Suggest treatment for high fever and vomiting in a toddler
continue paracetamol and emeset...
Common cause of fever in children is a viral infection which take a few days to settle down. I will suggest you give paracetamol syrup round the clock along with ondansetron syrup. If you can let me know her current weight, I may be able to suggest the right dose.
Meftal P works goods, but for 6 - 8 hours. It should only be repeated if regular paracetamol syrup doesn't control fever. Therefore get back to me with her weight and we can discuss further.
Treat with paracetamol and emeset syrup.
I will start her on Syp crocin DS 3.5 ml. This dose can be repeated every 4-6 hours based on needs. In between 2 crocin DS dose you can give her metfal P if and only when fever record is beyond 102 deg F. I am generally a little strict with this message because meftal P isn't a very safe alternative. It can induce gastritis and vomiting. Therefore it is better to keep meftal P under moderation.
Besides crocin DS, I will also start her on syp emeset (ondansetron) in the dose of 5ml. She can take it twice a day as long as she has nausea/vomiting. In most circumstance a day or two use of emeset should stop vomiting.
Encourage her to drink plenty of fluids and fresh fruits. Warm water (with salt) gargling can reduce throat irritation.
She will need antibiotic preparation if fever persists beyond 3 days or if the throat doesn't get better soon. So please watch her symptoms closely. You need to see the doctor when she start to complain about the throat or if you she has difficulty to swallow.
You can keep me posted about the problem over the next couple of days.
Hope this helped. Let me know if you need clarifications.
Please be watchful as sometimes viral infection can become superadded with bacterial infection. Prolonged fever beyond 2-3 days and worsening throat pain are two complaints you need to look for.
Anyway keep me updated.
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