Fever from last night for my twin kids

Since both kids have fever above 101°F, you can continue paracetamol (acetaminophen) every 6 hours as per their weight (15 mg/kg/dose) and keep them well hydrated. Avoid giving ibuprofen too frequently and do not mix multiple medicines unless advised. Please consult a Pediatrician soon to rule out infection causes and get the right dosage and treatment plan.

Based on the information you’ve provided, it’s good that you’ve already given ibuprofen, which is effective for reducing fever and providing relief from discomfort. However, you have to ensure that you’re administering the correct dosage based on their weight. Typically, the recommended dose for ibuprofen in children is 5-10 mg/kg every 6 to 8 hours as needed, but not exceeding four doses within 24 hours. So, you should check their exact weight and cross-reference with the package instructions to ensure the dose is appropriate. If necessary, adjust accordingly, but don’t exceed the recommended daily limit. Additionally, it might be helpful to alternate ibuprofen with acetaminophen every few hours, provided each drug is given its maximum interval for dosing. For instance, if you give ibuprofen at a particular time, then you can give acetaminophen 3 hours later if needed, ensuring not to exceed the daily recommended dose of acetaminophen as well. Beyond medication, ensure that they stay well-hydrated; it’s essential when they have fever to prevent dehydration. You can offer them plenty of fluids such as water, diluted fruit juice, or even oral rehydration solutions if they seem dehydrated. Keep their room at a comfortable temperature and dress them lightly, as over-bundling can trap heat and raise their body temperature unnecessarily. It’s crucial to remove any excessive layers but also cover them enough so they’re not shivering. Watch for signs like difficulty in breathing, persistent vomiting, unusual lethargy, or any other symptoms that might suggest their condition is worsening. If they seem lethargic, if fever persists beyond 3 days, or if you observe any ‘red flags,’ it’d be prudent to contact their pediatrician to rule out any bacterial infections or other underlying causes. If such symptoms occur suddenly or become severe, seek medical attention immediately, as it might indicate something more serious like a bacterial infection or other complications. In most fever cases, self-care and monitoring work well, but it’s always best to err on the side of caution with children, given their vulnerability to complications.