2018-19 Meridian Wellness Page
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Weekly Wellness Tip
From Libby Ogren:
As a school nurse and part-time emergency department nurse, I hear a lot of concerns and misconceptions about fever control for pediatric patients. Specifically, when to treat with medications and if the fever constitutes an emergency department visit. Here is a list of general guidelines I use as an emergency and school nurse.
1. If the fever is at or over 100.0 degrees Fahrenheit the child must stay home from school and can return after 24 hours fever free without the use of medications. This is according to our district policy.
2. Treat the child not the number. Generally a fever serves a purpose to rid the body of whatever infectious agent it is fighting. If the child is "acting sick" and is uncomfortable and would benefit from fever reducing medications then by all means medicate.
3. Pay attention to medication ingredients and doses. Pediatric dosing for antipyretics (Tylenol and Motrin) is according to weight. Be aware that combining cold medications and antipyretics can overdose a child since many cold meds contain acetaminophen already.
4. Combining acetaminophen/Tylenol and ibuprofen/Motrin can be done for further reduction of fever and treatment of symptoms but you should alternate doses and administer with food if tolerated.
5. A child should be brought to an emergency department if:
after speaking with the child's primary provider a visit is recommended,
persistent fever of 102 for 2 or more days,
fever is accompanied by abdominal pain, extreme lethargy, or seizure.
Here is an article by the AAP for further fever clarification:
Ibuprofen and acetaminophen dosage charts:
Have a wonderful weekend!
- The Wellness Committee
Wellness Committee Members
|Trisha McKendry||John Finley|
|Michelle Jozefowicz||Lisa Reber|
|Heather Alderks||Anna Nicholson|
|Elaine Nicholson||Kayla McKinney - Coordinator|
|Kelly Meyers||Libby Ogren|
|Joi Dundas||Kayla Simpson|
|Jay Williams||Denise Linclau|