Pediatric medication
Hello: I am a caregiver who frequently interacts with young children.
Since fevers occasionally occur in children, I would like to know what medications are commonly used for treating fever in young children.
What precautions should be taken when using these medications? Thank you!
A Zhu, 40~49 year old female. Ask Date: 2004/03/27
Dr. Wu Huiling reply Pharmacology
Hello! First of all, I apologize for the delayed response.
Among the antipyretics for children, acetaminophen (such as Tylenol) only has a fever-reducing effect and does not have anti-inflammatory properties.
Long-term excessive use can lead to liver and kidney side effects.
Aspirin is associated with Reye's syndrome in children and is not recommended as a pediatric antipyretic.
Other non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen have common side effects including gastrointestinal discomfort, gastrointestinal bleeding, and inhibition of platelet aggregation.
Among these, ibuprofen and diclofenac have the lowest risk of gastrointestinal bleeding, while indomethacin, naproxen, and piroxicam have a moderate risk, and ketoprofen has the highest risk.
Additionally, there are many causes of fever, such as overdressing, abnormal sweating, heat exhaustion, colds, acute otitis media, pneumonia, urinary tract infections, and fever of unknown origin due to malignancies, so it is advised to seek medical attention for persistent high fever.
The general guidelines for administering medication to infants are: 1.
Use a calibrated dropper or oral syringe.
2.
Hold the infant on your lap, supporting their head.
3.
Administer a small amount of medication at a time to avoid choking.
4.
Place the medication at the back or side of the mouth.
5.
Avoid giving medication during feeding to prevent vomiting.
I hope the above information addresses your concerns.
Thank you for your email.
Reply Date: 2004/03/27
More Info
When it comes to treating fever in young children, it is crucial to have a clear understanding of the medications available, their uses, and the precautions that should be taken. Fever in children is a common symptom and can be caused by various infections or illnesses. While fever itself is not an illness, it is a sign that the body is fighting off an infection. Here’s a comprehensive guide to essential medications for treating fever in young children, along with important considerations.
Common Medications for Treating Fever
1. Acetaminophen (Tylenol):
- Use: Acetaminophen is widely used to reduce fever and relieve mild to moderate pain. It is generally considered safe for infants and children when dosed correctly.
- Dosage: The dosage is typically based on the child's weight. It is crucial to follow the dosing instructions on the label or those provided by a healthcare professional.
- Precautions: Do not exceed the recommended dose, as high doses can lead to liver damage. Avoid using multiple medications containing acetaminophen simultaneously.
2. Ibuprofen (Advil, Motrin):
- Use: Ibuprofen is another effective antipyretic (fever reducer) and analgesic (pain reliever). It can be given to children over six months of age.
- Dosage: Similar to acetaminophen, the dosage is based on weight. It is important to use the measuring device provided with the medication for accuracy.
- Precautions: Ibuprofen should be taken with food to minimize stomach upset. It should not be given to children who are dehydrated or have certain medical conditions, such as kidney problems.
3. Rectal Suppositories:
- Use: For children who cannot take oral medications (due to vomiting or refusal), rectal suppositories containing acetaminophen or ibuprofen can be used.
- Dosage: Follow the instructions on the package or those given by a healthcare provider.
- Precautions: Ensure that the suppository is inserted correctly and that the child remains lying down for a few minutes to allow absorption.
General Guidelines for Managing Fever in Children
- Monitor Temperature: Use a reliable thermometer to monitor the child’s temperature regularly. A fever is generally defined as a temperature of 100.4°F (38°C) or higher.
- Hydration: Encourage the child to drink plenty of fluids to prevent dehydration, especially if they are sweating or have diarrhea. Water, clear broths, and electrolyte solutions are good options.
- Comfort Measures: Dress the child in lightweight clothing and keep the room at a comfortable temperature. A lukewarm sponge bath can help lower fever but should not be too cold, as it may cause shivering and raise the body temperature.
- When to Seek Medical Attention: It is essential to know when to consult a healthcare professional. Seek medical help if:
- The child is under three months old with a fever.
- The fever lasts more than three days.
- The child exhibits severe symptoms such as difficulty breathing, persistent vomiting, rash, or lethargy.
- The child has a history of febrile seizures.
Conclusion
As a caregiver, understanding the appropriate medications and their uses is vital for managing fever in young children effectively. Always consult with a healthcare provider if you are unsure about the appropriate treatment or if the child’s condition worsens. Remember that while fever can be concerning, it is often a natural response to infection and can be managed with proper care and medication.
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