20 month old high temp

Trauma Columnist · Nov 2, 2004

Tylenol dosing is 15mg/kg - so if your son weighs 28 lbs = 12.7 kg = 190mg of tylenol. Motrin dosing is 10mg/kg = 120mg. Good luck and take care.

jeepgirl, LPN, NP · Nov 2, 2004

motrin is a wonderful thing. try that.

kathy_79 · Nov 2, 2004

motrin is the best for high fever, but for me 103.9 in 20 months old baby need to get doc concult as quick as possible. my baby was the same age and after all she run out strep throat infection. but i had really hard time to get her fever down. i hope he will get better. :)

z's playa · Nov 2, 2004

I'm hoping you brought him to the doctor but let us know what happened. I was always told to follow doctors advice but if it didn't work, haul my b*** to the office. Especially with the very young and the very old.

Monica RN,BSN · Nov 2, 2004

Our ER docs are not worried with a 103 temp in a baby/child, we are told and parents are told by the MD that this is the body's way of fighting back and they do not worry until it hits 104.5

They give Motrin, and cool fluids. They then tell them if the fever does not go down in 24 hours to come back. and follow up with reg peds doc.

jeepgirl, LPN, NP · Nov 2, 2004

Our ER docs are not worried with a 103 temp in a baby/child, we are told and parents are told by the MD that this is the body's way of fighting back and they do not worry until it hits 104.5
They give Motrin, and cool fluids. They then tell them if the fever does not go down in 24 hours to come back. and follow up with reg peds doc.

that is how I've seen it done where I am. Usually, unless the child is having respiratory problems or other problems... then bring the kid in ASAP. We usually just treat a temp because it makes the kid uncomfortable.

good questions to ask are is the baby (for the most part)keeping down fluids, having good PO intake, having wet diapers. are they having loose stools? try to get the temp down with the motrin for comfort, assess the babies fluid status, and then get the baby to the doctor soon if you feel that it is something serious. as with my little girl, she had almost the same thing about 3 weeks ago. She was sick for about a week. i hate seeing my three year old as uncomfortable as she was. but motrin and phenergan did a lot until she got over the hump of the illness, which lasted about 2 days.

Antikigirl, ASN, RN · Nov 3, 2004

Yep..I agree. Younger bodies can tilt the old temp quickly and very high spikes, immature thermostat and immune system. What my peds have told me is treat with motrin like others have said, and if there is other complications like not voiding, respiratory probelms, whooping type cough, seriously red throat (swelling with redness and high pitched barking cough is go to Doc/ER) etc. Treat symptoms as they arise, and keep an eye on them. Get them in to the Ped if symptoms do not go away after 2-3 days (or at least call).

But as a mom of a child that spiked a 104 when he was 5 months...well I went with my instincts, called the ped...he wasn't impressed till I tried motrin for 24 hours with no results and he quit voiding..then it was off to the childrens hospital. Never did get a Dx, but they treated with IV hydration and he was fine...thank goodness I about died!

Mandarella · Nov 3, 2004

thanks for all of your advice. i whammied him with tylenol & motrin po. he is drinking sips of ginger ale. diapers are wet, not soaked like usual but he isn't dehydrated yet. i also tired to get him to eat a popscicle, no dice. he took a few bites and went to bed. his dr said to call if he vomits more than 3 times or fever get much higher, keep giving him ginger ale and fluids to help prevent dehydration. he isn't too worried about not eating. although he seems to have got a little peppier in the last few hours. he ate a chicken nugget and he is playing, he just took a bath. his temp is controlled, he doesn't feel warm, so i don't want to aggrivate him by getting a temp. he slept in my bed all day and when he woke up it was drenched in sweat. poor guy. i think we're gonna head for bed shortly, i don't want him bouncing around just yet.

now, i am just afraid the 8 month old is next... :crying2:

thanks for your help guys.

mandy

uk_nurse · Nov 3, 2004

try paracetamol and ibuprofen for children. given together they work really well on bringing temps down, paracetamol given can be given every 4 hrs-15mg per kilo and ibuprofen every 6-8 hrs 5mg per kilo. as long as he is taking fluids ans u can sponge him down he should be fine but if temp keeps going up and down consult ur G.P.

Silverdragon102, BSN · Nov 3, 2004

try paracetamol and ibuprofen for children. given together they work really well on bringing temps down, paracetamol given can be given every 4 hrs-15mg per kilo and ibuprofen every 6-8 hrs 5mg per kilo. as long as he is taking fluids ans u can sponge him down he should be fine but if temp keeps going up and down consult ur G.P.

Unfortunatly paracetamol is not used in the US but I think Ibuprofen is.

I do hope the child is feeling better and hasn't passed it onto the 8 month old child

thanatos · Nov 3, 2004

Unfortunatly paracetamol is not used in the US but I think Ibuprofen is.
I do hope the child is feeling better and hasn't passed it onto the 8 month old child

Paracetamol is used in the US, but we call it a different name. Paracetamol is actually acetaminophen and, in the US, the trade name is Tylenol. Ibuprofen is also widely used in the US.