Fever is a sign of another problem. Your child may have an infection. Exercise, hot weather, and shots like DTaP and MMR can also make your child’s temperature go up.
How do you know when your child has a fever?
Your child’s chest or forehead may feel hot
Your child may sweat or feel sick
Your child’s temperature is:
Higher than 100°F by mouth
Higher than 100.4°F by rectum, ear or forehead
Higher than 99.1°F under the armpit
A thermometer measures temperature. There are many kinds of thermometers:
Pacifier thermometers. These are for children 3 months old to 2 years old.
Digital thermometers run on batteries. They are good and work in less than 30 seconds. (Make sure the batteries are good.)
Temperature strips go on the forehead. They are easy to use, but do not give a good temperature reading.
Ear thermometers work in 2 seconds or less. They are as good as oral thermometers, but they cost more. They are appropriate for those aged 6 months and older.
You may not need to treat your child’s fever if it isn’t high and he or she feels OK But you should treat your child’s fever if it is high and your child feels bad or the fever makes it hard for your child to drink, eat, sleep, or do normal things.
Acts confused.
Dry diaper for more than 3 hours in a baby.
No urine for 6 or more hours in a child.
Sunken eyes.
Crying with no tears.
Dry mouth and dry skin.
Ear pain that lasts or tugging at the ear.
Pain, redness, or swelling anywhere on the body.
Sore throat. Green or yellow mucus that drains from the nose, ears, or throat.
Pain or burning when passing urine. Passing urine often.
Asthma.
Kidney disease.
Cancer.
Diabetes.
A history of seizures when they have a fever.
Self-Care
Make sure your child drinks a lot of cool fluids, such as water and diluted fruit juice.
Dress your child in light clothing.
Have your child rest.
For a high fever, sponge your child with lukewarm water. Don’t use rubbing alcohol. Don’t let your child shower. Showering can make the fever go up.
Give your child acetaminophen or ibuprofen. Make sure you give the right kind and dose for their weight. (Note: Do not give aspirin. Aspirin and other medicines that have salicylates have been linked to Reye’s Syndrome.)
A fever can occur with other health problems. These may include:
Chickenpox
Coughs
Croup
Cuts, Scrapes & Punctures
Diarrhea
Earaches
Flu
Headaches
Seizures
Sore Throats
Swollen Glands
Wheezing
Triage Questions
Question 1
With a fever, does the child have any of these signs?