Fever in infants and children

One of the reasons why we’ll be visiting the pediatrician more often is because of fever. And the pediatrician will ask us, “How much fever? Are there several types of fever? It is supposed that the normal is up to 37º C…

Then, I’ll explain everything about fever:

What is fever?

  • Fever is a rise in body temperature above the limits established as normal. The temperature considered normal is up to 37.5ºC measured in the armpit.

Fevericle or fever?

  • From 37.5 ºC to 37.9 ºC: it is feverish and it is not worrying and it is not necessary to treat it with medication (except for newborns or, at any age, if it is maintained every day).
  • From 38 ºC to 39 ºC: it is a moderate fever. It can be treated if the child is upset, and always reminding that the drugs should be indicated by your pediatrician and the dose adjusted. In addition, you must go to the doctor’s office to determine the reason.
  • From 39 ºC onwards: it is a high fever, and it is obligatory to lower it and go to the doctor’s office.

How do we treat fever?

Physical measures for fever:

  • Unwrap the child. Take off his clothes, leave him cool.

Antitermal for fever:

  • If the temperature is high (39º or more) or the child is very upset, we will resort to antipyretics such as Paracetamol (from any age) or Ibuprofen (over 6 months).
  • What if he vomits the antithermic? If less than 15 minutes have passed, you can give it again. If more time has passed it is not necessary.

When do I have to go to the consultation?

  • In infants younger than 3-6 months.
  • If they have fever more than 24-48 hours in children younger than 2 years.
  • If they have fever more than 3 days in children older than 2 years.
  • If they are decayed despite lower fever or irritable.
  • If spots appear on the skin.
  • If they have fever more than 3 days in children older than 2 years.
  • If they are decayed despite lower fever or irritable.
  • If they refuse feeding or fluids.
  • If spots appear on the skin.

When should I go to the ER?

  • If your temperature is above 40º and maintained.
  • If you have convulsions.
  • If you have difficulty breathing or staying awake.
  • If you have neck stiffness or difficulty/pain in flexing your neck.
  • If you have petechiae, red wine spots that do not disappear when you stretch your skin with your fingers.

If you have any of these symptoms, you should contact your doctor.

Remember that this is theoretical and knowing it is good to help us in our day to day but above all our common sense should prevail and no one better than us knows our children, so who better to determine when to go to the doctor.

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