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Problems about running nose and fever - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1699 Questions
User :   My 3 year old boy has a fever of 104.6..I have already given him 1 tsp acetaminophen. Do I take him to the emergency room or do I wait to see if the fever goes down with the medicine?
Doctor :   Hi
User :   Hello
Doctor :   I am reading ur query
Doctor :   How long he has fever?
User :   for about 2 hours now
Doctor :   Does he has cough, ruunny nose,?
Doctor :   Was he, playful 3-4 hours before?
User :   yes, both...the cough is not consistant but he does have both
Doctor :   how long?
User :   yes, he had been playing all day
Doctor :   OK
Doctor :   How long he has cough, runny nose?
User :   for about a day or 2
Doctor :   Ok
User :   but he just started with the fever
Doctor :   OK
Doctor :  
What is he doing now?
User :   i'm just concerened because it is so high
User :   he is awake and watching videos
Doctor :   Ok
Doctor :   Where do you live
User :   in texas
User :   mcallen to be exact
Doctor :   Ok
User :   it is almost 3 in the morning
Doctor :   You said uu gave one teas spoon Tylenol
User :   yes
Doctor :   How many mg are there in one tea spoon
Doctor :   what is his weight ?
User :   he weighs 47 pounds
Doctor :   he needss minimum 200 mg Tylenol
Doctor :   Give first dose 400mg
Doctor :   then 200 mg every 6 hrly
User :   mg or ml?
Doctor :   mg
User :   the dose on back of bottle only has it in ml or teaspoon doses
Doctor :   I think 5ml has 15 mg
Doctor :   Ok
Doctor :   one tea spoon is 5 ml
User :   yes
Doctor :   usually 5 ml has 150 mg
Doctor :   Give me 2 teas spoons for the first doe
Doctor :   Then give 1-1/2 teas spoon every 6hrly
Doctor :  
In the AM . take him to clinic
Doctor :   Have the CBC, Differential count, Chest ray done
Doctor :   Here with fever, cough, runny nose there are few possibilties
Doctor :   1 it could be viral URI
Doctor :   2 It could be Pnemonia
Doctor :   The tests will differentiate
Doctor :   Do u follow me
User :   ok, i will do that
User :   i understand
Doctor :   Youo don;t need to rush to ER now
User :   thank goodness
Doctor :   If the fever does not subside with Tylenol, give Ibuprofen simultaneously
User :   ok..same dosage in ibuprofen?
Doctor :   wait plz
Doctor :   he needs 100mg per dose
Doctor :   Liquid is 100 mg/5 ml (tsp)
User :   is that for both acetaminophen and ibuprofen
Doctor :   This is for Ibuprofen
User :   ok, just making sure
Doctor :   Ok
Doctor :   Inadequate dose of tylenol does not relieve fever
User :   ok, so since i've already give him 1 tsp about an hour ago..i can go ahead and give him the other teaspoon right now
Doctor :   Yes
Doctor :   Check tem after 4-6 hrs
Doctor :   If it is still has give him 2 more tsp , OK
User :   ok
Doctor :   Also do Tepid sponging
Doctor :   Take out all his cloths
User :   yes, i've been doing that as well...he only has his pull-up underpants on
Doctor :   In summary, to night tylenol 2 tsp every 4-6 hrs
User :   i've also been giving him water and juices to drink
Doctor :   in Am , physical examination of ears, throat by MD
Doctor :   He may give directly antibitics or do CBC and CXR
Doctor :   It depends on Pediatrician
Doctor :   I prefer both
User :   i see..i will do all that you have told me
Doctor :   OK
Doctor :   Did I answer all ur questions? Are you feel relaxed now?
User :   Yes, you have answered my questions and have given me peace of mind
User :   Thank you so very much!!
Doctor :   Very good
Doctor :   Take care
Doctor :   Thank you for consulting
User :   Thank you ..God Bless...Good night
Doctor :   thank you. I pray quick recovery of ur kid
User :   Thank you!
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