Does a Child with a Fever Need IV Treatment?

Question

My son has recently had a cold with fever and runny nose caused by an upper respiratory infection. His fever has been between 38-39.7 degrees over the past two days, and it usually starts around 5 or 6 PM and continues into the evening. Dr., do you think this level of fever requires IV treatment?

Answer

A baby with a moderate fever due to an upper respiratory infection can have a recurring illness for several days, and it’s best to start treatment promptly. If not treated in time, it may lead to pneumonia. First, you’ll need to give your child oral pediatric cold medicine and anti-inflammatory medication, ensure they drink plenty of warm water, and try to keep them from getting cold. If the fever persists and treatment is not effective, it’s important to go to the hospital for a detailed blood test to determine whether the infection is viral or bacterial. This will allow for targeted treatment, and in some cases, intravenous treatment may be necessary.