How does baby temperature low return a responsibility

summary

The baby's temperature is naturally different from that of adults, so the baby's hypothermia is a very common disease in modern society, children are treasures, but people who know it should be very familiar with it, so we should pay more attention to it. Children don't know the danger, so the head of family should be more careful. Let's take a look at what to do if you find that the baby's temperature is low?

How does baby temperature low return a responsibility

First, rewarming is the most important way to deal with hypothermia. It is generally advocated to rewarm gradually. The lower the body temperature is, the more cautious rewarming is. Rapid rewarming is harmful to the newborns who have been damaged by cold stress. It can cause shock, convulsion or apnea, which may be caused by peripheral vasodilation, insufficient blood flow, hypoxia and cerebral ischemia. Slow rewarming is to put children in a warm room and wrap them in warm blanket or quilt. It is generally used for mild hypothermia. It is expected to return to normal temperature within 12-24 hours. However, in severe hypothermia, brown fat and glycogen were exhausted, and slow rewarming was often ineffective. At present, external warming and active rewarming are advocated to reduce the damage of low temperature to the body. 1. The method of external heating is to supply external heat source to the body surface of children with hypothermia. 2. Internal rewarming or active center rewarming: it means that the core temperature is increased first when the heat source is transported into the body. In adults and children with unexpected hypothermia, warm saline enema or gastric lavage, intravenous infusion of warm fluid (37 ℃), warm peritoneal dialysis (dialysate heated to 43 ℃), and in vitro blood warming and rewarming were used.

Second, in the process of rewarming, feeding and fluid therapy should supplement heat, limit fluid intake, correct acidosis and microcirculation disturbance. Rewarming accelerates the process of tissue metabolism and increases the requirement of glucose metabolism. Because glycogen reserve has been exhausted during cold stress, hypoglycemia is easy to occur. Energy supply should be given at the beginning of rewarming. However, due to hypothermia and circulatory disturbance, the digestion and absorption function of food is inhibited. Necrotizing enterocolitis, gastroesophageal reflux, intratracheal inhalation and respiratory disturbance may occur. During hypothermia, no oral liquid was given, instead of intravenous infusion of 10% glucose solution or 1 / 5 piece of liquid 60-80 ml / (kg · d). The rate of intravenous glucose injection should not exceed 6 mg / (kg · min). When the body temperature rose to normal, they began to feed. At the beginning, 50 kcal / kg basal heat and 60-80 ml / kg total liquid were supplied daily. Later, with the improvement of the disease, it gradually increased to the normal requirement. After rewarming, if oliguria does not improve, the total amount of fluid should be limited. Metabolic acidosis can be corrected by sodium bicarbonate. According to the formula: total nahc03 (mmol) = 0.3 × be × kg body weight, generally half dose of intravenous drip is given at the rate of 1mmol / min, and the rest is input within 2-3 hours.

Third: the control of infection may be the inducement of hypothermia, or it may be a complication, and its performance may not be obvious. Each child with hypothermia should be given antibiotics for treatment or prevention of infection. The choice of drugs should be determined according to different pathogens. Before the blood culture report, ampicillin (150-200 mg / (kg · d) and gentamicin (4-6 mg / (kg · d) or amikacin (10-15 mg / (kg · D)) should be used. If the urine output does not increase after rewarming, aminoglycosides should be used with caution, the dosage should be reduced, and the blood concentration should be monitored.

matters needing attention

Apply a hot towel to the baby's forehead to restore the head's normal temperature. The body's self-regulation mechanism will play a role and make the baby's temperature rise slowly. Steam your feet with hot water, but it's not suitable to soak your feet directly or use too hot water to avoid scalding your baby.