is your child ill?

  • Fever

    • Please call the office immediately if your infant is under 2 months and has a fever of greater than 100.4 F, rectally.
    • Please do not give any medication to infants less than 2 months old.
    • A fever is defined as a temperature >100.4.
    • Temperature should be measured rectally in infants under 6 months of age. Underarm (axillary) or ear (otic) thermometers should be reserved for children over the age of 6 months. An oral thermometer is not appropriate until your child can hold it under his or her tongue for several minutes without biting (usually around age 5).
    • Please remember that you are treating your child, not a number on the thermometer. Your goal in treating a fever is to make your child comfortable, not to make the number lower.
    • Medicines
      • Please do not give these over the counter medications if your child has a history of liver or kidney failure.
      • Make sure you do not mix medicines containing the same components (Tylenol & Feverall® for example).
      • All doses are determined by weight, not age.
      • Please remember these are guidelines, follow the manufacturer's label on all products.
      • Always check the label for the type of medicine you are giving as well as to check the dosage.
         
      • Acetaminophen Dosing Tables

        • Oral: Dosing frequency is every 4-6 hours.

          Weight:

          Milligram Dosage

          Infant or Children's Liquid
          160 mg/5 ml

          Children's Tabs
          80 mg each

          Junior Strength Caps or chews 160 mg each

          Adult Strength Tablets
          325 mg each

          7-13 lbs

          40 mg

          1.25 ml

          N/A

          N/A

          N/A

          14-20 lbs

          80 mg

          2.5 ml

          N/A

          N/A

          N/A

          21-27 lbs

          120 mg

          3.75 ml

          1 1/2 tablets

          N/A

          N/A

          28-41 lbs

          160 mg

          5 ml

          2 tablets

          1 tablet

          N/A

          42-55 lbs

          240 mg

          7.5 ml

          3 tablets

          1 1/2 tablets

          N/A

          56-83 lbs

          325 mg

          N/A

          4 tablets

          2 tablets

          1 tablet

          84-111 lbs

          480 mg

          N/A

          6 tablets

          3 tablets

          1 1/2 tablets

          >112 lbs

          650 mg

          N/A

          8 tablets

          4 tablets

          2 tablets

          >112 lbs

          Or Give

          Adult

          Dosage

          Of

          Adult Tablets

           
        • Suppository: Dosing frequency is 6 hours.
          When using suppositories, petroleum jelly can be used to assist in the insertion of the suppository. Insertion of the suppositories is similar to using a rectal thermometer. When treating fever or pain, the chart below can be a guideline:

          Weight:

          Milligram Dosage

          Children's Suppository
          80 mg each

          Children's Suppository
          120 mg each

          Junior Strength Suppository
          325 mg each

          12-17 lbs

          80 mg

          1 suppository

          N/A

          N/A

          18-25 lbs

          120 mg

          1 1/2 suppository

          1 suppository

          N/A

          26-35 lbs

          180 mg

          N/A

          1 1/2 suppositories

          N/A

          36-47 lbs

          240 mg

          N/A

          2 suppositories

          N/A

          48-74 lbs

          325 mg

          N/A

          N/A

          1 suppository

          75-95 lbs

          500 mg

          N/A

          N/A

          1 1/2 suppositories

          >95 lbs

          650 mg

          N/A

          N/A

          2 suppositories

      • Ibuprofen (Advil® / Motrin®)
        Note: Ibuprofen cannot be given to infants less than 6 mos. old.

        • Please wait until your infant is at least 6 months old before using ibuprofen. Doses can be given every 6 hours. When treating fever or pain, the chart below can be a guideline:

          Weight Milligram Dosage Drops 50mg/ 1.25 ml Children's liquid
          100 mg/5 ml
          Chewable Tabs 50mg ea. Junior strength Caps or chews 100mg ea.

          12-17 lbs

          50 mg

          1.25 ml

          2.5 ml

          N/A

          N/A

          18-23 lbs

          75 mg

          1.875 ml

          3.75 ml

          N/A

          N/A

          24-35 lbs

          100 mg

          1.25+1.25 (2.5 ml)

          5 ml

          2 tablets

          1 tablet

          36-47 lbs

          150 mg

          N/A

          7.5 ml

          3 tablets

          1 1/2 tablets

          48-59 lbs

          200 mg

          N/A

          10 ml

          4 tablets

          2 tablets

          60-71 lbs

          250 mg

          N/A

          12.5 ml

          5 tablets

          2 1/2 tablets

          72-95 lbs

          300 mg

          N/A

          15 ml

          6 tablets

          3 tablets

          >95 lbs

          400 mg

          N/A

          20 ml

          8 tablets

          4 tablets

          >95 lbs

          Or Give

          Adult

          Dosage

          Of

          Adult Tablets