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Fever In Children

WHAT YOU SHOULD KNOW:

A fever is an increase in your child's body temperature.

INSTRUCTIONS:

Medicines:

  • Ibuprofen or acetaminophen: These help decrease your child's fever. They can be bought without a doctor's order. Ask how much medicine is safe to give your child and how often to give it.

  • Antibiotics: This medicine will help fight or prevent an infection. Make sure your child takes his antibiotics until they are gone, even if he feels better.

  • Give your child's medicine as directed: Call your child's healthcare provider if you think the medicine is not helping or if he has side effects. Tell your child's healthcare provider if your child takes any vitamins, herbs, or other medicines. Keep a list of the medicines he takes. Include the amounts, and when and why he takes them. Bring the list or the pill bottles to follow-up visits.

  • Do not give aspirin to children under 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.

Give your child plenty of liquids:

  • Help your child drink at least 6 to 8 eight-ounce cups of clear liquids each day. Give your child water, juice, or broth. Do not give sports drinks to babies and toddlers.

  • Ask if you should give your child oral rehydration solution (ORS) to drink. An ORS has the right amounts of water, salts, and sugar your child needs to replace body fluids.

  • If you are breastfeeding or feeding your child formula, continue to do so. Your baby may not feel like drinking his regular amounts with each feeding. If so, feed him smaller amounts more often.

Dress your child in lightweight clothes:

Shivers may be a sign that your child's fever is rising. Do not put extra blankets or clothes on him. This may cause his fever to rise even higher. Dress your child in light, comfortable clothing. Cover him with a lightweight blanket or sheet. Change your child's clothes, blanket, or sheets if they get wet.

Use a cool compress:

Dip a clean washcloth into cool or lukewarm water. Wring it out and place it on your child's forehead or on the back of his neck.

When to sponge bathe your child:

Sponge bathe your child if he is vomiting and cannot take fever medicine. Use lukewarm water to sponge bathe. Never use rubbing alcohol, ice, or cold water to give a sponge bath. Check your child's temperature about 30 minutes after the sponge bath. Sponge bathe 1 hour after you give fever medicine if:

  • Your child's temperature is at least 104°F (40°C).

  • Your child or another family member has had seizures caused by fevers.

  • Your child vomits and you do not know how much medicine he has kept in his stomach.

Follow up with your child's healthcare provider as directed:

Write down your questions so you remember to ask them during your child's visits.

Contact your child's primary healthcare provider if:

  • Your baby is 2 months old or younger and his temperature reaches 100.2 °F (37.9 °C).

  • Your child is 3 to 6 months old and his temperature reaches 101°F (38.3°C).

  • Your child is over 6 months old and his temperature reaches 103°F (39.4°C).

  • Your child's fever has not gone away after 3 days.

  • You have questions or concerns about your child's fever.

Return to the emergency department if:

  • Your child's temperature reaches 105°F (40.6°C).

  • Your child has a dry mouth, cracked lips, or cries without tears.

  • Your baby has a dry diaper for at least 8 hours.

  • Your child is less alert, less active, or is acting differently than he usually does.

  • Your child has a seizure or has abnormal movements of the face, arms, or legs.

  • Your child is drooling and not able to swallow.

  • Your child has stiffness of the neck, confusion, or will not wake up.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Fever In Children (Aftercare Instructions)

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