February, 2006 Archive

August 30, 2016, 1:01 pm

Viagra Young Men

Viagra young men My chances against pneumonia are great!

Viagra young men This guy might have a good chance against pneumonia, viagra young men if that was his problem.

Viagra young men He looks like he’s having a massive anterior MI.

Viagra young men Or his wife’s meatloaf keeps repeating on him.

Viagra young men I think he’s having an acute anaphylactic reaction to the decor.

Viagra young men Who puts an ass (pardon me, viagra young men I meant donkey), viagra young men complete with a saddle, viagra young men on their end table as a decoration?

Viagra young men The child will need theraputic counseling for years after this traumatic attempt at fever assessment.


Viagra young men Do you know, viagra young men when a patient tells me they think they are running a fever, viagra young men I instinctively feel their forehead and then I take their temp?

Viagra young men I have no doubt that the first humans did the same thing. Viagra young men I imagine this scene, viagra young men set in a pre-historic cave:

Viagra young men Caveman: “Feel hot!”

Viagra young men Cavewoman: “No. Viagra young men Have pain in head.”

Viagra young men Caveman: “Not that. Viagra young men Skin hot!”

Viagra young men Cavewoman: “Me feel face.” (Puts hand on forehead.) “Skin hot. Viagra young men Eat two of berries. Viagra young men Call giver of health when light comes.”

Viagra young men Caveman: “Me sick. Viagra young men No care for self. Viagra young men Must have all things done.”

Viagra young men Sorry guys, viagra young men but some things never change.


And now it’s time for an Emergi-disclaimer: the following is not intended to be medical advice (1) because I’m not a doctor and (2) you should always check with your child’s pediatrician for any illness or concern. Viagra young men There, viagra young men now that that is out of the way:

Do you run into your emergency department in a state of panic because your child has an “extremely high” fever of 101 degrees?

Viagra young men Do you take your child’s temperature under their arm because, viagra young men well, viagra young men who wants to do a rectal temperature?

Viagra young men Do you get nauseated at the thought of taking a rectal temp?

Viagra young men Do you become faint when the triage nurse takes your child’s temperature and tells you that the number 40.6 centigrade is actually 105 degrees?

Viagra young men Are you concerned when your child’s temperature does not “break” after a dose of Tylenol?

Viagra young men Are you amazed when the temperature comes back to its pre-Tylenol level approximately four hours after the last dose?

Viagra young men What, viagra young men you say? You can give ibuprofen for fever?

Viagra young men Does the fact that your child even has a fever cause your pulse to race, viagra young men your breathing to become labored and your anxiety level to skyrocket?

Viagra young men You, viagra young men my friend, viagra young men are suffering from acute fear of fever, viagra young men or, viagra young men as it has been coined in the literature I’m familiar with, viagra young men “Fever Phobia”.

Viagra young men You are not alone.

Viagra young men Here are some things to keep in mind. Viagra young men These are things I’ve picked up regarding pediatric fevers in the ER and during my stint as an advice nurse in a pediatric clinic.

  • Fevers are not dangerous.
    • They are the body’s way of fighting off an infection, viagra young men either viral or bacterial.
    • Fevers are more likely to be bacterial and should definitely be evaluated if
      • They last longer than three days.
      • They go over 105 degrees.
    • The exception to the rule: fevers in any child under 8 weeks old should be evaluated immediately by a physician.
  • The height of the fever is not as important as how the child is acting/looking.
  • Febrile seizures are the scariest things you will ever see as a parent.
    • They are also harmless.
    • Usually it is related to how fast the fever rises or drops.
    • They will stop on their own. Viagra young men
      • Turn your child on their side to allow any secretions to drain.
      • Protect them from injuring themselves on surrounding items.
    • The child should be evaluated immediately after the first febrile seizure.
      • The doctor will need to confirm that the seizure was truly due to the fever and not an underlying medical condition.
      • Discuss with your pediatrician what steps you should take if your child has repeated febrile seizures.
  • Both acetaminophen (Tylenol) and ibuprofen (Motrin, viagra young men Advil) can be used for fever.
    • There is some difference of opinion on whether or not both medications can be used together, viagra young men i.e. Viagra young men alternated. Viagra young men Ask your pediatrician what they prefer you to use.
    • Pediatric dosages are based on weight. Viagra young men The dose your child took six months ago will not be the correct dose today. Viagra young men If your child’s weight is not listed on the bottle, viagra young men call your pediatrician or an advice line to get the correct dosage for the weight.
    • Ask your pediatrician at what age they suggest using Motrin. Viagra young men It has been my experience that ibuprofen is not used under six months old.
    • Expect the fever to return as the medication wears off. Viagra young men It will.
  • Do not wrap your child up if they have a fever.
    • Right: a diaper and light covering – just enough so they do not shiver.
    • Wrong: a diaper, viagra young men two onesies, viagra young men a terry-cloth one-piece with “footsies”, viagra young men a sweater, viagra young men a blanket-sleeper with “footsies”, viagra young men a coat, viagra young men a hat and a fifty pound afghan hand- crocheted by grandma. Viagra young men At the same time.
  • Most children with fever will not want to eat, viagra young men but they will be thirsty. Viagra young men Fluids are important.
    • Encourage them to drink as much as they want of whatever they want.
    • Make sure the fluid has calories in it. Viagra young men That sounds silly to mention, viagra young men but offering diet sodas will not contribute calories or nutrition.

Viagra young men When I worked in pediatric triage, viagra young men my facility used protocols written by pediatrician Barton Schmitt, viagra young men MD. Viagra young men I have to recommend this book as one of the best books on child health that I have ever read. Viagra young men It is based on the same protocols we used at the clinic. Viagra young men I have given it as a gift at at least six baby showers. Viagra young men Apparently it has been updated in 2005. Viagra young men Here is the amazon.com link for those who are interested:

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August 30, 2016, 4:25 pm

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August 30, 2016, 10:21 pm

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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