Nursing care of fever

Physical cooling or drug cooling can be selected. Physical cooling body temperature exceeds 39℃, warm water can be used to wipe popliteal fossa, neck and groin vessels on both sides, which is beneficial to quickly disperse stimulation and reduce body temperature. It is also very good to take a warm bath to cool down if conditions permit. Drug cooling can achieve the purpose of cooling by reducing the excitability, vasodilation and sweating of the thermoregulatory center. When using drugs to cool down, we should pay attention to the dosage of drugs, especially for the elderly and patients with cardiovascular diseases, to prevent collapse or shock. Measure the body temperature 30 minutes after the cooling measures are implemented, and make records.

Second, strengthen the observation of diseases.

① Observe vital signs, and regularly measure body temperature, pulse, respiration, blood pressure and mental state, generally four times a day, once every four hours in case of high fever, and change it to 1 ~ 2 times a day three days after the body temperature returns to normal.

② Observe whether there are symptoms such as chills, lymphadenopathy, bleeding, hepatosplenomegaly, conjunctival congestion and herpes simplex.

Third, supplement nutrition and water.

Give high-calorie, high-protein, high-vitamin and digestible liquid or semi-liquid food. Encourage patients to drink plenty of water, preferably 3000ml per day, to supplement a lot of water consumed by high fever and promote the discharge of toxins and metabolites.

Fourth, do a good job in oral and skin care.

(1) Oral care, when fever occurs, due to reduced saliva secretion, dry oral mucosa and decreased resistance, it is conducive to the growth and reproduction of pathogenic bacteria and prone to oral infection. Patients should be helped to rinse their mouths in the morning, after meals and before going to bed to keep their mouths clean. (2) skin care. During the period of fever reduction, due to excessive sweating, you should dry your sweat in time, change clothes and sheets to prevent colds and keep your skin clean and dry.

Suspected infectious diseases should be isolated first to prevent cross infection; Save all kinds of specimens as soon as possible for inspection; Old and infirm people and cardiovascular patients are prone to collapse or blood pressure drop, rapid pulse, chills in limbs and other physical symptoms when they have fever and sweat a lot. They should be closely observed, and once the above situation occurs, they should cooperate with the doctor immediately.

health guidance

(1) tell the patient to wear gas and cotton-padded clothes;

(2) Inform patients and their families of the importance of restricting visits.