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) or ibuprofen (Motrin, Advil, and others).
- 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. 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.
Scott H Plantz, MD, FAAEM
Francisco Talavera, PharmD, PhD
Thomas Rebbecchi, MD, FAAEM
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