Clinical Thermometers and Children's Health – II. Part
Body temperature is usually determined by indirect measurement of blood temperature. The accuracy depends on the equipment being used and the body surface used for the measurement. Many factors affect accuracy, including the recent practice, the packaging (or "packaging") of the baby, and even the ambient temperature.
Rectal temperature is the most accurate of common methods, but we do not recommend that unskilled people use this method with children. It may be accurate because the rectal temperature is very slow to respond to rapid changes in body temperature. For these reasons, I do not deal with this method. Children are often objectionable.
The best option for children under three months of age is likely to be axillary reading. If you want all thermometers to do all the work, I'll look for an average digital thermometer and measure the measurements for armpits and orally.
Armpit measurement is the easiest and most respected method, but the most accurate. The thermometer's measuring area must be directly on the axial artery and this is not easy for the weaker children. If the child is older, oral measurement is simpler and more accurate than the underarm.
The most accurate method is to use a modern timpan thermometer that measures the ear canal temperature. This is very close to core temperature and modern type does not affect ear wax. They are more accurate than rectum measurements, but are not recommended for children under three months of age. Keep in mind, however, that the parent does not expect accurate measurement: it is enough to decide whether or not to call a physician. As I set it at 38C (100.4F) or 38C, it guarantees this.
Types of Thermometer
Glass thermometers are mostly replaced by digital models and are much safer for use with children and are as accurate. Specially designed for use, such as thymus, rectal and oral / axillary. If I started a family again, I would blow a tympanic cost, but my children are adults and there is no need to use a standard digital thermometer for oral and armpits.
are available with plastic tapes or dot thermometers that adhere to the skin and signal the temperature by changing the color. These are very inaccurate and only serve to indicate if the child's temperature is higher than normal or not. They can indicate fever, but not the temperature actually. They do the same job as the "hand on the forehead".
I can also get thermometers like babies or "dummies". They are also inaccurate because they have to stay in the mouth for a certain period – which, as most mothers know about it – is almost impossible.
Among the thermometers found on the market, the ear or timpan is the most accurate. However, most parents find the standard digital thermometer to be financially viable and best suited to the needs of their parents. As soon as you turn to a doctor, you can do more accurate measurements. Your work needs to be equipped with the first measurement to indicate if you need to call a physician or not.
If your child reaches 38C (100.4F), call a doctor. I would personally go to a doctor and not a child to surgery because they could be people of various kinds at risk for any of your child's illnesses. Keep in mind that the disease is often the most infectious to the appearance of the symptoms.
How to Use the Thermometer
Always read the manufacturer's instructions. Calibration instructions may be required before the first (sometimes all) use and the operating instructions. Many people report when the measurement is complete and some allow reading to be stored. Some require that the previous measurement be cleared before making a new one. Normally, they include special cleaning and sterilization instructions
Instructions generally indicate when you do not measure the child's temperature, for example after exercise, after bathing or using a hot or cold food or drink
Oral readings: Blood temperature is measured on the lower surface of the tongue. Wait at least 15 minutes after eating and drinking and then place the thermometer under the tongue and ask the child to keep the tongue and lips, but do not bite. The measurement is completed after 3 to 4 minutes
Axillary measurements: we measure the blood temperature in the axillary here. You can find the position of the artery with your fingertips. It is best to remove the cloth and place the tip of the thermometer in the artery. Pull the child's arm on the chest to keep the thermometer constant. Again, it should be given 3-4 minutes, but the digital thermometer usually rings when the measurement is complete.
Rectal measurements (if necessary): apply the tip of the thermometer with a suitable lubricant. If the instructions are not recommended, the pharmacist will help. Place the baby down on a suitable surface (baby changing table, bed or lap with a toddler), place your hands firmly on the base of the spine and hold it and gently insert the vaginal probe approx. do not have resistance – if you stop, do not try to force the thermometer). Lubricate the hand on the child's bottom with the thermometer that is between the fingers to hold it until the reading is completed.
Copyright 2006 Peter Nisbet
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