Fever in children (short)
History from:
Fever?
- Onset?
- Measured (how)?
- Highest temperature and when?
- Going down with paracetamol or ibuprofen within 15-30 minutes?
Associated symptoms?
- Sneezing?
- Cough?
- Vomiting?
- Diarrhoea?
-- Blood in the stools (how much)?
- Poor feeding (< 50% of usual amount) and infant?
- Reduced fluid intake (50-75% of usual intake over last 3-4 feeds)?
- Marked reduced fluid intake (< 50% of usual intake over last 2-3 feeds)?
- No urine output or wet nappy in the last 8 hours or more?
Covid-19 test done?
Past medical history/DH/drug allergies: see Medical Record
Current temperature?
Video consultation:
Alert?
Active?
Dys- or tachypnoea?
Neck or chest indrawing or abdominal recession?
Rash?
Safety net advice given:
Advised to google + read online info of: - Healthier Together
- NHS Health A to Z: High temperature (fever) in children
- Medicines for Children: How to give different types of medicines
Paracetamol or ibuprofen (if no vomiting), to read package leaflet, particularly regarding dosage instructions
To not underdress or over-wrap child
Regular fluids and high fluid intake if signs of dehydration
Saline nasal drops if dried snot (mucus)
To check the child regularly, including during the night (the frequency depending on the clinical situation)
To keep the child away from nursery until they are recovered and to notify nursery about the illness
To visit www.gov.uk to read about and follow the current coronavirus advice, particularly regarding self-isolation and testing
Covid-19 test if not already done
To call back or go to local paediatric A&E if new or worsening symptoms (eg laboured/rapid breathing, not drinking at least 50% of usual intake, not passing urine within 12 h, crying for a long time despite distraction, pale or mottled (blotchy) skin that feels unusually cold, confused, sleepy all the time, difficult to be woken up)
To contact own GP for follow-up if no improvement or ongoing symptoms/concerns
Last review: 13.07.24