Home' Australian Pharmacist : Australian Pharmacist February 2016 Contents Australian Pharmacist February 2016 I ©Pharmaceutical Society of Australia Ltd.
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16. Berg AT. Are febrile seizures provoked by a rapid rise in
temperature? Am J Dis Child 1993;147(10):1101-3 .
17. Berg AT, Shinnar S, Darefsky AS et al. Predictors of recurrent
febrile seizures. A prospective cohort study. Archives of
pediatrics & adolescent medicine. 1997;151(4):371-8 .
18. Meremikwu M, Oyo-Ita A. Physical methods versus drug
placebo or no treatment for managing fever in children.
Cochrane Database Syst Rev 2003(2):2-16.
19. McIntyre J. Management of fever in children: Arch Dis Child
2011 Dec;96(12):1173-4 .
20. McCloskey K, Cranswick N, Connell T. Use of paracetamol
and ibuprofen in children in a tertiary care hospital: are we
becoming complacent?: Arch Dis Child 2012 Feb;97(2):181.
21. Hietbrink E, Bakshi R, Moles RJ. Australian caregivers’
management of childhood ailments. IJPP 2013:1-11.
22. Patel N, Ram D, Swiderska N Mewasingh LD, Newton RW,
Offringa M. Febrile seizures. BMJ. 2015;351:h4240 doi:
1. Which ONE of the following is
CORRECT? Febrile convulsions:
a) Occur in all children if their temperature
rises to 41OC.
b) Can be prevented by giving
paracetamol when a child first develops
c) Occur in 25% of children.
d) Are directly linked to the development
2. Which ONE of the following is
a) Febrile convulsions can be prevented by
using antiepileptic medicines.
b) Febrile convulsions can be prevented by
using around the clock antipyretics.
c) Febrile convulsions that last for more
than 10 minutes can be treated with
d) None of the above.
3. Which of ONE the following is
CORRECT? High body temperatures
a) Need to be treated to prevent brain
b) Should be treated with a combination
of paracetamol and ibuprofen.
c) Should be reduced by placing the child
in a tepid bath.
d) May not always require any intervention.
4. Which ONE of the following
is CORRECT? When treating a
4-year-old child that has developed
a fever and is very miserable it would
be reasonable to recommend:
a) A dose of paracetamol based on 20 mg/
kg every 46 hours.
b) A dose of Ibuprofen based on 20 mg/kg
every 68 hours.
c) A dose of Ibuprofen based on 15 mg/kg
every 46 hours.
d) A dose of paracetamol based on 15 mg/
kg every 46 hours.
5. Which ONE of the following is
CORRECT? A child with a temperature
of 38.2°C and no other symptoms
should be given:
b) Fluids and reassurance.
d) All of the above.
Fever is common, and a sign that the
immune system is working to fight
Febrile convulsions occur in 25% of
children and cannot be prevented.
The risk of developing epilepsy from
simple febrile convulsions is low.
Paracetamol or ibuprofen may be
appropriate treatments if the child
is in pain or distressed feeling ill, but
they are not necessary and using both
together is not necessary either.
In addition to medicines, pharmacists
should provide consumers with
advice on self-care measures such as
removing clothing, increasing fluids
and soothing the child.
1. Green R, Jeena P, Kotze S et al. Management of acute fever
in children: guideline for community healthcare providers
and pharmacists. SAMJ 2013;103(12):948-54.
2. Prewitt EM. Fever: facts, fiction, physiology. Crit Care Nurse
3. Davie A, Amoore J. Best practice in the measurement of
body temperature. Nurs Stand 2010;24(42):42-9.
4. Baraff LJ. Management of infants and young children with
fever without source. Pediatr Ann 2008;37(10):673-9 .
5. Clinch J, Dale S. Managing childhood fever and pain--the
comfort loop. Child Adolesc Psychiatry Ment Health
6. El-Radhi AS. Why is the evidence not affecting the practice
of fever management? Arch Dis Child 2008;93(11):918-20.
7. El-Radhi AS. Temperature measurement: the right
thermometer and site. Br J Nurs 2013;22(4):210-1 .
8. El-Radhi AS. Determining fever in children: the search for an
ideal thermometer. Br J Nurs 2014;23(2):91-4 .
9. Schmitt BD. Fever phobia: Misconceptions of parents
about fevers. American Journal of Diseases of Children.
10. Royal Children’s Hospital. Febrile Child. 2011; Available
11. Axelrod P. External cooling in the management of fever. Clin
Infect Dis 2000;31(5):S224-9 .
12. Royal Children’s Hospital. Febrile Convulsion. 2011;
Available from: http://www.rch.org.au/clinicalguide/
13. Syndi Seinfeld D, Pellock JM. Recent Research on
Febrile Seizures: A Review. J Neurol Neurophysiol
14. Sadleir LG, Scheffer IE. Febrile seizures. NMJ
15. Berg AT, Shinnar S, Shapiro ED et al. Risk factors for a first
febrile seizure: a matched case-control study. Epilepsia
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