Do not give your child more than 4 doses of paracetamol in 24 hours. Wait at least 4 hours between doses. tip: tepid sponging: wipe with warm water to reduce temparature in case of fever not turning down. (infection may antibiotics presecirbed in hospitalization if fewer not reduced within 2-3 days depends on doctors discretion).
Never give paracetamol for longer than 3 days without speaking to a doctor. (liver damage may occur)
Infant syrup: 120mg/5ml
The usual dose is 2.5ml of infant syrup (or a 60mg suppository).
2 months baby 60mg paracetmil drops/2.5 ml* at least 4-6 hours gap visit doctor
6*4=24 hours
| Age | How much? | How often? |
|---|---|---|
| 3 to 5 months | 2.5ml | Max 4 times in 24 hours |
| 6 to 23 months | 5ml | Max 4 times in 24 hours |
| 2 to 3 years | 7.5ml | Max 4 times in 24 hours |
| 4 to 5 years | 10 ml | Max 4 times in 24 hours |
Six plus (6+ years) syrup: 250mg/5ml
| Age | How much? | How often? |
|---|---|---|
| 6 to 7 years | 5ml | Max 4 times in 24 hours |
| 8 to 9 years | 7.5ml | Max 4 times in 24 hours |
| 10 to 11 years | 10ml | Max 4 times in 24 hours |
Tablets 6+ years
| Age | How much? | How often? |
|---|---|---|
| 6 to 7 years | 250mg | Max 4 times in 24 hours |
| 8 to 9 years | 375mg | Max 4 times in 24 hours |
| 10 to 11 years | 500mg | Max 4 times in 24 hours |
| 12 to 15 years | 750mg | Max 4 times in 24 hours |
| 16 to 17 years | 1g | Max 4 times in 24 hours |
above chaat dosage by nhsuk
paracetamol tablet dose for child per kg by ijpsjournal
upto 3 months baby 60mg
paracetamol tablet dose for child per kg read lable on bottle
sugesstion by nezeland health deprtment 3:
1 month – 18 years 15 mg/kg per dose (maximum 1 g) every four hours as needed for pain or fever. Do not take more than 4 doses in 24 hours AND 4 grams in 24 hours.
Recommended dose as per US medicine library for paracetamol is 60mg/24h (15mg/kg per dose)for each 1 kilogram body weight for an entire 24 hours. And it is given usually at 6 hourly gaps i.e. a total of 4 doses a day. Thus a 10kg baby should have a total of 600mg in a day, usually given as 150mg every 6 hours. Very often, particularly with viral infection, where temperature does not fully get controlled with paracetamol, temperature either does not come down to normal, or does not stay down for full 6 hours.
Test result
15mg /kg vs 20mg /kg vs 6mg mefonic
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9363685/#:~:text=Mefenamic%20acid%20is%20also%20used,of%20first%20choice%20%5B4%5D.
we overdose our children with paracetamol and then find that the child has become jaundiced and once we take him to the hospital we find he has got Liver Failure which is potentially a life threatening condition.
paracetomol pediatric oral suspension ip p -100 drops 15ml
each ml contains 100mg * 4ml in a day high limit
dosage: 10-15mg per kg,
3-4 times in a day
maximum daily dosage 60mg per kg in 24 hours divided
baby weight 8 kg 6 months old
60*8kg=480mg in a day
fever not responding to paracetamol
infection causes the fever (immune system fight to kill bacteria or virus etc).. if underlying infection not reduced fever continoues doctor do blood tests whic usuary blood tests CRP high.. CBP and gives antiboics along with fever medicines…. in the sideeffect child get diarhea which also need probitocs drops. Ultrasound scans if any abnormaliteis in the system
The fever will normally last for 2 or 3 days with most viral infections
Management
Sepsis analysis
Hospital admit
Urinary tract infection UTI
blood culture & CBP & seroum reactive protein
parenteral antibacterial cefixime 100mg dry syrup
Chest x ray for phemonia
lumbar puncture for menijius brainrmbranes
Begin fever
maybe dengue fever by mosquito bites check blood test for low platelet count.
Sources
https://www.slideshare.net/azadhaleem/fever-in-children-55347622
https://www.slideshare.net/csnvittal/fever-in-children
Baby fever grade chart
Age |
When to See the Pediatrician |
| Newborn – 3 Months | 100.4 Degrees or Higher |
| 3 Months – 3 Years | 102 Degrees or Higher |
| 3 Years and Older | 103 Degrees or Higher |
| Any Age | 102 Degrees or Higher for More than 2 Days |
baby fever: 102F+ call the pediatrician
Low grade fever range in 6 months baby
100° – 102° F (37.8° – 39° C) Low grade fever: helpful, good range. Don’t treat. 102° – 104° F (39 – 40° C) Average fever: helpful. Treat if causes discomfort
as per Seattle children hospital.
100° – 102° F (37.8° – 39° C) Low grade fever: helpful, good range. Don’t treat.
102° – 104° F (39 – 40° C) Average fever: helpful. Treat if causes discomfort.
Over 104° F (40° C) High fever: causes discomfort, but harmless. Always treat.(**)
Over 106° F (41.1° C) Very high fever: important to bring it down. Rare to go this high.
Over 108° F (42.3° C) Dangerous fever: fever itself can be harmful.
Only body temperatures over 108°F (42°C) can cause brain damage
Most fevers with viral illnesses range between 101° and 104° F (38.4° and 40° C).
They may last for 2 or 3 days.
They are not harmful.
Fever Medicine:
For fevers 100°-102° F (37.8° – 39°C), fever meds are not needed. Reason: fevers in this range help the body fight the infection. Fevers turn on the body’s imune system. Fevers don’t cause any discomfort.
Fever meds are mainly needed for fevers higher than 102° F (39° C).
Call Your Doctor If:
greater than three days
Your child looks or acts very sick
Any serious symptoms occur such as trouble breathing
Fever goes above 104° F (40° C)
Any fever occurs if less than 12 weeks old
Fever without other symptoms lasts more than 24 hours
Fever lasts more than 3 days (72 hours)
You think your child needs to be seen
Your child becomes worse
Treatment
to treat a fever if your child appears uncomfortable (has difficulty sleeping, is crying and/or not eating).
Other things you can do to make your child more comfortable are:
Offer extra fluids (water, juice) in small but frequent amounts
Give lukewarm sponge baths
Put cool washcloths on forehead/back of neck
Do not use aspirin for children under 18 years of age
Fever is a rise in body heat above 38° C. It is a natural way for the body to fight off germs like viruses or bacteria. Children may also have a fever after getting a vaccine.
Most babies and young children can handle a low-grade fever (eg, 38°–38.5° C) 102.9 without needing medicine. They often just need clear fluids such as water, extra breastfeeds (if still happening) and comfort.
With treatment, fevers usually come down 2° or 3°F (1.1° or 1.7°C)
Normal body temparatures
reasons for child fever
Possible causes of fever include the following:
-
Viruses or bacteria: for instance, a common cold, middle ear infection, urinary tract infection (UTI) or gastroenteritis. Or typical childhood diseases such as mumps, measles, German measles (rubella), scarlet fever, chickenpox and sixth disease (roseola).
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A vaccination: because the child’s immune system is developing antibodies to fight the germs that the vaccine aims to protect them from.
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Dehydration: The child has a fever because they haven’t had enough to drink and their body is dehydrated. This kind of fever due to dehydration can also be caused by severe vomiting and or diarrhea.
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Sunburn and sunstroke.
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Skin conditions such as hives (urticaria).
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In rare cases: serious illnesses such as pneumonia, meningitis, appendicitis or an infection of the joints or bone marrow.
-
In very rare cases: metabolic diseases, rheumatic diseases or allergic reactions to foods or medications.
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