Test 3 Fever Flashcards
convert F to C
(F – 32) * (5/9) = C
convert C to F
(C * 9/5) + 32 = F
What is the most
accurate way to measure body temperature in a neonate?
rectal
how to use tympanic thermometer in a child
- < 1 year: pull backwards
- >1 year: pull up and backwards
age range for oral thermometer
> = 4 years
temp variance for axillary thermometer
1 ◦F below oral
age range for axillary thermometer
> = 3 mo of age
temp variance for rectal thermometer
1 ◦F above oral
age range for rectal thermometer
Neonates, infants
temp variance for tympanic thermometer
variable
age range for tympanic thermometer
> = 6 mo of age
temp variance for temporal thermometer
1 ◦F above oral
age range for temporal thermometer
all ages
temp variance for temporal strips thermometer
variable
age range for temporal strips thermometer
> = 3 mo of age
exclusions for self care
- Children < 6 years of age: immune system not as developed; increased ear infections; may not have all the vaccinations; more at risk for dehydration
- Temp: > 39.4 C (103 F)
- Fever > 3 days with our without treatment
- Severe symptoms of dehydration
- Symptoms of infection: redness, inflammation, pain, swelling
- Impaired immune function
What is the youngest age to use OTC APAP?
2 years
What is the youngest age to use OTC IBP?
6 months
What is the maximum daily dose for OTC use of
acetaminophen for fever in an adult?
3 grams/day
APAP < 12 years
- Recommended dose: 10-15 mg/kg/dose every 4-6 hours
- Maximum dose: 5 doses/day (75 mg/kg/day) OR 2.6 grams/day (whichever comes first)
APAP >= 12 years
- Recommended dose: 325-500 mg every 4-6 hours OR 1000 mg every 8 hours
- Maximum dose: 3 grams/day (OTC), 4 grams/day (Non-OTC use)
liquid formulation of APAP for younger patients
- Infants suspension: 160 mg/5 mL (60 mL)
- Children’s suspension: 160 mg/5 mL (120 mL)
What is the
maximum daily dose for OTC use of ibuprofen for fever in an adult?
1.2 grams/day
IBP < 12 years
- Recommended dose: 5-10 mg/kg/dose (max 400 mg/dose) every 6-8 hours
- Maximum dose/day: 40 mg/kg/day up to 1.2 grams/day
IBP >= 12 years
- Recommended dose: 200-400 mg every 6-8 hrs
- Maximum dose/day: 1.2 grams/day (OTC), 2.4 grams/day (Non-OTC use)
liquid formulation of IBP for younger patients
- Infants suspension: 40 mg/mL (15, 30 mL)
- Children’s suspension: 100 mg/5 mL (60, 120, 240 mL)