Fever in Children

Question 1

What are 9 symptoms of fever in children?

Answer 1

1. Temperature reads over 38˚C (normal body temp range: 35-37˚C)
2. Refusing to drink/refusing feeds
3. Unwell and hot to touch
4. In pain/uncomfortable
5. Irritable or crying
6. More sleepy than usual
7. Vomiting
8. Shivering
9. Facial flushing

Question 2

Does fever in children require a counselling room?

Answer 2

No

Question 3

What are 12 red flags for referral with fever in children?

Answer 3

1. Febrile convulsions
2. If child is under 3 months old
3. Fever without any other symptoms
4. Persistent fever with no improvement in 48 hours (or fevers for 3-5 days or longer)
5. Joint swelling
6. Non-blanching rash
7. Child is not rousable or does not stay awake (drowsy and unresponsive)
8. Signs of dehydration
9. Stiff neck, persistent headache, sensitive to light
10. Temp is ≥39˚C in children aged 3-6 months and non-responsive to paracetamol/ibuprofen
11. Persistent vomiting or diarrhea
12. Respiratory rate decreases (problem breathing)

Question 4

Does fever in children have a PSA self-care card?

Answer 4

Yes (Children’s Pain and Fever)

Question 5

What is the preferred treatment option for fever in children?

Answer 5

Paracetamol

Question 6

What are the directions for paracetamol in fever in children?

Answer 6

15mg/kg (to a maximum of 1g) every 4 to 6 hours when required. Maximum of FOUR doses (up to 4g) in 24 hours.

Question 7

What is 1 non-preferred option for fever in children and why?

Answer 7

1. Ibuprofen (greater risk of side effects)

Question 8

What is the age range for paracetamol?

Answer 8

Safe in children over 1 month

Question 9

What are 3 pieces of non-pharmacological advice for fever in children?

Answer 9

1. Stay hydrated (water, formula or breastfeeding)
2. Supplement with oral rehydration solutions (aid with hydration)
3. Dress children in light clothing (avoid overdressing child)