What Can You Do To Stop The Flu #flu #wellness

Simple.......Wash Your Hands!
Stay Home if you are sick...... Please!
The ER is not the place to go if you have the flu! You are just filling up the waiting rooms, exposing others that might be at risk for worsening illness.
The flu is a virus and we all know that viral illness's are miserable but we really can't fix them in the ER. Sorry to say that you just have to suck it up buttercup and move on.
The flu can treated just fine at home, unless you have complications such as pneumonia or worsening problems.
If you have a fever, don't rush to the ER, for Pete's sake take some over the counter medicine and treat your fever. Use your brain!

Need Health and Wellness supplies? Get them here--- Soap.com 

Fever, Your Guide To Taking Care Of It At Home #parenting101

Fever, seems to be the most common complaint of parents in the middle of the night as I work my weekender shifts. The children can range from very ill to very playful. Parents can be very well educated and some not so much at all (sad but true). Lots of education needs to be done about fever, parents for some reason just freak out if their child is running a fever......ekkkkkkk.

By all means if your child is not breathing, in distress, having a seizure, blue in color or unconscious --Please call 911!!! Do not try and drive to the ER!

Most often if a child is brought to the Emergency Department for a fever, the parent has really not tried to do anything at home to first bring the fever down. They just drop everything and rush to the ER...OMG!!

Caution: Now if your infant child is less than 90 days old and is running a temperature greater than say 100.5 rectally (yes in the bum bum- rectal is most accurate) or your Peds doctor will tell you a specific temperature to call for. Please attempt to call your doctor first! They want to be called before you rush to the ER!

Infants less than 90 days old with a high fever is a medical emergency, these little ones still have mommas antibodies floating around from birth. They should not have fevers that high. Be prepared if you take an infant that small to the ER with a high fever that he/she will get a full septic work up which may include blood work , catherized urine specimen's(most sterile collection), xray's, lumbar puncture(spinal tap looking for ?meningitis) , IV with antibiotics amoung the most common things ordered by an ED physician.

Even in older children a call to the Peds doctor first can save you stress, time and the very expensive cost of an ER visit. Not to mention the germ exposure to your other family members.

Many cooling methods can be performed before you visit your local ED or even your doctors office.
First of all, give your kids some medication for fever. Acetaminophen (Tylenol) or Ibuprofen (Motrin: if they are over 6 months of age) is made for just that reason, they are fever reducers and pain relievers. You are not going to overdose or kill your child by giving these medications. You can even given them together in appropriate situations, they are metabolized in different areas of the body (kidneys and liver) so it is perfectly ok if your pediatric doctor or the ED doctor tells you to give the medications together for one dose to reduce a high fever, then alternate the medications from then on.

A Fever is the body's defense mechanism for fighting off some kind of process going on, such as viral or bacterial infection. It is ok for your child to have a fever (don't flip out on me now). Fever in the body's natural reaction to a stress reaction going on inside the body. It is trying to fix the problem in its own natural response.

Febrile seizures most often will occur in children that might be prone to these (due to a problem with the temperature thermoregulation). A febrile seizure occur due to a sudden rapid rise in the temperature.

These types of seizures like any seizure activity is scary for us as parents. Keeping your child safe from harming themselves during the event is imperative. Keep the child on their side, away from objects they might hit and do not try and put anything into a seizing child's mouth. Most children outgrow febrile type seizures.

Children can burn up a lot of fluids when they run fever, hydration is important. Don't worry so much about trying to feed them, just make sure they are drinking fluids such as water, electrolyte solutions (Pedialyte/ Ricelyte), coconut water, juices, clear sodas( if that's all they will drink- especially older kids) Popsicles etc.

Avoid dairy products please,unless you want to see the clabbered milk again.....yuck, dairy tends to just make them vomit. I will never forget the time my husband gave my feverish 1yr old daughter a whole bottle of milk just before I got home from working a 12 hour night shift. She proceeded to cover me in hot milk vomit as soon as I tried to pick her up.......lovely it was.

The info-graphic below has some great info about fever, please educate yourself.

Croupy cough- Barking noises, nighttime surprises

Croup seems to be on the rise early this season. I have seen many children brought into the Emergency Department with this scary ailment. Most commonly seems to awaken kids at night with this horrible sounding seal like barking noise. If you have ever heard a croupy cough or stridor coming out of a small child's mouth you will remember it well.
If your child wakes up barking loudly do you need to bring them to the Emergency Room? Well, that's a very good question. Not all children need to be rushed to the ER for a croupy cough. You can try a couple of things at home first.
Ask yourself these things first 

• Does my child have a high fever? ( check it rectally if they can not hold the thermometer in their mouth well, of course you are the parent and you know when your child has a temp. Go ahead and medicate them for fever, it will help with discomfort also. 
• Does my child have any breathing trouble, like retractions (look at them with no shirt on, does it seem like they are sucking in hard to breath?
• Does my child have stridor-- a high pitched noise when they breath, not just the barky cough?
• Are you freaking out and just don't know what to do (its ok if you are, better to bring them in to be checked out than not)

OK-- If your child is limp, lethargic and turning blue around the lips, call 911!! 

IF your child is happy, playful, and looks normal, but still has that terrible sounding cough- take a deep breath and calm down, its gonna be just fine.

Try these methods at home if your child seems ok at home first:

• Turn on the shower water to hot--get the bathroom nice and steamy (of course don't put your child in the hot water) take your child in the bathroom and stay with them, help them to breath in the nice steamy air in the bathroom for around 5-10 min or so.
• Take them immediately outside into the cool nighttime air (its ok, you are not gonna make them sicker doing this--no matter what your grandma told you) 
• The alternating of the steam and the cool air will most of the time help stop the bronchospasm-like coughing  and help them calm down and settle back to sleep.
• Don't medicate your child with any sedating cough syrups, alcohols or home remedies. Cool mist vaporizers or humidifiers in their room is fine. I use the old Vicks vapor rub on their chest and feet remedy myself (unless they are infants)
• Call your peds doctor or advice line if you want more advice before traveling to the ER, they are a wealth of good information.

So What is Croup?? 

Croup is a condition that causes an inflammation of the upper airways — the voice box (larynx) and windpipe (trachea). It often leads to a barking cough or hoarseness, especially when a child cries.

Most cases of croup are caused by viruses, usually parainfluenza virus and sometimes adenovirus or respiratory syncytial virus (RSV).Viral croup is most common — and symptoms are most severe — in children 6 months to 3 years old, but can affect older kids too. Some children are more prone to developing croup when they get a viral upper respiratory infection.

Most cases of viral croup are mild and can be treated at home. Rarely, croup can be severe and even life threatening.

The term spasmodic croup refers to a type of croup that develops quickly and may happen in a child with a mild cold. The barking cough usually begins at night and is not accompanied by fever. Spasmodic croup has a tendency to come back again (recur).

Treatment of symptoms is the same for either form of croup.

Signs and Symptoms

At first, a child may have cold symptoms, like a stuffy or runny nose and a fever. As the upper airway (the lining of the windpipe and the voice box) becomes more inflamed and swollen, the child may become hoarse, with a harsh, barking cough. This loud cough, which is characteristic of croup, often sounds like the barking of a seal.

If the upper airway continues to swell, it becomes even more difficult for a child to breathe, and you may hear a high-pitched or squeaking noise during inhalation (called stridor). A child also might breathe very fast or have retractions (when the skin between the ribs pulls in during breathing). In the most serious cases, a child may appear pale or have a bluish color around the mouth due to a lack of oxygen.

Symptoms of croup are often worse at night and when children are upset or crying. Besides the effects on the upper airway, the viruses that cause croup can cause inflammation farther down the airway and affect the bronchi (large breathing tubes that connect to the windpipe).

Hope this helps you understand Croup a little better, have questions? Feel free to post in the comments.

Fevers, what do I do? Myths vs Facts

 

Some great info about fevers in your kids, think twice before rushing them to the ER please, have some common sense mom & dad!

ER visits are for true emergencies, a simple fever is not a emergency. Treat those fevers with antipyretic's (Tylenol, Motrin ) first for comfort.Keep them hydrated and follow up with your Peds doctor.

From the great app Wesley Kids:

http://wesleykids.com/wesley-kids-symptom-checker/fever-myths-versus-facts/

Misconceptions about fever are commonplace. Many parents needlessly worry and lose sleep when their child has a fever. This is called fever phobia. Overall, fevers are harmless. Let the following facts help you put fever into perspective:

MYTH: My child feels warm, so she has a fever.

FACT: Children can feel warm for a many reasons such as playing hard, crying, getting out of a warm bed or being outside on a hot day. They are “giving off heat”. Their skin temperature should return to normal in 10 to 20 minutes. Once these causes are excluded, about 80% of children who feel warm and act sick actually have a fever. If you want to be sure, take their temperature. The following are the cutoffs for fever using different types of thermometers:

• Rectal, ear or temporal artery thermometers: 100.4° F (38.0° C) or higher
• Oral or pacifier thermometers: 100° F (37.8° C) or higher
• Under the arm (Axillary or Armpit) temperatures: 99° F (37.2° C) or higher

MYTH: All fevers are bad for children.

FACT: Fevers turn on the body's immune system and help the body fight infection. Fevers are one of the body's protective mechanisms. Normal fevers between 100° and 104° F (37.8° - 40° C) are actually good for sick children.

MYTH: Fevers above 104° F (40° C) are dangerous and can cause brain damage.

FACT: Fevers with infections don't cause brain damage. Only body temperatures above 108° F (42° C) can cause brain damage. The body temperature climbs this high only with extreme environmental temperatures (for example, if a child is confined to a closed car in hot weather).

MYTH: Anyone can have a febrile seizure (seizure triggered by fever).

FACT: Only 4% of children can have a febrile seizure.

MYTH: Febrile seizures are harmful.

FACT: Febrile seizures are scary to watch, but they usually stop within 5 minutes. They cause no permanent harm. Children who have had febrile seizures do not have a greater risk for developmental delays, learning disabilities, or seizures without fever.

MYTH: All fevers need to be treated with fever medicine.

FACT: Fevers only need to be treated if they cause discomfort. Usually fevers don't cause any discomfort until they go above 102° or 103° F (39° or 39.5° C).

MYTH: Without treatment, fevers will keep going higher.

FACT: Wrong. Because the brain has a thermostat, fevers from infection usually don't go above 103° or 104° F (39.5°- 40° C). They rarely go to 105° or 106° F (40.6° or 41.1° C). While the latter are "high" fevers, they are harmless ones.

MYTH: With treatment, fevers should come down to normal.

FACT: With treatment, fevers usually come down 2° or 3° F (1° or 1.5° C).

MYTH: If the fever doesn't come down (if you can't "break the fever"), the cause is serious.

FACT: Fevers that don't respond to fever medicine can be caused by viruses or bacteria. It doesn't relate to the seriousness of the infection.

MYTH: Once the fever comes down with medicines, it should stay down.

FACT: The fever will normally last for 2 or 3 days with most viral infections. Therefore, when the fever medicine wears off, the fever will return and need to be treated again. The fever will go away and not return once your child’s body overpowers the virus (usually by the fourth day).

MYTH: If the fever is high, the cause is serious.

FACT: If the fever is high, the cause may or may not be serious. If your child looks very sick, the cause is more likely to be serious.

MYTH: The exact number of the temperature is very important.

FACT: How your child looks is what's important, not the exact temperature.

MYTH: Oral temperatures between 98.7° and 100° F (37.1° to 37.8° C) are low-grade fevers.

FACT: These temperatures are normal variations. The body's temperature normally changes throughout the day. It peaks in the late afternoon and evening. An actual low-grade fever is 100° F to 102° F (37.8° - 39° C) .

SUMMARY: Remember that fever is fighting off your child's infection. Fever is one of the good guys.

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Author and Senior Reviewer: Barton D. Schmitt, M.D.

Content Set: Pediatric HouseCalls Symptom Checker

Pediatric HouseCalls Symptom Checker