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Original poster

URGENT - high temp and just thrown up medised...........

57 replies

VeniVidiVickiQV · 23/02/2006 13:52

Have rung docs. They dont deal with emergencies until after 2pm.

anyone got the number from nhs direct. dont know whats wrong with ds. 103 temp and lethargic and crying. Thats all i got. stripped him down to nappy what else till dp gets home?

OP posts:
Original poster
VeniVidiVickiQV · 23/02/2006 22:44

Yeah fine, thank you for asking CM . DS seems to be a bit better - at the moment.

Am expecting a busy night though. He doesnt sleep well at the best of times.

OP posts:
alliebaba · 23/02/2006 22:45

chaps is a nursey, she knows

chapsmum · 23/02/2006 22:55

no alli ve knows! niw get back yo my puppys privates comment!!!

Vicki, I hope its not too bad for you. If you are having dsifficulty with his tepm, cold compress of half a cool and sooth sheet on each wristr. If he's being sick, rub some neurofen or calpol on his gums before he swallos it. Will be thinking of you, hope to here good stories from you in the morning.

brimfull · 23/02/2006 23:20

there is recent research that suggests that
high temp + rapid pulse suggests healthy response to self limiting diease

low grade temp (37-38c) with rapid pulse suggests something more sinister may be going on .

The reason is because bacteria and viruses survive better in cooler body temp ,hence if patient doesn't have a high fever but has a rapid pulse and is obviously unwell then serious illness such as menningitis should be investigated.

I know it is still the protocol to alleviate a high fever ,just passing on the latest research.

Also febrile convulsions are usually the result of a sudden rise in temp ,and are not usually prevented by antipyretics .

Please don't think that I was suggesting vendividi
shouldn't be concerned,obviously I would be aswell in that situation.My ds had a fever of 40.2 last week .I find the research reassuring as a parent because it means they have a healthy immune system that is doing it's job.

Glad he's on the mend vendividi

Flossam · 23/02/2006 23:30

ggirl, what you are saying is intrinsicly right. However, I am pretty certain that as CM said this does apply more to adults.

Childrens' condition does fluctuate so much more quickly, good and bad than adults that IMO any temperature should be treated with anti pyretics. They may not prevent convulsions, but on the off chance that they might I know which one I'd be going for!

brimfull · 23/02/2006 23:32

this research is based on children flossam.

chapsmum · 23/02/2006 23:33

Hmm that is not really new research it is basic physiology, however I stand by my reasoning that children cannot controll their fever as well as an adult can
Yes febrile convulsions can be cased by a rapid increase in temp, how ever regular antipyretic drugs lower a temp by 1-1.5 degrees reducing the likely hood of a febrile convulsion helping to control the fever keeping it low grade.
I agree, in adults and children low grade fevers are ok but this was not a low grade fever as you mentioned.

Will be interested to see how long this stays fasionable for as with most things in the medical world I'm sure you will agree ggirl

Flossam · 23/02/2006 23:34

I still give paracetamol at the slightest hint of a temperature.

chapsmum · 23/02/2006 23:37

As I'm sure you and flossam will both agree I am not happy to just belive "research thoeries" I am interested in good reaserch conducted and appraised accordingly, I feel it is sometime unfair to quote research without stating how reliable that research was. Radio and newspaper just dont do it for me, no offence ment, but will look intothat one further thanks

brimfull · 23/02/2006 23:38

the correlation between the pulse and temp is the basis of the research.

A new chart with parameters to guide drs to when a serious infection is likely ie.meningitis,is the likely outcome of this research.

hub2dee · 23/02/2006 23:41

dd has her first fever whilst we were on holiday in the States (aged 6 months or so). The ped we saw subsequently suggested a normal, tepid bath, but to let them drip dry afterwards, so there is an evaporative cooling effect IYSWIM. Apparently this is more effective than just the 'coolish bath' ordinarily recommended.

Also, my cousin (who we were staying with), had paracetamol or ibuprofen-based suppositories for babies (can't remember which), but those were FAB when you couldn't get the liquid treatmens down in the normal fashion. Oh, and 1.25 ml of baby nurofen ('moltrin' out there IIRC) was obviously much easier to manage than 5ml of Calpol. Not quite sure how they dose this in the UK, but we found it much easier using smaller quantities and a dropper syringe....

Anyway, hope things cool down for you your young Prince.

Flossam · 23/02/2006 23:41

Ok GG. Perhaps this wasn't the best place to post about that though?

brimfull · 23/02/2006 23:43

The research is based at Oxford uni ,it was being talked about on a radio 4 programme called casenotes.

Didn't think discussion of this kind could be thought of as unfair.

There are most likely articles in the bmj you can look up.

Just thought it was interesting that's all.

chapsmum · 23/02/2006 23:43

Ahh the mews scores, the are being used on medical wards to detect sick patients, first impressions, they dont work very well, intuition, now that works!

Flossam · 23/02/2006 23:44

resp rate! That works too!

chapsmum · 23/02/2006 23:46

ggirl, its an interesting suggestion and Im sure vicki appreciates the thought. I think what I'm trying to say here is that the decision of to administor or not to administor antipyruretics should be done under the supervision of a dr, not in the community based on research which has not been practised yet.

Hoonestly no offense ment!

Flossam · 23/02/2006 23:49

CM you have put that soooo much better than I was about to a few posts ago!! You have more tact than me!!

chapsmum · 23/02/2006 23:50

I often think the same of your posts floss

Original poster
VeniVidiVickiQV · 23/02/2006 23:56

Hey Hub! ibuprofen IS easier to administer because its a much smaller dose to give and DS (prince ) thinks it tastes superior apparently.

Wish they would have suppositories over here.

Thank you to all for thinking of me too will update in the morning (if im not walking round like a zombie!)

OP posts:
Mytwopenceworth · 23/02/2006 23:57

just caught up with this - hope little one is better v soon! xxxxx

Flossam · 23/02/2006 23:58

Well we can together then can't we?

Original poster
VeniVidiVickiQV · 24/02/2006 00:00

And thank you to my on call medical staff

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Original poster
VeniVidiVickiQV · 24/02/2006 00:00

Thanks MTPW.

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chapsmum · 24/02/2006 00:02

Its no problem..,and by the way vicki why not give a smaller volume of the six plus, you could give 2.5 mls safely (dose is 250 per 5 mils, so half would be 125 whichis ok)
Also you can get suppositories from the chemist.

Original poster
VeniVidiVickiQV · 24/02/2006 00:05

CAN YOU???????

Didnt know that - thought it had to be prescription?

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