#AskTheExpert my daughter is 7 years old. she is having cough and cold since two days. her heart rate is. about 150. Done nebulized three to 4 times last night. need advice

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Accepted Answer

A heart rate of 150 beats per minute in a 7-year-old, especially when accompanied by cough and cold symptoms, warrants careful evaluation. Here’s what you can do:

### **Immediate Actions:**

1. **Monitor Symptoms:**
   - **Watch for Changes:** Keep an eye on her symptoms, including any changes in breathing, cough severity, fever, or general discomfort.

2. **Hydration and Rest:**
   - **Fluids:** Ensure she is drinking plenty of fluids to stay hydrated, which can help with cough and congestion.
   - **Rest:** Encourage her to rest and avoid strenuous activities.

3. **Follow Nebulizer Instructions:**
   - **Correct Usage:** Ensure the nebulizer is used as prescribed by her doctor. Overuse can sometimes cause increased heart rate or other side effects.

4. **Check Temperature:**
   - **Fever Monitoring:** Measure her temperature regularly. If she has a fever, use appropriate fever-reducing medication as advised by your doctor.

### **When to Seek Medical Help:**

1. **Persistent High Heart Rate:**
   - **Medical Evaluation:** A sustained heart rate of 150 beats per minute in a child at rest can be concerning. It’s important to consult with a healthcare provider to rule out any underlying issues.

2. **Severe Symptoms:**
   - **Difficulty Breathing:** If she has difficulty breathing, is wheezing, or seems to be struggling to get enough air.
   - **Other Symptoms:** If she develops other concerning symptoms like chest pain, severe lethargy, or if her condition worsens.

3. **Consult a Pediatrician:**
   - **Professional Guidance:** Contact your pediatrician or seek urgent medical advice to discuss her symptoms, heart rate, and the use of nebulizer treatments. They may want to examine her and provide specific treatment recommendations or adjustments.

### **Prevention and Care:**

- **Humidity:** Use a cool-mist humidifier in her room to help with congestion and ease coughing.
- **Avoid Irritants:** Keep her away from smoke and other irritants that can exacerbate coughing and respiratory issues.

Prompt medical advice is crucial, especially with an elevated heart rate and ongoing respiratory symptoms.