing hands and feet. You can visit her about 2 times a week.

Nutritional control is also important. Fat must be present in the diet. In addition, hot meals should be consumed at least once a day. It is best if it is soup or broth.

Still good to drink ginger tea. This ingredient is able to perfectly warm up the body, as well as regulate blood circulation.

But cigarettes should be done away with. Each new puff leads to an instant violation of blood circulation. As a result, both hands and feet, and all other parts of the body as a whole, freeze.

http://myadvices.ru/xolodnye-ruki-i-nogi/

cold feet - dangerous symptom, usually appearing at a very high temperature in a child. In this situation, not all parents know exactly what they need to do. The thing is that many of the usual methods of dealing with heat are not applicable here.

Causes

If the temperature has risen to 38 degrees, the development of generalized vasospasm is observed in children. This is what leads to the fact that the limbs quickly cool down. In parallel, the following symptoms occur:

• the skin turns pale;
• become very dry.

In children with cold extremities and elevated temperature blood circulation slows down, which, first of all, leads to a decrease in sweating. As a result, the body loses the ability to independently regulate its own heat transfer. This situation poses the greatest danger to children. infancy because their thermoregulation is not yet working properly.

In general, the presence of fever indicates normal work immune system. It is she who actually causes the blood to be redirected to the vital organs. As it is easy to guess - lower limbs have a minimum priority, because the vessels located there spasm, which leads to cooling of the hands and feet.

This condition in a child (primarily due to too pale skin) is called white fever. It occurs most often against the background of the following ailments:

• piggy;
• flu;
• SARS;
• whooping cough.

What exactly is the body temperature today considered elevated

In children older than 2 years, measurements are taken in armpit. For those whose age is younger, it is recommended to put the thermometer rectally. You should know that the difference between the indicators is 0.5 (the larger value will be in the latter case).

An elevated temperature is considered - 37.5-38 ° C.

Life-threatening (not only for a child, but also for an adult) are indicators of more than 41 degrees. In this case, you need to immediately call an ambulance.

Symptoms

When the baby's body temperature rises above 38 ° C, white fever always begins. Its development is indicated by a number of signs that differ only slightly from typical manifestations hyperthermia. These are the following factors:

• cold hands and feet against the background of heat;
• convulsions;
• pale skin;
• irregular (confused) breathing;
• lack of appetite.

The overheating that occurs (if you do not take it under control) leads to severe intoxication. Thanks to characteristic symptoms accompanying white fever, parents, when they appear, can quickly take all the necessary measures to fight. However, it is important not to forget about the treatment of the underlying disease.

Actions of parents with a noticeable increase in temperature

Identification of the symptoms described earlier is the basis for calling a local doctor or an ambulance. White fever is a very dangerous condition, and you cannot do without a qualified specialist. While the doctors are on their way
warm the baby and do everything necessary to improve the thermoregulation of his body.

It is advisable to use any antipyretic agent based on Paracetamol. Give drugs should be already at 38.5 degrees. For children older than three months, suppositories are suitable. Six-month-olds are allowed to prescribe Ibuprofen. For the treatment of younger children this drug sometimes also used, but only with the permission of the pediatrician. The problem is that it has a number of rather unpleasant side effects. It often provokes:

• hypothermia;
• indigestion.

Do not use Ibuprofen for:

• dehydration;
• chickenpox.

Under no circumstances should you give your child two antipyretics at the same time.

Sometimes babies suffering from white fever are still prescribed antispasmodics. They allow you to restore perspiration. No-Shpa will do here. And, again, the appointment must be approved by the doctor.

A child whose temperature has risen only to 38.5 ° C should be wrapped up warmer. A large blanket will do. When the heat is stronger, only the limbs need to be warmed. Use:

• woolen socks;
• mittens;
• heating pads.

It is useful to constantly massage the legs and arms - this will speed up blood circulation.

Make sure that the temperature in the nursery is a maximum of 20 degrees and not higher. Let your baby drink more often - dehydration is extremely dangerous. Stock up:

• juices;
• fruit drinks;
• compotes;
• boiled water.

It is better not to use tea, it is extremely undesirable in our case diuretic effect. Drinking is often given, but in small volumes - 1-2 sips are enough for a child.

What to do in no case can not be at high temperatures

Quite often, young inexperienced parents listen to the advice of older relatives and, as a result, their actions only worsen the condition of the baby. As a result, recovery will require more time, effort and resources.

The well-known Ukrainian pediatrician Komarovsky emphasizes that you should not use various folk remedies to deal with high temperatures. It is very dangerous to try to eliminate a fever with:

• rubbing with vodka or vinegar;
• wrapping with a wet cloth, etc.

In addition, it is strictly forbidden to additionally warm the room with the help of electric fireplaces and other similar devices. Many adults believe that by acting in this way they are helping the sick, but this is not so. In reality, in addition to an increase in air temperature, it also becomes excessively dry, which is completely unacceptable. Heat and low humidity worsen the patient's condition.

Do not give too many antipyretics. The temperature is normal reaction body for infection. This is how he fights her. With viruses, a satisfactory indicator is 38.5 degrees. Up to these values, no medication is required at all, unless parents know that the baby does not tolerate heat well.

“The child has a high temperature and cold extremities, what should I do?!” - A good question for the district pediatrician. The situation itself is non-standard, because if we are talking about a common cold or something else, the temperature of the entire body of the child rises. And here the limbs remain cold. As if the blood does not have enough strength to warm them up, or is it really a sign of a dangerous disease?

Why does the child have a high temperature, but the hands and feet are cold?

The age of the child does not matter. Unfortunately, children get sick at any age, even in the first months of life. It is more important to know the causes and other important points related to temperature.

• when the baby is only a couple of months old, it is important to measure the temperature after eating, waiting for awakening, waiting a few minutes after bathing. And then you get higher performance;
• it is better to calm a crying child first before measuring, the baby should be in a calm state;
• when taking measurements with fashionable thermometers, it is worth remembering, when measuring in the mouth, subtract -0.5 degrees from the result obtained, measuring in the ass to -1 degree. Therefore, the usual thermometer does not lose its relevance;
• mercury thermometers are still the best and give accurate results.

When to call your doctor:

• a 3-month-old child with a temperature of 39+;
• the baby is lethargic, does not want to drink, rarely pees and his urine is dark;
• antipyretics do not help;
• the child vomits with temperature, he has diarrhea;
• convulsions.

It is important to observe the behavior of the child, noting all the accompanying signs:

• cold extremities;
• weakness;
• sluggish movements;
• deterioration in general well-being.

Perhaps he has vasospasm, so to the limbs needed blood flows badly. The process of heat exchange is disrupted, which can also cause convulsions. The child has a high temperature and cold extremities, feeling discomfort, the heart works faster, trying to help the peripheral vessels, but the spasm does not allow the blood to pass.

Sometimes this happens when:

• the child suffers from disorders in the central nervous system;
• he has low blood pressure;
• dehydration.

What to do if a child with fever has cold extremities?

Call the doctor, call an ambulance. All possible causes of this condition are quite serious and require professional help. While waiting for the doctors, you can’t try to bring down the temperature using the usual methods - wipe it with cool towels, wrap it up, this will complicate the situation. To help your child in some way, you can do:

• give No-shpu (the dosage according to age is written on the preparation), of course, if the baby is sick, it’s not worth the risk;
• antipyretic (usually paracetamol or ibuprofen), again a link - if it is not the baby who suffers;
• try to drink more often (all ages);
• wrap with a blanket, but so that air enters (also suitable for everyone).

For the treatment of infants, there are other drugs and they should be given only after consulting a doctor.

Procedure - do not immediately take the drugs. When the baby is shivering with an increase in temperature, he will turn pale, the problem may be in violations of heat transfer, a sharp decline temperature will only increase the spasm.

The child has a high temperature and cold extremities - no panic. Fear in the eyes of the mother, her impotence, tears or hysteria will only aggravate the situation. Even monthly babies perfectly feel the mood of their mother and feed on it. Calm and positive approach! Having called for help, calm the child, hold it in your arms or cuddle it, rub and massage the limbs. If there is a nurse nearby, tell them to inject 2% papaverine (if not a small baby is sick). Later, enter Nurofen, they are sold not only in pills, but also as candles. It's best the drugs get into the bloodstream without having to go to the liver on their way out of the baby's stomach. When calling an ambulance, do not let the doctors inject analgin. A seemingly harmless drug reduces hemoglobin, and this then adversely affects the number of leukocytes.

Instant antipyretics can significantly harm. Pediatricians are also not advised to rush with such drugs. Usually the temperature rises during the struggle of the body with some kind of virus. Doctors give the body time to fight the scourge.

What is special about fever? With it, the temperature will rise, but the limbs will remain cold, the peripheral vessels will narrow and will not let enough blood in.

How dangerous is such a fever?

In infants, especially at high temperatures, their limbs do not immediately get cold. Sometimes the child has a high temperature and cold extremities, and sometimes just a temperature, and the body is convulsing. These are some of the departments child brain react to the resulting spasm in the vessels. This condition may be accompanied by suffocation, the baby bites the tongue, or blistering discharge is visible from the mouth. Those areas of the brain that can cause seizures are responsible for breathing. Spasm is an atypical condition for the body, and it “fails”.

What moms say

“Semyon often has this: the temperature soars to forty, his hands and feet are just icy. He behaves calmly - runs, laughs, plays. Maybe appetite is reduced, but not by much. I did not think before that the condition required serious intervention, so I was not afraid. After all, I did not notice any deviations in behavior. I give an antipyretic every few hours, usually before going to bed. When he sleeps, I insert candles. Well, the son rarely gets sick ”

Anna, 30 years old

“I couldn’t really understand what was going on! Forehead hot, body hot, hands icy. The antipyretic medicine was constantly given, strongly rubbed. The popular No-shpa was also recommended, but I was afraid, it was small at all ... I simply called an ambulance - they pricked it and immediately the temperature went down. Never delay calling an ambulance! Especially when the child is no more than 3 years old!

Lana, 24 years old

“No antipyretics and rubbing helped us too much. She gave syrups, put candles, nothing. Scared of course. Called the ambulance. We arrived, gave an injection, it didn’t last long. Save the aspirin!

Oksana, 28 years old

It is important to take seriously the situation when a child has a high fever and cold extremities.If this happens periodically, take the baby to an appointment. Perhaps he has a vascular disease or problems in a part of the brain. This does not happen in a vacuum and it is important to remember this!

Do not scare an experienced mother with the number 38: initial stages treatments worked out to automatism. But when the column of mercury confidently creeps up, and the hands and feet, on the contrary, get colder ...

It's a terrible symptom rare disease Or individual reaction of an organism? How is it that the fever is rising and the limbs are icy? How to help?! Wrap up and turn on the heaters or open the windows? Call a doctor or wait?

So what to do?

In order not to fade into the background in a critical situation, we will understand now.

White and red fever: what is it?

Fever (and in a language we understand - an increase in temperature above 37 ° C) are white (cold) and red (pink, hot).

Cold extremities occur exclusively in white fever. We will talk about her.

Dear moms and dads!
No need to mock the pediatrician's psyche, declaring that the baby has "delirious tremens". Delirium tremens, she is also “delirium”, and colloquially “squirrel” is a different state. It arises due to sharp drop blood alcohol level. So, let's dwell on the term " white fever"And in order to avoid embarrassment, we will use it.

Why does the body turn on cooling mode?

White fever is when a child has a fever and the feet and hands are cold.

The mechanism is simple: the temperature rises and centralization of blood circulation occurs. Due to spasm of peripheral vessels increased blood flow to vital organs(brain, lungs, heart, etc.). And the limbs become cold, because. their heating is not an important task for the body now.

Hands need to be warmed up.

Why is it dangerous? Heat production (heat production) increased due to fever. Heat transfer (removal of unnecessary heat from the body) has fallen due to spasm of peripheral vessels. As a result, the little one overheats even more.

Consequently, we have two tasks: to increase the low, to bring down the high. We are working!

Larisa (child 2 years old):

“My Syomochka is always like this: the temperature is under forty, and her hands and feet are icy. At the same time, he does not show any signs of illness: he plays, laughs. Maybe he's just eating less than usual. I did not know that such a condition was dangerous, so there was no particular fear. I give antipyretic with a frequency of 5 hours, always at night.

How can you help your child cope with this condition?

All actions - as at normal temperature. Hot hands / feet or cold - this is the second question. There is one exception - see the paragraph "What to get from the first aid kit".

Find out where the temperature came from viral disease or bacterial - leave all these dances with a tambourine to pediatricians.
And we calmly execute our "helper" algorithm.

First of all - regimen and diet!

We work strictly according to Komarovsky! Our goal is cool (open the window or put the windows in the ventilation mode) and humid (humidifier to help) air. No humidifier? A couple of times a day we wipe the dust and wash the floors in the nursery. Everything in order to breathe a sick child was pleasant, and to give extra degrees is easy.

At the same time, we do not turn the child into a frozen semi-finished product.

Without woolen socks, is probably indispensable.

Give him socks, his favorite pajamas, a blanket. To a precious person should be warm. Otherwise, sweat will not form, heat will not be lost, and the thermometer will not move.

To sweat well, the child needs a large amount of liquid. So let's drink. Compotes, fruit drinks, decoctions, water... They pretended to be a parrot and offer, offer, offer.

You need to drink a lot!
Even if you don't want to.
For the disease to come out.

Do your kids insist on dinner? Feed, but sparingly and light food.

Not asked to eat? Do not transfer products! The child's body is busy - it fights with the enemy and cannot waste resources on digestion. The evil virus will defeat the dragon - he wants to eat, then treat him. Do wives with trays not run to OMON fighters for a special task? Here is the same approach.

If you want - wipe with water at room temperature, most importantly - WITHOUT additives.

Lana (child 1 year and 3 months):

“I don’t understand anything, the temperature is high, and my arms and legs are just cold! I give antipyretics, I rub my limbs with vodka, they also advised No-shpu, but somehow it’s scary.

What to get from the first aid kit?

Look closely first at the child, then at the thermometer. If at 38.5 ° C the son plays cheerfully and runs into the toilet “in a small way” no less than usual, you can wait a little with the pills.

If even at 37.5 ° C he is sluggish, passive, despite all your tea-ventilation manipulations, then it is worth delving into the medicine box. Every baby is different, so focus on the state specific child.

And in the pharmaceutical arsenal we have only paracetamol and ibuprofen. .

Remember, with "white" fever, it is better to give syrups. Candles due to the same vasospasm will not have the desired effect.

Oksana (child 2 years and 8 months):

“Nothing helped us: no rubbing, no candles, no fever syrups. Scared terribly. I had to call an ambulance. They gave an injection, but it also did not help for long. What saved us was a regular aspirin.”

What if there are seizures?

Such deceit also happens, especially when a high temperature of 39 is a predisposition to this matter (that is, convulsions have already happened before or one of the parents can remember similar episodes from their childhood).

Let's remember the basics of first aid:

• put the child in a safe place and on the barrel;
• do not hold a person strongly, just fix the head slightly so that there are no injuries;
• DO NOT PUT ANYTHING ANYWHERE!!!
• call a doctor.

Everything about febrile seizures ah-.

In what situations urgently call "03"?

Our motto: "Do not be shy". A sick child is a reason to forget about all “It was inconvenient to disturb”, “We thought it would pass by itself” and other excuses.

But calling a pediatrician at home for every sneeze is blasphemy. Therefore, let's determine when there are reasons to cut off the phones, and when you can humbly walk to the clinic yourself.

Call a doctor if:

• the baby is not yet 3 months old;
• his fontanel sunk;
• you cannot water the child yourself;
• found ANY rash on the baby's body;
• the baby is crying, but there are no tears;
• the child complains of a severe headache;
• the general condition of the child is rapidly deteriorating;
• nausea, diarrhea, convulsions were added to the temperature;
• no effect * from drugs;

* The effect is not an instant drop in temperature to 36.6°C. We will be satisfied with a decrease of 1-2 ° C, this shows that the antipyretics are working.

• there is no significant result from the treatment after 3 days.

Are you worried? Afraid of missing important symptoms? Take your child to the clinic. If he's able to play and jump, then a little walk won't hurt.

Does your child's condition worry you? He lies and is not very determined to walk a kilometer or two? Call the pediatrician.

Have you expanded your “temperature horizons”? Is it already not so scary to feel cold hands in a child?

Well, fine. For visualization and consolidation of knowledge - short video from Dr. Komarovsky:

Calm parents are like a special forces unit: they act clearly, harmoniously and armed. , for example.

Ibuprofen works!

Need an action plan? Please follow me, learn more about the temperature.

Diseases of young children often go away with fever. The child, as they say, "burns." His breath and the surface of the body become hot, the baby's face turns red. However, it also happens that at temperatures above 38.5 degrees, the hands and feet of the child are cold. Why the usual scheme does not work, what happens in the baby's body, whether it is necessary to bring down the temperature - questions that we will look for answers to together.

An increase in temperature during illness - normal phenomenon. But if it is accompanied by cold hands and feet, then parents need to take additional measures to treat the baby.

What happens to the blood circulation of a child at a high temperature?

Monitoring the condition of the child at high temperature is the main task of parents. It is unacceptable to disregard the slightest changes in the work of his body. Cold legs and arms in this case indicate a generalized vasospasm. Illness and high temperature disturb the circulation of blood, it slowly reaches the extremities. There is a failure in the thermoregulatory system of the baby, sweating worsens.

The process of raising the temperature triggers the production of interferons called by the body to fight the virus. The active activity of interferons leads to a rise in temperature beyond 38 degrees, fever begins. What is happening suggests that the body is building up strength and effectively destroying viruses. Maximum amount interferons are produced on the 2nd day of illness. Knowing this, pediatricians do not recommend bringing down the temperature on the first day, it is better to wait 2 days.

Cold hands and feet at high temperatures are not typical for all children. However, some babies under 4 years of age suffer from febrile seizures. This is the reaction of the brain of the crumbs to the resulting vasospasm. Such cramps look much worse than just cold hands and feet. The child is tormented by hypoxia and suffocation, biting of the tongue may occur, blistering discharge appears from the mouth. This rarely happens, but parents should be prepared for such a development of the situation if they notice the coldness of the extremities of their son or daughter.

Cold hands and feet of a child at high body temperature indicate vasospasm

What should parents do?

The first priority is to quickly warm the child. It would seem, where else to warm when the offspring is "burning" and the thermometer shows 38 degrees and above. By warmly covering the child, you will help to quickly remove the spasm. The room temperature should be within 20 degrees. Put on your baby warm pajamas and cover with a blanket. If the increase continues and reaches 38.9-39.5 degrees, remove the blanket and warm only the limbs.

Additional measures to warm the arms and legs will help restore blood supply. Place a heating pad under your feet. At the same time, start rubbing your hands. Perform rubbing intensively to disperse the blood.

Arrange for the crumbs to drink plenty of water. Chills and fever take a lot of fluid from the body, it is necessary to quickly replenish these losses. The drink should be warm, cold and hot drinks should not be given. cook medicinal tea with linden, chamomile or raspberry. Cook unsweetened dried fruit compote. good for drinking cranberry juice and rosehip tea.

When you have a cold, you need to drink plenty of fluids, as the body loses a lot of fluid.

What cannot be done with such a reaction is to try to do the opposite. No mechanical attempts to relieve heat. Replace cold compresses with warm ones. If using vodka or vinegar, warm them up first. You should not open the crumbs, cover it as described above. It is also impossible to lay a child on a cold wet sheet. Act calmly and smartly.

What drugs can relieve spasm?

Spasm of the limbs, leading to chills, is relieved with antispasmodics. As a rule, use Papaverine or No-Shpu. Drugs affect the process of sweating, bringing it back to normal, which helps to reduce the temperature. The drugs are serious, so you should not use them yourself. Call the doctor at home to examine the baby and make the final decision on the appointment of a specific antispasmodic.

No-Shpa

The drug No-shpa has antispasmodic action, but it must be used strictly according to the doctor's prescription

The working substance of No-Shpy is drotaverine. Possesses vasodilating action. No-Shpa does not belong to the main antipyretic drugs. The drug is not without side effects and contraindications, it should be taken with caution. Experts point out that the drug is taken only in isolated cases, when other medicines have not helped. No-Shpa is approved for the treatment of children after 1 year. Removal of spasm lasts about 4-8 hours. There is enough time to lower the temperature and return the warmth to the crumbs' legs. Dosage of the drug:

• children from 1 to 6 years old can be given 1-3 tablets (40-120 mg) per day, at regular intervals;
• a dosage of 1/3 tablet requires maintaining an interval between doses of 3 hours. For 1/2 tablet at a time, increase the interval to 4 hours between doses;
• the daily rate for 6-12 years is 2-5 tablets per day. single dose equals 1/2 tablet.

You can give No-Shpu to a child at a high temperature before or after meals. It is forbidden to use an antispasmodic for babies with kidney, heart and liver failure. No-Shpa is also contraindicated for low blood pressure, bronchial asthma and indigestion of lactose. Keep in mind that a rise in temperature may be associated with other diseases. If the baby complains of abdominal pain, perhaps 38 degrees are associated with an exacerbation of pancreatitis, appendicitis, or intestinal obstruction.

The dosage of the drug is prescribed depending on the age of the small patient

The body of young children can be allergic to drotaverine. Most often there are side effects like constipation or vomiting. There have been cases of insomnia and malfunctions in the functioning of the heart and blood vessels (low blood pressure and tachycardia). If this antispasmodic makes you wary, and you would not like to give it to the baby, use the safer Papaverine.

Papaverine is allowed to be used for treatment from 6 months of age in infants. The product is produced in various forms: tablets, suppositories, injections. Buy a special children's version of Papaverine in pharmacies to avoid an overdose of the drug. Antispasmodic should be taken approximately 20 minutes before the use of antipyretic drugs. If the interval is not exactly observed, vasodilation will occur later and thermoregulation will not be restored in time. Permitted daily doses of the drug:

• child under 2 years - 5 mg 2 times a day;
• 2-4 years - 5-10 mg 2 times a day;
• 5-6 years - 10 mg 2 times a day;
• 7-9 years - 10-15 mg 2 to 3 times a day.

Papaverine can be taken both in tablets and in the form of suppositories. At the same time, it is necessary to comply exact dosage drug prescribed by the pediatrician

The serious nature of antispasmodics obliges parents to give them to their baby only as directed by a doctor. It is especially important to consult a doctor at the first dose of drugs. Considering that No-Shpa and Paracetamol are perfectly combined, they are practiced joint reception with a temperature rising above 38.5 and signs of cold extremities. The dose of the drug is calculated based on the weight and age of the patient.

An increase in body temperature is completely normal defensive reaction the child's body, due to which the defense mechanisms that help to cope with the pathology are more quickly activated. Often, parents can determine if the body temperature has risen without a thermometer by feeling the child's skin. Usually, the forehead, temples, arms, legs become hot. But there are also situations when, at a high temperature, the child's limbs remain cold. What is the reason for this phenomenon, is it normal, and what should be done in this case, we will consider further.

Why does the child have a high temperature, but the hands and feet are cold?

If, when the temperature rises, there is a pinking of the skin, their humidity, warming, this means that in children's body a balance is maintained between heat production and heat transfer. Those. in environment the same amount of heat is released as is produced by the body. In such situation general well-being the child is not significantly impaired, and this is a relatively favorable circumstance that does not always require the use of antipyretic drugs.

When the child has a high temperature, hands and feet are cold, the skin is pale, and chills run through him, this is more dangerous phenomenon. Also in this case, there is:

• severe weakness;
• lethargy;
• marked deterioration in the child's well-being.

The reason is a spasm of peripheral vessels, which leads to a violation of heat transfer processes and can cause seizures in a child. This can also be explained by the fact that at elevated temperatures, the blood becomes more viscous, and its movement in the capillaries slows down sharply. Often this situation can occur when:

• the child has deviations in the work of the central nervous system;
• low blood pressure;
• lack of fluid in the body.

What to do if a child with fever has cold extremities?

First of all, of course, you need to call a doctor or an ambulance. In no case should physical cooling methods be used in such a case (rubbing with water, wrapping in a damp sheet, etc.), this will only aggravate the situation. Usually for to reduce the temperature and alleviate the condition of the baby, it is recommended to do the following.

I will only add why children with white fever should never be wiped.
As already mentioned above, with white fever, the child has spasms of peripheral vessels - the vessels of the skin. At the same time, the skin loses the ability to normally remove heat, and a picture is obtained when the child overheats inside, and the heat is not removed outside. Any rubbing (even with plain water) increases the spasm of the skin vessels, and can lead the situation into a direct threat to the life of the child. Why this happens is quite understandable if you know a little physics - water, and even more so water with vodka or vinegar, actively evaporates and cools the skin dramatically. Which only enhances the spam of blood vessels, as I said.

Now directly about vodka and vinegar, that is, why is it impossible to wipe children with rose fever with water with these substances (after all, in theory, you can wipe with pink fever?). Here again I will not bear the gag, but I will quote, this time, the famous pediatrician, Dr. Evgeny Olegovich Komarovsky.

"When the body temperature rises, everything must be done to ensure that the body has the opportunity to lose heat. Heat is lost in two ways - by evaporating sweat and by warming the inhaled air.
Two required steps:
1. Plentiful drink - so that there is something to sweat.
2. Cool air in the room (optimally 16-18 degrees).
If these conditions are met, the likelihood that the body itself will not cope with the temperature is very small.
Attention!
When the body comes into contact with cold, a spasm of skin vessels occurs. It slows down blood flow, reduces the formation of sweat and heat transfer. The temperature of the skin decreases, but the temperature of the internal organs increases. And it's extremely dangerous!
Do not use at home the so-called " physical methods cooling”: ice packs, wet cold sheets, cold enemas, etc. In hospitals or after a doctor's visit, it is possible, because before that (before physical cooling methods), doctors prescribe special medications that eliminate spasm of skin vessels. At home, everything must be done to prevent spasm of skin vessels. That's why

Cool air, but enough warm clothes.

Particles of heat are carried away from the body during the evaporation of sweat and thus the body temperature drops. Several methods have been devised to speed up evaporation. For example, put a fan next to a naked child; rub it with alcohol or vinegar (after rubbing it decreases surface tension sweat and it evaporates faster).
People! You can’t even imagine how many children paid with their lives for these rubbing! If the child is already sweating, then the body temperature will drop by itself. And if you rub dry skin - this is crazy, because through the delicate skin of a child, what you rub with is absorbed into the blood. Rubbed with alcohol (vodka, moonshine) - alcohol poisoning was added to the disease. Rubbed with vinegar - added acid poisoning.
The conclusion is obvious - never rub anything. And fans are also not needed - the flow of cool air, again, will cause a spasm of skin vessels. Therefore, if you are sweating, change (change) into dry and warm clothes, then calm down.

Causes

In the vast majority of cases feverish conditions in patients, especially childhood attributed to the presence of infection. Fever is a way to fight pathogenic microorganisms, her biological role It consists in preventing the reproduction of the pathogen, creating conditions for recovery.

However, high body temperature is a test not only for bacteria, and the reaction of the body can be different.

"White" or "pale" fever is pathological variant increase in body temperature. Heat production, that is, the production of thermal energy by the body, significantly exceeds heat transfer, and the balance between these processes is disturbed.

In the pathogenesis of "pale" fever great importance has the release of catecholamines into the blood - biologically active substances, causing reactions from of cardio-vascular system and influencing the mechanisms of thermoregulation.

The appearance of a "white" type of fever is an unfavorable prognostic sign. It can become a provocateur of complications, among which is convulsive syndrome and cerebral edema. It must be said that disorders in the form of "cold" hyperthermia are most common in children.

A feature of their body is the imperfection of thermoregulation and low ability to transfer heat through the evaporation of sweat from the surface of the skin in combination with big amount produced heat. Dr. Komarovsky emphasizes that a high temperature and cold extremities in a child is a condition that all parents need to know about.

Symptoms

IN clinical picture"White" fever includes symptoms such as:

If the patient has a high temperature, cold hands - you should think about the development of a "pale" fever and remember the need for emergency care.

Convulsions that appear against a background of high temperature are called febrile. Most often observed in children aged 3 months to 5 years and represent a condition that is directly dependent on age. Clinically uncomplicated febrile seizures manifest as generalized tonic-clonic convulsions, the episode of which lasts about 15 minutes. The development at the peak of the temperature curve is most characteristic.

There are several theories regarding febrile seizures. It is believed that they can transform into an epileptic variant of seizures if they are repeated often enough and are pronounced. At the same time, there is an opinion that febrile convulsions are not dangerous, since undesirable effects on the central nervous system are observed in very rare cases And they shouldn't cause brain damage.

Despite differences in assumptions, febrile seizures are usually benign and neurological disorders should not be afraid.

Treatment

To help a patient with a "pale" type of fever, it is required:

1. Cool humidified indoor air (18 to 20 °C within 50-70% humidity).
2. Sufficient amount of drink.

Drug treatment is prescribed by the doctor during the examination.

Trituration alcohol solutions, cold enemas and other physical methods of cooling with "white" fever are prohibited, as they increase vasospasm and reduce heat transfer, aggravating the patient's condition.

For the initial therapy of "white" fever, use:

• papaverine solution, no-shpy in combination with suprastin solution;
• paracetamol solution;
• anticonvulsants (diazepam) in combination with a solution of metamizole sodium.

In the absence of a response to the introduction of diazepam, replace it with sodium valproate intravenously. The effectiveness of therapy is assessed by a decrease in body temperature in the armpit (by 0.5 degrees or more in 30 minutes). A favorable sign is the transformation of the fever from "pale" to "pink".

If a patient develops a febrile seizure, assistance should be provided immediately. At home, before the arrival of the medical team, the following activities are performed:

• turn the patient on his side, remove sharp solid objects;
• unfasten the collar, buttons, belts, provide air access;
• transfer the child from a bed with a back or sides to a sofa;
• wipe with water at room temperature;
• call for emergency help.

Antipyretics are also needed; drugs of choice are paracetamol, ibuprofen. If the seizure continues, you should wait medical workers who will choose the most appropriate variant of administration and dosage of the drug.

During the period of convulsions, one should not try to unclench the jaws and open the patient's mouth, this can lead to additional traumatization, asphyxia as a result of teeth or an object used for unclenching getting into the airways. The head must be protected from hitting a hard surface.

Anticonvulsants (sibazon, lorazepam) are not used for a single episode of seizures that stopped before being examined by a doctor and are required only for prolonged or recurrent seizures.