How high is too high?

Been giving her Tylenol, but it only comes down a little.

She changed therapies, this is the response she had when she first started abx..her very first day...some time ago.

This is the day after the med change, she is hot, thrw up once, moaning, has pain in eyes (may be the fever)..nose and throat..eyes closed and moaning.

I will call Doc J's on call..but how high is so high in this age that it is emergency? I know this is close..but is 103 in a young child (I know theit emergrncy range is higher than adults) is still a fever you attempt to treat at home?

Fluids, cold cloths, tepid baths..keep warm..some Tylenol, ect?

Mo
 

I would alternate Tylenol and Advil (Motrin). Maybe the Advil would work better for her.

I found this on another site:

Use ibuprofen (Advil or Motrin) every 6 hours. Alternate the ibuprofen and Tylenol. Example: Motrin at 6, Tylenol at 9, Motrin at 12, Tylenol at 3, etc.

Tepid baths if the fever is 103 or above. May need to remain in water 15 to 20 minutes.
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[This message has been edited by pab (edited 12 August 2004).]
 

Tepid baths if fever is still too high.

We'll see if it continues..

I found this on fever that is interesting..

I'll watch her through the night. She says her nose "hurts"..but no appahrent swelling in mouth or throat. Seems to be breathing OK, except the cloggged nose. No rashes..allot of gas..no more vomitting for a couple of hours.

Mo

Over 50% of patients with early infectious syphilis, especially those with
secondary syphilis, have a Jarisch-Herxheimer reaction within 6 to 12 h of
initial treatment. The reaction-manifested by general malaise, fever,
headache, sweating, rigors, or a temporary exacerbation of the syphilitic
lesions-usually subsides within 24 h and poses no danger but may produce
anxiety.

****************more***************

RELAPSING FEVER
(Tick, Recurrent, or Famine Fever)

An acute disease caused by several species of Borrelia spirochetes,
transmitted by lice or ticks, and characterized by recurrent febrile
episodes lasting 3 to 5 days, separated by intervals of apparent recovery.

Therapy should be started early during fever or during the afebrile stage,
but should be avoided near the end of the episode because of the danger of
Jarisch-Herxheimer reaction (see under Syphilis in Ch. 164), which is
occasionally fatal in louse-borne infection. Personnel and equipment should
be available in case the reaction occurs. The severity of the
Jarisch-Herxheimer reaction may be lessened in tick-borne relapsing fever
by giving acetaminophen 650 mg po 2 h before and 2 h after the first dose
of tetracycline or erythromycin.

 

103 is usually OK for a while, but extended periods will cause dehydration. Give her crushed ice to suck, get as much fluid down her as you can. Maybe mix up a weak lemon water with a little honey or sugar, get her to keep drinking.

Remember to take care of yourself as well, Mo.
 

Just wanted to add that we would start with a warmer bath, to avoid the shock, because lukewarm water would feel icy next to her fevered skin. Then we would slowly add cool water to the tub so that the change was gradual. Then I would drip water on her and let it evaporate, because I think it was the cool evaporation of the water from hot skin that did the cooling more than soaking. Then at the end I wouldn't dry her but let the moisture evaporate.

I think my child would get sort of glazed and shaky w/these high fevers, but she never had a seizure. She just didn't have that tendency, I guess.

Oh- and I used to count her respirations, which would get kind of high w/that fever, like over 35, although this sometimes resulted from some asthma going on.

 

I hope your little one starts feeling better soon.

My kids have always been high temp babies. Dominic has hit 105 many times and so has Hannah. Samuel has only gone up to 104.

Samuel is only 2 and this past sping his fever got to 104. The Dr. told me as long as the fever would come down when we gave him the advil and tylenol it was ok.

We roatated advil then 2 hours later tylenol then 2 hours later advil. He also told me to keep damp "cool" towels on his neck and back/chest area.

They don't believe in the baths anymore. They also had me strip the kids down and not keep them covered up. They said keeping them wrapped up makes the fever go higher. (My mom freaked over this since they were taught to wrap you up and make you sweat it out)

Hannah (is 4) was in the ER last month with 104 fever (from a bladder infection) and they did the same thing to her that was done to Sam in the spring.

Hope ya'll get some rest and she breaks the fever soon.

Starr
 

Hopefully, both of you can get a good night's rest.
 

Well..by about 4AM we were in the high 104's
104.8..

it broke after that with tepid/cool cloths, and I did the strip technique (thanks! For her fever.. ) and gave fluid in a syringe every few seconds. she was really out of it, and delerious...too uncomfortable for sleep.
Went to bed ar five AM.

is 101 this AM..this morning she was jumpong on the bed..bouncing Mommy's swollen head!!

Now to find out what this is/was.

Mo
 

My boys, 3 and 5, have always had high temps 103-104 with every little thing that they have had.

For us stripping down the clothing and using the motrin and tylenol combo helped most.

This technique was used by the hospital when my son had pneumonia and a very high temp.

Watch your little one as evening approaches. Many times we thought we were finished with the fevers then had rising temps in the evening.

You may want to consider giving motrin at bed time as a precaution. It seems to work better than tylenol for us.

We will be praying for you little one and you! Try to get a little rest!

SC

Hope your little one is feeling better today..

Both my kids ran high fevers. Mikayla always hit 105. Her doctors thought she had relapsing fever last year, but turns out it was lyme.

I always brought the kids to the doc with a high fever just to be sure there wasn't an ear infection, or something going on. But most of the time it was just a virus..

There are alot of viruses going around in my area right now. Both my kids have Fifth Disease and are covered with a painful, itchy rash.

The odd thing is that once they got the rash , they actually started feeling a little better. Both kids ran fevers about 2 weeks ago, but had no rash.

Just to make sure they didn't have an ear infection or strep, i brought them to the doc. He said it was just a virus...

Now it turns out they had this Fifth disease 2 weeks ago, but you can't diagnose it until the rash breaks out.

Also friends of ours have Coxsackie's virus, or hand foot and mouth. I was told this is an awful year for viruses..

So hopefully it's just a virus of some type and your little one will start feeling better soon!

Best wishes,
~Missy