Fever

Question 1

How will you define fever ?

Answer 1

Rectal temperature > 100.4 F (38 degrees C)

Question 2

How will you diagnose fever by axillary temperature?

Answer 2

Axillary temperature> 99.5 F (37.5 degree C)

Question 3

When will you hospitalize a child for fever if no infective locus is found?

Answer 3

Child < 1m
Child 1m -3 yrs with WBC < 5000 or > 15,000
Serious looking children
Treat with empiric antibiotics

Question 4

Should you wrap a febrile child in wet cloth?

Answer 4

No, this can increase the risk of hypothermia, just undress the patient

Question 5

How long should you treat a patient with antipyretics?

Answer 5

Not more than 3 days

Question 6

Dose of paracetomol to treat fever

Answer 6

<1m- 10mg/kg/dose - 3 to 4 times daily as needed
>1m -15mg/kg/dose- 3-4 times daily as needed ( max 60 mg/kg/day)
Adults- 1g/dose- 3-4 times daily ( max 4g)

Question 7

Dose of ibuprofen to treat fever

Answer 7

Children > 3m and < 40 kg- 10mg/kg/dose- 3 times daily ( max 1200 mg/day)
Children > 40 kgs and adults- 400 mg/ dose- 3 times daily

Question 8

What antipyretic is to be given in pregnant and lactating women?

Answer 8

Paracetomol ONLY

Question 9

Which drugs are contraindicated in hemorrhagic fever and dengue?

Answer 9

Ibuprofen and acetylsalicylic acid