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 Medindia » Medical Education » Distance Education » Recording the body temperature
 FEVER IN CHILDREN
.Introduction
.Thermoregulation in children
.Thermoregulation in neonates
.Recording the body temperature
.Sterilization of thermometer
.Pattern recognition
.Clinical approach to a child with fever
.Rational Therapy for control of Fever
.Fever in children commonly encountered problems
.Steroids not indicated in undiagnosed fever
 Pharma
 CME Lessons
FEVER IN CHILDREN

Recording the body temperature

a) Rectal temperature : is measured by using a rectal thermometer which has rounded, atraumatic bulbous ends. It is inserted carefully, generally about 5 cm in infants and 7 cm in children. Equilibration takes 2-4 minutes with a mercury thermometer.

b) Axillary and oral temperature: are the usual methods in older children and adults but they are unreliable as they are subject to variation.

c) Device such as "temperature strips" measure skin temperature but may under estimate core temperature.

d) Electronic thermometers requiring 30 sec to equilibrate, are practical, for hospital, clinic and office use.

e) Auditory canal temperature: is measured as a fraction of infrared emissions.

f) Urinary temperature.


Which to follow ?

The most accurate measurements are made when the thermometer is left in the mouth for 3 minutes (the readings taken < 2 min are inaccurate).

In younger children and infants, it is preferable to measure axillary temperature for convenience. The measurement is read as X degree F by axilla and there is no need to add (the conventional) 1 degree F to give the final reading.



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Member Comments ( 1 )
i dunno what to do my son is 6yrs and he has fever with headache,stomach ache,chest pain and frequent cold and barking cough on geting tests done his WBC and ESR is high and gastrin level is high have given a course of antibiotics but to no relief
(Posted by eshan, India Date : 9/26/2009 )


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