Stay Calm: How to Avoid Fever-Related Illness

It is during that time that fever-related illnesses are increasing in Sierra Nevada.

Heat stroke includes dehydration, heat stroke, and heat stroke. It’s important to understand the differences, especially when exercising in areas such as Lake Tahoe where altitude is high and temperatures are high.

Dehydration occurs when the body does not have enough fluid to perform normal functions. Young children, the elderly, and people with chronic illnesses are most at risk. Common causes include diarrhea, vomiting, and excessive sweating. Not drinking enough water on a hot day or during exercise can also cause dehydration.

Mild to moderate dehydration includes dry mouth and stickiness. Malaise; headache; thirst not to urinate; dry skin; constipation; and dizziness or lightheadedness. Drinking more fluid may reverse dehydration, but severe dehydration requires treatment.

Prolonged dehydration can lead to heat depletion. Triggers that overheat your body include prolonged use at high temperatures and intense activity. Symptoms may appear suddenly or may develop over time, especially after prolonged exercise.

Possible symptoms of heat exhaustion are confusion. Headache; muscle cramps; nausea; pale skin; malaise; and rapid heartbeat.

Treatment of dehydration and heat stroke is easy. If you or anyone else has mild or moderate symptoms of a heat-related illness; drink plenty of fluids (avoid caffeine and alcohol). Take a cold shower, bath, or sponge bath. Remove tight or unwanted clothing. If symptoms do not improve within 1 hour, heat stroke may progress to heat stroke, so call your doctor.

Heat stroke is the most serious heat-related injury. If your core body temperature reaches 104, this is an emergency medical procedure. If you suspect you have heatstroke (also called sunstroke), call 911 immediately. Take the patient out of the sun and help them cool with ice water or a fan until the paramedics arrive or proceed to the nearest emergency department.

The symptoms of heat stroke include fainting, which can be the first sign. Nausea; Changes in mental status, such as those who are upset, aggressive, or confused; Dizziness or lightheadedness; Red, hot, dry skin; Fast heartbeat; Weakness or cramping; Throbbing headache; and seizures.

The safest approaches are prevention and education. On hot days, drink regularly to prevent dehydration and heat-related illness. Avoid waiting until you are thirsty as you may already be dehydrated. Monitors for water loss during hot days, illnesses, or exercise and consumes fluid to compensate for water loss. Sports drinks replace salt and minerals after sweating. Wear a sun hat, such as a brimmed hat, sunglasses, and sunscreen. Take a break in the shade and wear light and loose clothing.

When COVID-19 is present in our community, it is important to understand that the symptoms of coronavirus may resemble a heat-related illness. Call Barton Health’s COVID-19 Healthline, 530-600-1999 if you have any of the following symptoms in the last 14 days:

Fever or chills/pain/tremors

• Muscle and body pain, pain

• cough

• Shortness of breath or dyspnea

•headache

• sore throat

• New loss of taste and smell

• Nausea, vomiting, or diarrhea

• Malaise

• Nasal congestion or runny nose

Tami Burns, RN, NBC-HWC are registered nurses at Barton Family Medicine and Barton Health’s respiratory emergency care facility. She is a member of the COVID-19 Bioethics Committee and a member of Burton’s Crisis Intervention Team, which assists healthcare professionals in local response to the coronavirus.

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