my son has had a temp all day it's gone from 101 to 103 with in about 7 hours, we've tried two cold baths and tylonol, nothings worked what should i do, should i take him to the emergency room or wait it out?

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Brian A - posted on 08/25/2012

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Actually Sarah, your misguided. While Sherri said the temp didn't need to be treated was slightly off your statements of fevers that high being bacterial needing antibiotics is very wrong. Treating something with antibiotics without cause is leading to Super Bugs and causes resistance to antibiotics that later can cause serious problems.

Pulling stuff from a website not checking its sources is not a good idea but stating things that would scare the crap out of a lay person like you did without supporting evidence is really wrong.

Brian A - posted on 08/25/2012

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Alternating Tylenol and Ibuprofen is what you should do. Observe for wet diapers and eating habits and drinking habits. Pedialyte and juice mixed with water are good. 100% juice.

Call your pediatrician not the Emergency room. If they are lethargic or groggy it's due to the temp. If they are unresponsive then yes, go to the emergency room. 1 day with a temp is not an emergency.

Brian

Father, RN for 15 years, NP student and EMT.

Sherri - posted on 05/07/2012

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Well glad all in all that he will be okay. That is all anyone truly wanted in the end for you.

Amanda - posted on 05/07/2012

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Sarah Klauzer - posted 2 hours ago


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Actually Sherri, you're a little misguided on some of your information. Temperatures should be treated. The reason why I advised her to go to the emergency room was because fevers that high usually indicate a bacterial infection (lower fevers are usually viral). If the baby has a bacterial infection, he/she will need antibiotics to clear it up. Fevers in small kids can also lead to febrile seizures. Although they don't always cause damage, they can lead to short periods of apnea and decreased oxygen levels. It's better to treat it than not if it's that high.



this was correct, took him in to the em waited a long downful 3 hours before we got out of there. and he has strep for the 3rd time in 6 months, but this one seems a bit differnt from the rest much higher temp, or baby isnt really acting like he is sick at all.

Sherri - posted on 05/07/2012

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I agree Sarah I only looked it up and copy and pasted what was on the site.

Although I don't think that a fever of a 103 warrants a trip to the emergency room. A call to her ped in the morning is most likely more than enough. This is what my pediatrician advises us to do and usually won't even see them unless it continues for 3 days.

If the fever goes up to 104 then I would make the trip to the ER. If he was under a year my advice would be different.

Sarah - posted on 05/07/2012

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Actually Sherri, you're a little misguided on some of your information. Temperatures should be treated. The reason why I advised her to go to the emergency room was because fevers that high usually indicate a bacterial infection (lower fevers are usually viral). If the baby has a bacterial infection, he/she will need antibiotics to clear it up. Fevers in small kids can also lead to febrile seizures. Although they don't always cause damage, they can lead to short periods of apnea and decreased oxygen levels. It's better to treat it than not if it's that high.

Sherri - posted on 05/07/2012

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Honestly unless it gets higher than 104. I would just try and wait it out, temps very often get higher in the late afternoon to evening.

When to take your child to the Emergency Room?
Children can have extremely high fevers when they are sick. It’s not at all uncommon to see fevers of 104 or 105. Fever generally becomes dangerous at around 106 or above, where it has the potential to cause brain damage or other serious problems. Generally speaking, if your child’s temperature hits 105, you should call a pediatrician immediately. Explain the symptoms and follow their advice. In infants, you should call your doctor immediately if your baby’s temperature is much higher than 103. Your physician will advise you on an appropriate course of action.
http://keepyourchildsafe.org/aspwpadmin/...

Reducing Fever:
Reducing a fever is only necessary to help in the child’s comfort, or to get a dangerously high fever (105-107) under control. Otherwise it is not necessary to treat a fever. If your child seems comfortable, it is best just to let it run its course. The most recommended medicine for treating fever is Children’s Motrin or Children’s Tylenol. You can also lay a wet cloth over your child’s forehead or give them a sponge bath using water at room temperature. Do not use hot or cold water

Sarah - posted on 05/07/2012

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I would take him in with a temp that high. To control at home though, alternate Tylenol with ibuprofen. Give him Tylenol, than 3 hours later ibuprofen, then 3 hours later, Tylenol, etc. Do not wait until he's running a temp again before giving it. Also make sure he stays well hydrated, fevers can lead to dehydration.

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have you called his doctor?

And make sure it's lukewarm bath, not cold. The cold can cause shivering which will increase his body temp.

Amy - posted on 05/07/2012

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Can you call your pediatrician? Most have an answering service and will get back to you. How old is your son?

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