Hubby & I have picked up some tips & tricks on dealing fevers between the various visits to doctors, ERs & hospitals with Matthew. Since we are heading into flu season I figure I would share. We may sound a little paranoid when dealing with fevers but our goals are to keep Matthew seizure-free & out of the hospitals. So paranoid works for us!
Medication
There are 2 fever-reducing medicine, Motrin & Tylenol. Hospitals & ERs prefer Tylenol for various reasons and each child will respond to Motrin & Tylenol differently. Matthew responds better to Motrin than to Tylenol. Also his fevers tend to have rapid ascent & descent in temperature. His fever can go from 99 to 104 within 10 minutes. (If you are wondering...we took his temperature every 5 minutes so we know how fast it can ascent.) So here are a few tips & tricks about medication we picked up. (Please consult with your doctor about giving meds to your child. These are things that the doctors have told us it is okay to do with Matthew.)
1. Front-loading: In order to jump-shot the effectiveness of the medication, you can front-load the meds. For example, you can give Motrin to your child first. 2 hours later, give him a dosage of Tylenol. Than every 4 hours give him Tyenol.
2. Using Motrin as a Booster: Because Matthew responds better to Motrin, if we discover that Matthew's fever has shot up again we will give him Motrin instead of Tylenol at the next scheduled dosage time. Usually his fever will go back down after that. If his fever is still down at the next scheduled dosage time, we will switch back to Tylenol.
3. Tylenol Depository as Last Resort: We have Tylenol depository at home just in case Matthew's fever is super high & we need to bring it down ASAP. Depository is to be inserted into the anal area. Absorption rate is faster through the anal area vs. any oral medication. Of course you need to super-lubicate before insert. Your doctor can give you a prescription.
As a precaution, we will keep him on Tylenol for 12 to 24 hours after his fever breaks. We've discovered that his fever can come back a few hours later. Also fevers will dip & drop through out the day. Fevers will usually be lower at night while your child is sleeping and will go up in the morning. We have to be super diligent about giving Matthew his fever-reducing meds through the night because of this. Even a slight increase in his fever can trigger febrile seizures.
Also we write down each dosage time, what we gave him & his temperature so that we don't forget.
Water is your Friend!
I mean besides keeping your child hydrated. (Hospital told us that Pedalyte and soups are a better way to keep your child hydrated because of the body's need of sodium. Drinking too much water can actually hinder the body.) Using water to splash on their face will help reduce their fevers quickly. I discovered from our doctor that the evaporation of water off the skin is what lowers fevers not the coolness of the water. So a wet (almost dripping) wash cloth should be used to wipe the face and body.
A tub of cool water is another way to bring down a high fever quickly. Even adding a bucket of ice if it is really high will help. (I've seen the paramedics put my little brother into a tub of cool water w/ice to bring his super high fever down before taking him to the hospital. Febrile seizures run in my family.) If we have to put Matthew in the tub of water, I will be joining him to hold him just in case he goes into a seizure while in the tub.
Taking the Temperature
Okay, this is where I may sound slightly crazy. We have 4 different temperature reader at home.

The ear temperature reader

Another to read the forehead & neck

A temperature plastic to read under the armpits (Looks somthing like this.)

Your typical temperature reader for the mouth & butt
Hospital told us that the temperature reading from the butt is the most accurate, but we never do this at home because it is just too tramatic for Matthew. Temperature reading from the ear is always going to be slightly higher compared to the forehead & neck. So our usual routine will include taking the temperature in both ears, his forehead & neck. Then we will average the four readings out & record. Temperature reading in the ears, forehead & neck is the fastest way to read Matthew's temperature and he thinks this is normal (thank goodness) because sometimes we are taking his temperature every 5 minutes.