remember that fever helps your child fight the infection
Ibuprofen and Acetaminophen dosing charts
Ibuprofen dosing for children under 60 lbs
Do not use ibuprofen in children under six months of age.
Do fevers cause brain damage?
You may repeat the ibuprofen dose every 6 hours as needed.
Fevers are a sign of infection, which are usually viral in nature. They do
not cause damage to the brain even when the temperature is very high.
How high can a fever go? At what point should I get worried?
The body seldom gets higher than 106 Fahrenheit unless it is heated by
Older than 6
an external source. The height of the fever does not give information
about the severity of the illness. First reduce your child's temperature by
acetaminophen or ibuprofen. Forty-five minutes to an hour later your
child should feel much better. If at that point your child is complaining
of pain, has respiratory difficulty or you are otherwise worried, she
Acetaminophen dosing for children under 60 lbs
You may repeat the acetaminophen dose every 4 hours as needed
Should I alternate dosing with ibuprofen and acetaminophen?
No. What we now know about fever is that it actually helps the body
fight off infections. It's okay to lower your child's temperature by one or
two degrees to make her comfortable during an illness but you do not
have to resort to extraordinary measures such as immersion in cold water
or alternating ibuprofen and acetaminophen dosing. Both medications
can have side effects if used excessively.
When does a child have a "low-grade fever"?
Despite the indicators on thermometers, normal body temperature can
vary between 97 and 100.4 so there's no such thing as a" low-grade fever". A child does not have a fever until the temperature is above 100.4 Fahrenheit. Should the temperature come back to normal when I treat my child’s fever?
Fevers typically come down only two or three degrees Fahrenheit with treatment.
Remember that fever helps your child fight the infection. Bayside Pediatrics
Use medicine only if a child is uncomfortable and temperature is above 102 degrees F. (39 degrees C). The fever medicine lowers the fever by 2
to 3 degrees Fahrenheit (1 to 2 degrees C). You can give acetaminophen
(Tylenol) to your child before calling the office.
If your child is over six months of age you may want to give your child
ibuprofen instead. Ibuprofen (Advil or Motrin) works two hours longer
than acetaminophen. Give the right dose for your child's weight, every 6
Never give your child aspirin.
Aspirin can make some children very sick.
Have your child take a lot of cold fluids and wear as little clothing as
possible. It will keep the fever from going higher. For fevers of 100-
A fever means that the body temperatures are above normal. Your
102 Fahrenheit (37.8 to 38.9 degrees C), cold fluids and light clothing
may be all your child needs to keep him comfortable.
The rectal temperature is above 100.4 F (38 C).
Call us right away if:
The temperature taken by mouth is over 99.5 F (37.5 C).
Your child is less than 3 months old. Always take a rectal
The armpits temperature is over 99.0 F (37.2 C)
Your child complains of sore throat, ear pain or abdominal pain.
Fever help fight infections. Fevers are not harmful. They may last
Your child looks or acts very sick, despite your having lowered
Fevers are an important part of your child's immune system and can
Call us within 24 hours preferably during office hours if:
help fight off infections. It is usually not a good idea to treat fevers
aggressively for this reason. Treat your child only if they act sick or
Your child has a fever for more than 5 days.
have pain. “Treat your child, not the fever.”
The fever went away for over 24 hours and then came back.
Viruses cause most illnesses with a fever in children. A very useful
Adapted from B.D.Schmitt, MD, author”Your Child's Health”, Bantam
way of determining how ill your child is, is by giving him/her the
appropriate dose of acetaminophen (such as Tylenol brand) or
ibuprofen (such as Advil or Motrin brand). This will drop the
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temperature several degrees and your child will appear more comfortable and less sick. Very often parents do not give enough fever medicine so that the child's temperature does not come down. Inside this pamphlet we have included dosage charts to help you give your child the right dose of fever medication.
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