What to do if your child has a Fever

What is a fever?

  • A fever is a temperature over 38.5C/101.5F.
  • A fever is one of the ways the body fights infection. If your child is flushed, irritable and/or listless, s/he may have a fever.
  • Your child’s temperature should be taken rectally if s/he is under five years of age, and by mouth if s/he is over five years of age.

If your baby is under three months of age, and has a fever, please visit your local Emergency Department, or call you family doctor.

What should I do if my child has a fever?

  • See your family doctor, if your child’s fever lasts more than 24 hours.
  • Offer your child clear fluids (juice, Kool-Aid, popsicles). Your child may not be hungry, but make sure s/he keeps drinking.
  • Dress your child in light clothing.
  • Check your child’s fever every four hours and give acetaminophen as directed.(See chart below).

Acetaminophen Dosage Chart

Weight Dose Dose Drops
80mg/1ml
Oral Liquid
160mg/5m
Tablets
80mg ea.
Junior Tabs
160mg ea.
lbs kg
0 – 3 months of age
See Family Doctor or come to Emergency
12-17 5.5-7.9 80 mg 1ml 2.5 ml - -
18-23 8.0-10.9 120 mg 1.5 ml 4 ml - -
24-35 11.0-15.9 160 mg 2 ml 5 ml 2 1
36-47 16-21.9 240 mg 3 ml 7.5 ml 3 1.5
48-59 22-26.9 320 mg - 10 ml 4 2
60-71 27-31.9 400 mg - 12.5 ml 5 2.5
72-95 32-43.9 480 mg - 15 ml 6 3

Acetaminophen should not be given more often than every 4 hours and NOT more than 5 doses per day


If your child has a fever:

  • do not sponge your child in alcohol.
  • do not overdress your child. If your child starts shivering, add extra clothing but remove it after the shivering stops.
  • do not overheat your child’s room.
  • do not give your child aspirin, unless your doctor tells you otherwise.
  • do not give any medication unless told by your doctor.

You should see your family doctor, or go to your local Emergency Department, if:

  • your child’s fever lasts more than 24 hours.
  • Your child is more sleepy than usual.
  • your child refuses to drink or is vomiting.
  • your child does not have wet diaper every six hours.
  • your child has a headache or sore neck.
  • your child is in pain.
  • you are worried about your child’s condition.

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