thread: TEMP OF 38.9 What should I do?

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  1. #1
    Registered User

    Jan 2008
    Central Coast NSW
    2,160

    I experienced this recently with my DS and we went to the emergency room when his temp got over 39 (I measured 39.2 and it was 39.8 when taken at the hossy) It turned out he had a UTI and we were admitted for IV antibiotics for 36hrs till they identified the bug and could have orals. He had no other symptoms but the fever but I'm gald I took him in. As the fever is increasing I would go to the doc or the ED.

  2. #2
    Registered User

    Apr 2008
    4,427

    Okay just got her down again. She had a 10minute bath in tepid water.

    Dressed her in just a nappy and gave her another breastfeed and had a cool face washer on her chest while she was feeding.

    Have put her back to bed with the fan on in her room and she went down straight away.

    She is having normal wet nappies and is not crying or screaming. I managed to get about 1mL of panadol in. I dont have any nurofen. When should I take her temp again? If she is sleeping should I just leave her??

    Thanks for all of your advice. I amr eally hoping it is just teeth coming through. If it is then I ahve to say she is coping remarkably well. Just her mummy that is struggling

  3. #3
    Registered User

    Sep 2008
    In a cloud of madness.
    4,053

    Hun you are doing so well. Your doing everything you should be doing.
    Keep checking her regularly. Is she irritated or just sleepy??
    Definatly second the trip to the dr in the morning if her temp is still up. Wet nappies indicates shes not dehydrated which is a good thing.

    Keep up the good work hun. xx

  4. #4
    Registered User

    Apr 2008
    4,427

    Thanks for your kind words and your advice Sunshine

    She doesnt appear irritated, just sleepy. She had heaps of water today. I'd say 2 full cups with her straw and lots of breastfeeds.

  5. #5
    Registered User

    Sep 2008
    Perth
    486

    Keep checking her temp during the night as it seems to always go up at night. Def use suppositories as they are a sure way of getting the meds into her. If the panadol does not bring the fever down then def try the Nurofen. I normally have to give them both to DD2 if her fever won't come down. I've always been told to take a baby to the dr if a fever is over 38.5 for more than 2 days and definately if over 39. Remember that she could have a febile convulsion if the fever goes too high although this is scary it does not do any harm. Good luck. I know how stressfull it can be if your child is sick.

  6. #6
    Registered User

    Mar 2006
    7,046

    Just to clarify for you - neurofen isn't designed to reduce fever. It is analgesia (pain relief). The reason neurofen reduces a fever is due to any discomfort the person may be in (a natural response to pain is for body temp to increase).

    If you going to administer neurofen please make sure they have food in their tummy first if possible (whether it be a BF, FF, or solids).

    If you are going to give BOTH panadol and neurofen, the current recommendation from Melb's RCH (and I'll explain why) is to administer BOTH at the SAME TIME and then to repeat at the longest interval (neurofen is 6hrly, panadol is 4-6hrly, so give at 6hrly). They say to do this because they are two very different medications which target different receptors in the brain. If you stagger the administration, it confuses the brain and actually cuts off the first medications receptors. For example, if I gave panadol now and in two hours neurofen, the neurofen would stop the panadol signals from getting to the brain . This means you're cutting short the effect of the panadol. Did that make sense? If not, I'm happy to reword...

    In relation to when should you take a temp again - it can take up to 30 min for oral medication to take effect - so I'd wait at least half an hour.

    You are doing a GREAT job hon. How is she this morning?

  7. #7
    Registered User

    Apr 2008
    4,427

    Thanks for that info MG. Very handy to know.

    Well she only just woke up 10 minutes ago (so she had a massive 14.5hour sleep last night) and her temp is back down to 36.7. Phewww! She was sitting up playing in her cot with her toys when i heard ger tthis morning. so cute!!!

    Thank you to everyone for your support and advice. I would ahve been lost without your help. DP says thank you as well as you girls all kept me calm and helped me to help DD.

  8. #8
    Registered User

    Nov 2009
    Scottish expat living in Geelong
    5,572

    If you are going to give BOTH panadol and neurofen, the current recommendation from Melb's RCH (and I'll explain why) is to administer BOTH at the SAME TIME and then to repeat at the longest interval (neurofen is 6hrly, panadol is 4-6hrly, so give at 6hrly). They say to do this because they are two very different medications which target different receptors in the brain. If you stagger the administration, it confuses the brain and actually cuts off the first medications receptors. For example, if I gave panadol now and in two hours neurofen, the neurofen would stop the panadol signals from getting to the brain . This means you're cutting short the effect of the panadol. Did that make sense? If not, I'm happy to reword...
    That's very interesting, as the guidelines from the NHS are to stagger intake of drugs as both will have an effect on her fever. Hmm, I think I need to do some research into this. As I said this happens to boytwin a lot and if there is a better way to control the fever I would like to be doing it!

    Thanks for the info.