- GPs thinking on/treatment of fevers has changed in recent times
- Fever is not to be feared, is bodies natural way of fighting a virus or infection
- Really only need to be concerned if a fever is over 40 deg
- GP will take into account whole presentatin of the child not just "the number"of the temp. So a child who is generally well in themselves, sitting up, making contact with the parents/GP is generally less of a concern that one who is still and crying or listless etc
- Good idea to strip your child off so GP can do thorough check for rashes etc
- Many rashes are caused by viruses
- Difference in a rash that fades then returns when run finger across skin (less of a concern) than one that stays red even when a finger run across it (more of a concern). This type of "stays red" rash may possibly be a blood infection such as pneumococcal. meningococcal. V rare but could be indicative of. The rash is a late sign of these conditions. Treatment needs to be rapid. Ambulance called and antibiotics given immeditately by the GP. If ever concerned about a rash see your doctor asap as they will be able to diagnose and treat accordingly
- Most accurate way to check temp is with one of the infra red in the ear type thermometers. Most accurate as inner ear is closest to core body temp (can be quite expensive but a few MOPS Mums have got them from discount chemists and look out for them when on sale as can drop in price from around $100 down to $35-50)
- Babies can check temp under arm (but may be around half a point cooler than actual temp), older children under tongue ok if they will sit still long enough
- A fever that sticks around longer than 72 hours (3 days) should be looked at
- If in doubt do go to your GP
- If cooling a baby or child ALWAYS use TEPID water (not cold as will make them shiver which will in turn actually raise temp) and ALWAYS STAY AND MONITOR A CHILD IN THE BATH (babies/children should always be monitored anyway but an extra risk of febrile convulsions leading to drowning). Perhaps give a tepid sponge bath instead
- Febrile convulsions quite uncommon. Thought to be caused by the rapidity of the rise in temperature not just how high the temp is
- No real difference between Nurofen and Panadol in terms of reducing fever or for pain management. Equally as effective. Nurofen may taste better and therefore be more palatable for children. Nurofen cant be used until 6mths of age but Panadol from 1 mth
- Chemist brands and other brand names identical and may be cheaper
- Do not alternate doses of Nurofen and Panadol as can lead to overdose
- Follow directions for dosage amounts and frequencies and on the packet. Remember age and weight effect dosage also
- Cough mixtures (cough suppressants) for children no longer reccommended. Ineffective and can perhaps do more harm than good. Decongestants/decongestants with antihistimine still ok. Speak to your GP/Pharmacist
- Avoid Phenergan (and similar sedatives) for children under 2-3. Only use occasionally when needed for older children. Definitely not to be used for babies/infants as maybe linked to an increased risk of SIDS
- Remember antibiotics ineffective for viral infections
- Contagion - if your child has caught it then it is contagious. Most things are most contagious in first few days. If in doubt stay away from others to minimise spreading the germs and practice good personal hygiene - regular hand washing, use tissues and dispose of immediately etc.
Don't be complacent about child proof caps etc. Her 2 year old climbed up on the kitchen bench and opened the "child-proof" lid and passed it to her brother who then ingested the large amount ending in a visit to emergency and stay in hospital (no long term results thankfully).
Same goes for household products including bleach, dishwasher powder etc which can cause terrible burns to throat/lungs etc when ingested . Please keep locked up or out of reach of children.
A handy number to have near the phone is the POISONS Info Line.
Poisons Information is available 24 hours a day, 7 days a week, on 13 1126.
I have made use of this number when in a sleep deprived state I misread a label and gave Gus many times the dosage (bleary eyed and brain in neutral read the dosage on the label as something like as 1.0ml instead of 0.1ml).....they were exceptionally helpful and reassuring as I rang them at 3 in the morning in a panic with my heart in my mouth wondering what the effects would be of this overdose.
Poor Gus! Again he was fine but it was a reminder to be extra careful around our kids and medication.
If anyone has any other points they can recall from Dr Rogers talk please email them to me at hillme@virginbroadband.com.au or add them in the comments section of this post
Thanks and see you at Pioneer Park Landsborough for our next MOPS in 2 weeks time (August 1, from 9.30). Event cancelled if it rains.
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