Fever

#

1. Who to admit?

    1. all <28 days/old

        1. admit for IV Ab therapy

        2. sepsis w/u

    2. 1-3 m/o

        1. if have good condition, NL lab data ⇒ no need for Ab therapy

        2. if ill or abnormal lab data ⇒ admit for IV ab therapy

    3. 3-36 m/o

        1. if <38 C fever ⇒ acetaminophen + daily F/U

        2. if >38 C fever ⇒ acetaminophen + daily F/U + Ab therapy + check

            1. ESR, CRP

            2. U/A, U/C

            3. B/C

            4. CBC, diff

        3. Ab therapy

            1. Cefixime 8mg/kg

                1. or Co-amoxiclav 80mg/kg/day

        4. sepsis w/u if lab data was abnormal

2. Acetaminophen in pediatrics: 10mg/kg

    1. Tab 325, 500 mg in older>6y/o

    2. susp 120mg/5ml 1/2*w cc

    3. susp 125, 325 mg q6h

    4. Drop 100mg/ml 2*w drop

    5. Soft gel cap 325, 500 mg in older >6y/o

3. Ibuprofen 5-10mg/kg/dose tds

    1. tab 200, 400 mg

    2. susp 100mg/5ml

    3. in Musculoskeletal disease is useful due to anti-inflammatory effect

    4. no use in infancy

4. FUO

    1. OPD: >3 weeks

    2. Inpatient: > 1 week