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Feverish Child - Coggle Diagram
Feverish Child
Defined as
• Temperature is 38°C or higher.
• Measured and reported parental perception of fever should be accepted as a valid indicator of fever.
Management Advice
On the use of antipyretic drug treatment such as paracetamol or ibuprofen if the child is uncomfortable or distressed.
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Antipyretic Advice
o Using either paracetamol or ibuprofen initially, depending on any co-morbidities, drug cautions or contraindications, and parental preference.
o Considering switching to ibuprofen if paracetamol alone is ineffective, and vice versa, but not giving both agents simultaneously.
o Considering alternating these agents if paracetamol monotherapy and ibuprofen monotherapy are ineffective, if the child remains distressed or symptoms recur before the next dose is due.
o Recommending the use of a treatment diary to record the drug and the time it was given if an alternating regime is used.
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Self Care
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o Dressing the child appropriately for the surrounding environment by not underdressing or over-wrapping.
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o Checking the child regularly, including during the night.
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