fever children health pediatrician

Fever

You have probably heard us say, "Fever is not dangerous, it is a good thing.  It means that the body's immune system is working hard to burn away infection".  This is true!  However, we know that seeing your child with a fever can be quite worrisome.

The best way to truly measure a temperature is with a thermometer.  The most accurate place to measure temperature is orally, rectally, or axillary (armpit).

We are more concerned with how your child is acting with a fever, not the number measured on the thermometer.  If your child has a fever but is able to drink fluids, interact with you, and play;  don't be concerned, just keep an eye on her and make sure she is drinking plenty of fluids.  It is not even necessary to give Acetaminophen or Ibuprofen to a child with a fever who is acting well.

If you child is not acting well, you should treat with the appropriate dose of Acetaminophen (Tylenol) or Ibuprofen (Motrin or Advil).  Then observe for a half-hour or so.  If she doesn't perk up, call us immediately.  If she does seem better, you can continue to treat her again according to the correct medication instructions.  Never give aspirin as it could cause serious illness.

Other ways to keep your child comfortable when she has a fever is by offering her cold beverages to drink, lightweight clothing, or by giving her a lukewarm bath (not cold).

Usually when a child has a fever, you will notice signs of an illness starting;  like a runny nose, sore throat, or vomiting.  See the sections of our handouts for advice on how to handle each of these situations.  Sometimes you will not see those symptoms until after one or two days of fever.

The most important information needed when dosing fever medication is to be aware of the Milligrams (mg) of medication that you are giving.  This way, no matter which form you give (infant drops, elixir, meltaways, chewables, or tablets), you are giving the correct dosage.  You will not overdose or under dose.

Acetaminophen:

Weight of Child 

mgs

160mg/1tsp (5.0ml) Elixir

80mg Meltaways

160mg Jr. Meltaways

5-10 lbs

40

1/4 tsp (1.25ml)

1/2 tab

¼ tablet

11-15 lbs

80

1/2 tsp (2.50ml)

1 tab

½ tablet

16-20 lbs

120

3/4 tsp (3.75ml)

1 1/2 tab

¾ tablet

21-30 lbs

160

1 tsp (5.0ml)

2 tabs

1 tablet

30-40 lbs

240

1 1/2 tsp (7.5ml)

3 tabs

1-1/2 tablet

40-60 lbs

320

2 tsp (10.0ml)

4 tabs

2 tablets

 

 

 

 

 

Ibuprofen:

Weight of Child

mgs

50 mg/1.25ml infant drops

100mg/1tsp (5.0ml) Elixir

100mg Chewable

5-10 lbs

Do not use under 6 months of age

11-15 lbs

50

1.25cc

1/2 tsp (2.50ml)

1/2 tab

16-20 lbs

75

1.875cc

3/4 tsp (3.75ml)

3/4 tab

21-30 lbs

100

2.5cc

1 tsp (5.0ml)

1 tab

30-40 lbs

150

XXXX

1 1/2 tsp (7.5ml)

1 1/2 tab

40-60 lbs

200

XXXX

2 tsp (10.0ml)

2 tabs

  Reasons to call the doctor during regular office hours:

  • Fever over 4 or more days duration;
  • Fever for one or two days without any other symptoms;
  • Fever with a sore throat

Reasons to call the doctor immediately:

  • Acting ill with fever;
  • If your baby (under age 3 months) has a fever;
  • Anytime that you are concerned

 

 

 

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Address: 809 E. Ridge Road, Rochester, NY 14621  |  Phone: 585-266-0310  |  Fax: 585-266-9207

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