Fever - Treatment

HOME TREATMENT

Paracetamol 

  • They may be used to make a child more comfortable, but it does not treat the underlying illness.
  • They may be given every 4 to 6 hours.
  • Within 1 to 2 hours after given, the fever is usually down by 1C.
  • The temperature does not always return to normal.
  • Again, how sick your child is acting is more important than if the fever comes down to normal or not.
  • If your child is resting comfortably, there is no need to wake him to give panadol, unless he is prone to febrile seizures.

Ibuprofen

  • One advantage of ibuprofen is the longer-lasting effect of 6 to 8 hours of fever reduction.
  • Some children who are not responding well to panadol may respond better to ibuprofen.

Aspirin

  • Aspirin is generally not recommended in pediatrics.
  • This is because of the past association linking Reye’s syndrome to aspirin usage in children with chickenpox or influenza.

Less clothing

  • Children should not be over bundled while having a fever as this tends to raise the temperature more.
  • Dress with a minimum of clothes and use a light blanket if they are having chills.
  • Sometimes, an overbundled infant may have a slight elevation of temperature.
  • If you suspect this, undress and retake the temperature in about 1 hour.

Sponging

  • Sponge baths are usually not necessary for low -grade fevers.
  • Sponging may cause shivering (which is the body’s way to raise temperature) and may be uncomfortable.
  • Sponge baths may be useful with heatstroke, confusion associated with high fevers or in children who are prone to febrile seizures. 
  • Never use alcohol or ice in the bath.
  • Stop if the child is shivering or raise the water temperature.
  • Lukewarm washcloths or sponges rubbed briskly over the skin with the child in 2 inches of water is the best technique

 

CALL DOCTOR IMMEDIATELY

  • The child is less than 2 months old
  • Fever is more than 40C
  • Constant crying, irritable, inconsolable and acting sick (if possible, decide one hour after panadol or nurofen).
  • Drooling more than usual and difficulty swallowing
  • Stiff neck or headache out of proportion to fever
  • Purple spots on the skin - may be large or pinpoint
  • Difficulty breathing, unless it is due to a stuffy nose
  • Difficult to arouse, confused or delirious
  • Having his first febrile seizure

CALL DURING NORMAL HOURS:

  • The child is 2 to 6 months old (unless after DPT shot)
  • Fever is more than 72 hours
  • Associated symptoms such as an earache, sore throat, urinary burning or frequency, persistent cough
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