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Fever Revisited FREE

Lee W. Bass, MD
Arch Pediatr Adolesc Med. 1997;151(7):647. doi:10.1001/archpedi.1997.02170440009001.
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THE OLD AND MUCH maligned cliché "take two aspirin and call me in the morning" deserves more credit than we give it. It does give the exact dose, implies a time frame, and requests a proper follow-up. Perhaps we should strive to emulate its specifics in the instructions we give our patients and their parents.

In their article, Simon and Weinkle1 raise several important issues regarding the accuracy and measurement of a dose of acetaminophen (Tylenol) by parents. Do we give proper instructions considering the patient's age and weight when recommending therapy? Do we assume, perhaps falsely, that parents know the dose and how to accurately measure the amount? Do we just say, give your child a little Tylenol? This certainly is done frequently with telephone advice. Maybe we are just as vague with advice in the office. The exact dose, the interval between doses, and the duration of

REFERENCES

Simon HK, Weinkle DA.  Over-the-counter medications: do parents give what they intend to give? Arch Pediatr Adolesc Med . 1997;;151:654-656.
Schmitt BD.  Fever phobia . AJDC . 1980;;134:176-181.
Lorin Ml.  Is fever a friend or a foe? Contemp Pediatr . 1986;;3:35-46.
Kluger MJ.  Fever and survival . Science . 1975;;188:166-168.
Bernheim HA, Kluger MJ.  Fever: effect of drug-induced antipyresis on survival . Science . 1976;;193:237-239.
Covert JB, Reynolds WW.  Survival value of fever in fish . Nature . 1977;;267:43-45.
Zanker KS, Jocken L.  Whole body hyperthermia and natural killer cell activity . Lancet . 1982;;2:1079-1080.
Bass LW, Cohen RL.  Ostensible versus actual reasons for seeking pediatric attention: another look at the parental ticket of admission . Pediatrics . 1982;;70: 870-874.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Simon HK, Weinkle DA.  Over-the-counter medications: do parents give what they intend to give? Arch Pediatr Adolesc Med . 1997;;151:654-656.
Schmitt BD.  Fever phobia . AJDC . 1980;;134:176-181.
Lorin Ml.  Is fever a friend or a foe? Contemp Pediatr . 1986;;3:35-46.
Kluger MJ.  Fever and survival . Science . 1975;;188:166-168.
Bernheim HA, Kluger MJ.  Fever: effect of drug-induced antipyresis on survival . Science . 1976;;193:237-239.
Covert JB, Reynolds WW.  Survival value of fever in fish . Nature . 1977;;267:43-45.
Zanker KS, Jocken L.  Whole body hyperthermia and natural killer cell activity . Lancet . 1982;;2:1079-1080.
Bass LW, Cohen RL.  Ostensible versus actual reasons for seeking pediatric attention: another look at the parental ticket of admission . Pediatrics . 1982;;70: 870-874.

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