Seizures and Fever (cont.)
- Although fever control is important, it is unclear how effective this is at preventing another episode of febrile seizures. Still, it seems reasonable to try to take these measures to control fever during an illness. Give acetaminophen (Tylenol, Tempra, and other children's formulas as directed by your doctor or on the label) every four hours or ibuprofen every six hours (Motrin, Advil, and others). Currently, all liquid acetaminophen preparations have the same strength, but the ibuprophen liquid has two different strengths
- Alternating doses of acetaminophen and ibuprofen such that medication is given every 3-4 hours is common, although some authorities are concerned that this practice is of unproven safety and benefit.
- Sponge bathing with lukewarm water must be done for 15-20 minutes. It is helpful to get the child's hair wet. The water must not be so cool that the child shivers (shivering tends to keep body temperature up). The lowering effect of sponge bathing on body temperature will not last unless the child has also been given acetaminophen or ibuprofen.
Medically Reviewed by a Doctor on 6/25/2014
Scott H Plantz, MD, FAAEM
Francisco Talavera, PharmD, PhD
Thomas Rebbecchi, MD, FAAEM
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