fever Flashcards
when is fever serious?
- when child looks toxic:
drowsy, lithargic, pale, drinking and peeing lexx, sunken fontennels. and infants under 1 yo
how do temps change daily
AM: low temp afternoon: high evening: low middle of night: high varies by 1.6 degrees
what temp should be serious sign of newborn
100.4 rectal , birth to 1 month.
mottled skin, lethargy,, hospital
1-3 month temp concern
100.4 rectal: 38 C, refer just to be save.
reevaluate every 24 hrs if sent home
3 mos to 3 years
102.2 rectal: below this is ok if kid is not toxic
over 3 years
may have higher fever, make sure they arn’t toxic
what to ask about fever
how and where temp taken pattern of fever, associated sy. exposure, travel, immunizaitons general affect
PE:
temp, observation
respiration rate,
skin color
posture
how does respiration change with fever
Respiration increases with fever:
1 C = + 3.7 RPM
1.8 F = 3.7 RMP
Fever of unknown origin FUO
unknown causes
>10 days
why is FUO concerning
likly to be associated with serious illness
- viral, bacterial : think UTI
cat scratch fever, malaria, trich, food born, brain lesion,
rocky mountaion spotted fever
most common reason for FUO
UTI
PE for FUO
inspect all organs and parts, listen for murmurs, sinusitis, conjunctivitis
febrile seizures
tonic clonic appearing seizure assocated wit hfever that occures in 3-5% of children
most common between 2-3 yo boys., not over 103 temp
history for fevrile eeizur
preceding events,
LOC or disorientaiton
behavior since seizure
