![]() The rectal route proved to be as acceptable as the oral among parents. Thus, there seems to be no evidence to support the use of higher doses of rectal acetaminophen for the treatment of fever in children. Age affects your ability to regulate body temperature. Tympanic (ear) temps are accurate, but more variable than oral or rectal. Depending on the method used, the obtained values may vary and differ from the actual core temperature. However, an accurate approach has yet to be established. Proper temperature measurement is essential to diagnose and treat temperature impairment in patients. Temps taken rectally are 0.7° F (0.4° C) higher than those taken orally. But an axillary (AK-seh-ler-ee) reading is not as accurate as a rectal temperature, or an oral temperature in kids who are old enough to cooperate. Core temperature reflects the temperature of the internal organs. Lowest temperature occurs around 6 am and highest between 4 and 6 pm. There was no difference between the temperature decrement in patients treated with 15 mg/kg oral acetaminophen and the same or double dose rectally. Your temperature can vary about 1° F (0.5° C) during the day. Visual analog scores for satisfaction of parents did not reveal any significant differences between the oral and rectal routes. Normal oral: 37C (98.6) Normal rectal: 37.5C (99.5F), which is 1F (0.6C) higher than an oral temperature. There was no significant difference in temperature change between the groups during the 3 hours or in the maximum drop in temperature or final temperature. There were 24 patients in group A, 23 in group B, and 23 in group C. Primary outcome was maximal change in temperature during the 3-hour study period after initial treatment. Masculinizing effect Menstrual irregularities Hirsutism (excessive hair on face and body) Deepening of voice 24. If the ear temperature was 37.5 oC, the sensitivity to. Group A received rectal acetaminophen 15 mg/kg, group B received rectal acetaminophen 30 mg/kg, and group C received oral acetaminophen 15 mg/kg. Results Among 599 patients the sensitivity to detect fever with an ear thermometer varied between 68 and 70 with AUC from 0.880.97. To compare the defervescent effect of high-dose rectal suppository acetaminophen with the recommended oral and rectal dosages and to evaluate acceptability of rectal acetaminophen.Ī randomized, controlled trial was performed in 70 patients aged 6 months to 6 years with fever > or =39 degrees C. ![]()
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