Pediatric Fever Topic Brief-Pediatric Fever Topic Brief

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This document is an ENA Topic Brief on pediatric fever. It provides an overview of the topic and discusses the importance of parental and caregiver education. "Fever phobia" is a common reason for seeking medical attention for children, and the document aims to address misconceptions and fears surrounding fever and its treatment.<br /><br />The normal body temperature range in pediatrics is between 36.2°C and 38.0°C. The focused history and assessment for a child with fever aim to identify seriously ill children or those at risk for serious illness. Fever as a symptom does not necessarily require treatment, but the goals of care are to discover the cause of fever, treat underlying illness, and increase comfort.<br /><br />The document discusses various methods of temperature measurement in pediatric patients, including rectal, oral, temporal artery, axillary, and tympanic measurements. It emphasizes the importance of using the most accurate and least invasive route for measurement.<br /><br />When it comes to antipyretic treatment, the goal should be to promote the child's comfort and well-being rather than normalizing temperature. The document provides information on the dosage and frequency of administering acetaminophen and ibuprofen.<br /><br />Febrile seizures are a common occurrence in early childhood and are the most common convulsive event in children under 60 months of age. The document defines febrile seizures and discusses their etiology, assessment, and treatment. It also addresses complications and recommends appropriate discharge teaching for caregivers.<br /><br />The document concludes by highlighting the importance of understanding pediatric fever to manage febrile children and educate parents or caregivers.

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Keywords

pediatric fever

parental education

fever phobia

temperature measurement

antipyretic treatment

acetaminophen

ibuprofen

febrile seizures

convulsive event

caregiver education