Fever

Question 1

what is the most reliable measurement of temperature?

Answer 1

rectal

Question 2

what is the recommended method for measuring temperature from birth to 2 years?

Answer 2

1st choice: rectum
2nd choice: armpit

Question 3

what is the recommended method for measuring temperature between 2-5 years?

Answer 3

1st choice: rectum
2nd choice: ear, armpit

Question 4

what is the recommended method for measuring temperature over 5 years?

Answer 4

1st choice: oral
2nd choice: ear, armpit

Question 5

if someones temperature measured rectally is 37.5, what will armpit and mouth readings measure?

Answer 5

armpit: 36.5 - 1 degree lower
mouth: 37 - 0.5 degree lower

Question 6

how do you use an ear thermometer?

Answer 6

> 1 year: pull ear UP and back
<1 year: pull ear DOWN and back

Question 7

what is the general rule of thumb of when to treat a fever?

Answer 7

if over 39 degrees

Question 8

when should you refer to Dr in fever?

Answer 8

<3 mo. = always
1y = 39 degrees for 1 day
2y = 39 degrees for 2 days
3y = 39 degrees for 3 days

Question 9

what is more important than the actual temperature to monitor in children?

Answer 9

change in behaviour

Question 10

what is the dosing of acetaminophen in children?

Answer 10

10-15 mg/kg/d q4-6h
max 75mg/kg/d

Question 11

what is the dosing of ibuprofen in children?

Answer 11

> 6 mo:
5-10mg/kg q6-8h
max 40mg

<60: 5mg/kg q8h

Question 12

when might a fever present after vaccination and how long might it last for?

Answer 12

begins within 24 hours and lasts 1-2 days

Question 13

T of F
febrile seizures are very dangerous

Answer 13

false
although scare, they are harmless

Question 14

T or F
if a child has had a febrile seizure in the past, they are likely to have another

Answer 14

False
most kids will never have another one

Question 15

T or F
Fever should always be treated in order to prevent febrile seizures

Answer 15

false
antipyretics do not prevent