27 - Fever

Question 1

common definition of fever?

Answer 1

consistent temp > 38 degrees C (rectal or rectal equivalent)

Question 2

In Kids, < 5 yo, ____ temp is the gold standard

Answer 2

rectal

Question 3

For tympanic (ear) measurement, kids have to be over what age?

Answer 3

2 yo

Question 4

____ temp can be measured in kids of all ages

Answer 4

axillary (armpit)

Question 5

Why are pharmacologic methods preferred?

Answer 5

Because they decrease the hypothalamic set point

Question 6

In rare instances where core temp > 41-42 degrees C, physical methods can be used in addition to pharmacologic methods. What are they?

Answer 6

sponging, ice packs, fans

Question 7

Does antipyretic therapy prevent febrile seizures?

Answer 7

No - only treats them

Question 8

Can use _____ and ______ in every age

Answer 8

ibuprofen and acetaminophen

Question 9

Can use _____ and _____ in adults

Answer 9

naproxen and ASA

Question 10

Options for pregnancy?

Answer 10

• acetaminophen is first line

- avoid ASA and NSAIDs in the 1st and 3rd trimester

Question 11

Options for breastfeeding?

Answer 11

-acetaminophen and ibuprofen are safe

Question 12

When do you refer?

Answer 12

< 6 months old
rash with fever
stiff neck
> 40.5 degrees C
recent travel