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Discussion Starter · #1 ·
Our 21 month old dd has had a fever all evening, seeming to max out around 40 deg C, possibly going down, but too soon to tell. We haven't bothered with going to the hospital, or given her anything for it yet since it never got above 40.5C (105F.) What concerns us now is her pulse rate. We measured it 3 times within half an hour, and got around 150bpm each time. This is with little to no activity (she's been lethargic all evening.)<br><br>
When should we be concerned about her pulse rate?<br><br>
TIA
 

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I wouldn't be. A pulse rate for a small child is usually higher, and then compound that with the issue of the fever and you get one small body working <i>really</i> hard to fight an infection. My pulse the last time I was sick was in the 100s. Don't worry about her pulse.<br><br>
When you say lethargic, do you mean that she is not AT ALL responding to things around her? She's not responsive to you? Or is she just laying about, kind of staring off? Fever makes kids like this. But if she's the first (not responsive) you need to take her in.<br><br>
Keep her cool, no clothes, no bundling, cool rags; and keep her hydrated. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> to you!
 

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Discussion Starter · #3 ·
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<div>Originally Posted by <strong>onlyboys</strong></div>
<div style="font-style:italic;">I wouldn't be. A pulse rate for a small child is usually higher, and then compound that with the issue of the fever and you get one small body working <i>really</i> hard to fight an infection. My pulse the last time I was sick was in the 100s. Don't worry about her pulse.<br><br>
When you say lethargic, do you mean that she is not AT ALL responding to things around her? She's not responsive to you? Or is she just laying about, kind of staring off? Fever makes kids like this. But if she's the first (not responsive) you need to take her in.<br><br>
Keep her cool, no clothes, no bundling, cool rags; and keep her hydrated. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> to you!</div>
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She's been grunting yes and no to various questions (do you want something to drink etc), and turns and looks at us sometimes when we are talking to her, it's just that this is the first time in a long long long time she was laying down calmly with her eyes still open. Usually she doesn't stop moving until she's more than half asleep. Thanks for the advice, we found plenty of stuff in books and online about when to worry about a fever, but nothing about pulse rates.<br><br>
Again, thanks for the help, we'll keep an eye on her condition, I just wanted to have an idea before I went to sleep. (This is actually Pam's DH typing, Pam went to sleep after posting the original question.)<br><br>
I'll make sure they both get that hug <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"><br><br>
EDIT: Somehow I forgot the word "sure" in the above sentence.
 

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Speaking real briefly with my EMT hat on here, what you really want to watch is her respirations. Those little hearts can beat incredibly fast to compensate for the fever, and respirations will increase also, but should she start to have difficulty breathing, get her to an ER pronto. With babies and children, it is perfectly normal for a fever to go as high as 105 (my one year old does this often; he's just prone to high fevers).<br><br>
If the fever shoots high very quickly, your daughter may have a febrile seizure, which is very scary but not life threatening. Again, the important thing is that she's breathing okay.<br><br>
Kids' hearts are amazingly strong and resilient; when they get very sick it's their respiratory functions that tend to slip first. Hydration is key with a very speedy metabolism brought on by fever and will help recovery. I tend not to actively try and cool a fever using tylenol or ibuprofen unless it tops 103; instead I do a tepid water bath. If the fever climbs higher I (personally, although many moms here wouldn't) give a fever reducer.<br><br>
Also, the importance of vitamin C can't be overlooked. I give Vit C to my son's bowel tolerance when he's sick. In fact (cough cough), I need to go take some myself.<br><br>
Be well!
 

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Discussion Starter · #5 ·
Thanks for all the advice and reassurance. Her fever subsided on its own yesterday after a mid-morning nap. She returned to normal pretty quick. I'm really glad we held out and didn't go to the hospital or give her tylenol. It was scary though!
 

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Fevers are scarier than they look usually. Dr. Robert Mendelsohn in his brilliant book "How to Raise A Healthy Child in Spite of your Doctor" gives a lot of very pertinent advice regarding fevers, when they're dangerous, and when they're not. He was a top pediatrician.
 

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Discussion Starter · #7 ·
Yes, it was scary, but it was reading quickly through his (Mendelsohn's) chapter on fevers that gave me the courage not to give her tylenol. I read similar advice in "The Mother of All Toddler Books" by Ann Douglas, so I felt I was heading in the right direction. Still, at 3 a.m., when she felt hotter yet, and her heart was racing, I almost wanted to go to the hospital. I've realized something about the desire/temptation to go there, at least for me. When she's sick, I want to hand over control to someone else. I want to stop being the parent, give up control of making decisions. I want to take her, so they can take care of her for me, and I don't have to. When I realized that, it made me work harder at taking care of her myself (with dh of course).
 

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How is baby doing? hope all is well. I fear fevers to after watching my oldest DD seize from one when she was a child. Hope baby is better.<br><br>
Amy
 

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Discussion Starter · #9 ·
completely back to normal! Although, yesterday (the day after the fever left) she indicated that she was getting her last molars. Well, she cried a lot and pointed to her lower gum/jawline on her cheek when I asked where it hurts. Now, I hear that there's no link between fevers and teething, that it's just a myth, but hey, it seems possible! The fever helped kick her runny nose too! I'm so glad we let her body do its thing.
 

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Does/did she have any other signs of infection? Runny nose? Cough etc? The only reason I ask because there, of course, is always a reason for a fever! Ds had been running one on and off since last friday and I finally took him into the clinic. I was alarmed as he had NO other symptoms. It turns out he has strep throat <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">. As a rule, I don't ever give him tylenol, but I did once this time around as he was getting NO sleep at all and I really feel it's important to be able to rest in order to get over an illness, but I digress <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">.<br><br>
I hope your babe is feeling better soon! Jacob will be 22 mos the end of this month and is also cutting molars!
 

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Discussion Starter · #11 ·
She had a runny nose and cough. She's been sick almost constantly since I got pg. I am certain it has to do with a decrease in milk supply, because she only got sick one other time in her life, and that was when we vaxed. We made it through the entire winter just past without getting sick at all. I think the fever killed whatever was making her nose run. She was able to sleep quite well, so there was no reason that we could see for giving her tylenol. The Mendelsohn book helped me so much. In it, he states that fevers caused by bacteria and viruses never get to the point where the fever can cause brain damage. That reassured me that dd would be ok.<br><br>
I never realized how close in age our kids are! DD is 21 months!
 

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Pam, I'm so glad to hear that she's on the mend! I remember reading somewhere that you should worry when a child has a fever, but no other symptoms cuz it can indicate sepsis and other yucky stuff.<br><br>
I'll have to check out this book! Ds has had tylenol twice in his life, and once was back when we vaxed...I really hate giving it to him and dh doesn't understand quite why. "The Doctor said to keep on top of his fever!" Blech.<br><br>
AS for your kiddo being sick since you got pg...could it be that she's sensitive to all of the pollen in the air? I've noticed that this season with Jacob as well. He's never been this sick in his little life, EVER! Apparently we're having a prolonged allergy season this year with more pollen than usual. Just a thought! Hope she stays on a healing trend!!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">s
 
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