Do You Need To Go Directly To The Hospital?
Hello doc, I am a 23-year-old mother with 2org children aged 3 years and 2 years … Previously, for almost a week I had a mild cold with a voice that was still a bit ‘bindeng’ until now. Occasionally I experience a cough but also with mild intensity it can be said to be very rare. I also did not experience complaints of fever for almost a week to feel the symptoms of flu. But doc, since yesterday afternoon after my 3-year-old son woke up from a nap break, his body temperature began to rise. I gave Paracetamol brand Tempra at 7mlm then the fever gradually went down. Then at 4am this morning when he woke up his body temperature rose again and there was a little vomiting. My question is, should I take my child to the hospital immediately and undergo an initial corona disease symptom test or should I just treat my child from home? Because actually I’m worried about the state of the hospital which might actually carry a greater risk of exposure to the virus. I beg for your advice doc, thank you …
Lots of viral infections other than because of SARS-CoV-2 (the cause of Covid-19) which can cause complaints of fever, colds, vomiting in children. Bacterial infections (there are many types) can also cause the same thing.
Independent treatments that can be done when a child has a fever + vomiting at home are:
Warm compresses when the child has a fever to accelerate the decline in body temperature.
If the fever is high, avoid covering the child's body with a thick blanket.
Give the child more drinks. If the child is nauseous with heavy drinking, give the child a small amount of spoonful but often. After vomiting, give a replacement fluid with an amount equivalent to that comes out of vomiting. Oralit liquid or salt sugar solution is recommended because it contains electrolytes, to replace body fluids (which also contain electrolytes) that come out with vomiting or diarrhea (if any).
Give a fever-reducing drug (paracetamol) at a dosage according to body weight 10-15 mg / kg body weight of a child / times a drink. If the fever persists, paracetamol can be given more frequently, every 4 hours intervals.
Give children foods that are softer or more liquid. No need to force the child to eat a number of portions that he used to eat when healthy. As much as possible the food provided contains balanced nutrition.
Give vitamin and mineral supplementation if necessary and give it according to the dosage on the package.
If the child has a cold, temporarily separate the bed from the child / other family members. Teach ethics correct cough and diligently wash hands with running water and soap.
Periodically evaluate a child's body temperature with a thermometer (the easiest and cheapest is the armpit thermometer).
If there are any of the following signs on the child's mother, she should immediately bring it to the emergency department:
Bluish to the lips - children are short of breath / gasping water
Abdominal pain is severe - the child can scream when the stomach is touched
Severe pain in any part of the body
Infants <3 months of age with fever
Signs of allergic reactions (usually appear suddenly): swelling in the eyelids, lips, tongue, hives or rashes all over the body, wheezing breath, nausea
There are signs of spontaneous bleeding
Consideration for going to a health facility is if your child's fever> 40 degrees Celsius with a history of febrile seizures, fever> 3 days that does not go down after adequate administration of paracetamol, child vomiting or diarrhea continuously and the mother is unable to do enough rehydration, there is a rash in whole body, shortness of breath.
In the current situation of the Covid-19 outbreak there is certainly concern that having to bring children to a health facility can increase the risk of contracting Covid-19 (because we cannot know who is ill who is not). Therefore, if you have to go to a health facility there are several preventative steps that can be taken to minimize the risk of contracting:
Use a mask. A mask made from cloth is enough to protect from droplets rather than not using it at all.
Avoid using public transportation especially those that are crowded with passengers.
Do not touch the face with unwashed hands.
Be diligent about washing your hands with running water and soap or hand rubs made from alcohol.
As much as possible do not touch objects in public places.
Physical distancing while in the waiting room.
Upon arrival at home, remove all clothing that is used to go to health facilities and wash quickly. Bathing with soap and changing clothes that are clean.
Used masks (disposable ones) are thrown in the trash and washed hands. Cloth masks are washed immediately with detergent after use.
Thus the explanation from me, hopefully useful.