Minor injuries and ailments. 2: Fevers in children

Abstract

Feverish illnesses in young children are very common, with 20–40% of parents reporting cases each year ( NHS Choices, 2016a ). Most fevers indicate an underlying infection, which can be concerning for parents and carers. As a result, fever is one of the most common reasons for a child to be taken to the doctor. Feverish illness is the second most common reason for a child being admitted to hospital and, despite advances in health care, infections remain the leading cause of death in children under the age of 5 years ( National Institute for Health and Care Excellence (NICE), 2013 ). This article will focus on managing and treating fevers in children at home; when parents should be advised to attend A&E; and when to call an ambulance.

Perioperative Nursing Care of the Patient Undergoing a Cochlear Implant Procedure

“…29 In children less than two years of age, lack of appetite, constant crying, pale and spotty appearance, and overstretched and edematous fontanels may be signs of meningitis. 29 To reduce the meningitis-related risks, all patients should be vaccinated for pneumonia following the Centers for Disease Control and Prevention guidelines for vaccination of CI candidates. 30 Otalgia, fever, otorrhea, sleeping problems, weakness, restlessness, crying, loss of balance, newly developed anorexia, vomiting, diarrhea, itching in or around the ear, and the presence of redness may indicate the development of otitis media.…”

“…Postoperative meningitis may develop because of congenital anomalies in the cochlea and contamination of pathogens of the middle ear with CSF through the CI 13 . Severe headache, stiffness of the neck, avoidance of looking at bright light, drowsiness, unresponsiveness, confusion, restlessness, high fever, cold hands and feet, chills, tachypnea, and joint and muscle pain may be signs of meningitis 29 . In children less than two years of age, lack of appetite, constant crying, pale and spotty appearance, and overstretched and edematous fontanels may be signs of meningitis 29 .…”

“…Severe headache, stiffness of the neck, avoidance of looking at bright light, drowsiness, unresponsiveness, confusion, restlessness, high fever, cold hands and feet, chills, tachypnea, and joint and muscle pain may be signs of meningitis 29 . In children less than two years of age, lack of appetite, constant crying, pale and spotty appearance, and overstretched and edematous fontanels may be signs of meningitis 29 . To reduce the meningitis‐related risks, all patients should be vaccinated for pneumonia following the Centers for Disease Control and Prevention guidelines for vaccination of CI candidates 30 …”