if she can't keep fluids down I'd be considering taking her to the hospital...maybe even give them a ring and see what they suggest? she might not seem dehydrated yet but in little ones it can happen quickly, you're better off being able to get fluids into her before she does get dehydrated. hope she feels better soon, must be awful for all of you!
I'd take her in & have a bag packed prepared. DD was the same last year & ended up in hospy for 5 days.
I couldn't get panadol or ab's into her. She was still pretty moist in the mouth, but was getting worse quickly.
Take her in, even though her mouth might still be moist, the fact she is not weeing means she is dehydrated to some degree. It will probably be much harder to get a doctors appointment at this stage and I really wouldn't leave it for tomorrow.
Our 12mth old had 39 temps 2 weeks ago - no vomitting, but nothing would bring them down. Doc said kids 3 and under cant regulate their body temps as well as adults/older kids, which is why its important to get them checked out when they do have high temps. So yeah....i would go as soon as you can get a car....
Definitely take her into the hospital...if you don't have a car then ring a friend or call a taxi. It's better for her to be seen in daylight hours rather than wait until later when the ER will be filling up with after-hours problems.
I hear you hon. We've had a rough weekend with DD too - damn tonsillitis!
BUT, for your DD...
Fever + rigours + nil wee + nil intake + vomiting + lethargy = hospital ED. Don't panic, you've got time since she still has moist membranes, but I'd be getting her checked out. But I'd call whomever you need to get that car back quicker.
I'd be disinclined to strip her off because of the rigours. If she is telling you she's cold, I'd not wanting to cool her down as the shivering will spike her temp further. Instead, try to wash her face, arm pits, back of neck with a cool flannel (not cold).
Keep pushing the fluids even if she brings them back up - some of it must be getting in
Have you got panadol supps at home? They work better than oral AND don't rely on her being able to keep them down
Do you know WHY she is feeling like this? Has she got an infection? Been exposed to gastro recently? If it's infection, they might need to consider IV AB's.
Wish I was closer to help you out - even to watch DS so you can take DD to get checked out.
If you can, call a cab and get your baby girl to the ER. As everyone has already said dehydration happens very very suddenly in small children. Hopefully by now you are on your way to hosp.
Sending hugs to you both, I hope she recovers soon.
DD went three days with temps over 39, we couldn't get her to take any fluids, she wasn't vomiting, but she wasn't eating or drinking anything either, we had tried everything to get her to drink, we made the call to take her in because she would cry and there were not tears, so dehydrated and she ended up being admitted. We ended up having to resort to suppositories in hospital and when we came home as it was the only way to get her temp down, is there a way you can get hold of some first, it may help get her temp down and make her feel a bit better.
Even with the fluids just syringe a few ml in at a time, keep away from anything dairy as well.
Best she be seen soon, I hope she feels better very soon xxoo
Just thought I would pop in and send you all my love and hope that she gets better quickly. I agree with the pps I would take her to the ed and get her looked at. All the best.
Do you have a GP who's happy for you to call? If you have a good relationship with them that might be a good idea. My GP always says they are ok as long as they have some 'spark' about them. If they are so lethargic that they don't respond to you then they are headed towards or are dehydrated. I have found this to be a good guide for me, but I imagine you are better qualified to judge it than me (your are a nurse, aren't you?).
Is there anyone who could drive you to the GP or to the hospital? Can your DH knock off work yet and take it as sick/compassionate leave?
Hope she improves for you soon.
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