Amy, so sorry you have this to contend with now. I hope you were able to get an answer from your doc on this. You surely don't want it to get out of hand. Luck and prayers!
I teach nursing fundamentals. When we take a temp, we use 98.6 as an average, the oral/under the tongue route. A rectal temp is usually one degree higher, (closer to a core/internal temp) and an axillary temp/under the arm pit, one degree cooler. When I worked in ICU, we liked to know what our patients 'usual' baseline temp was, then worried if we saw a 2 degree increase. Due to our body rhythms, our temps are normally the highest between 4pm and 8pm, and coolest upon awakening in the morning. If you are trying to get pregnant, a basal thermometer is recommended to check your temp before you even get out of bed. Since we now know that fever is a good first line defense against an infection, in a healthy child or person, we don't usually worry until the temp is 102. However, if someone is on an immunosuppressive, like prednisone, or in view of a low white blood cell count, I would be concerned at a temp of 100. It's important to use the same route for consistancy, i.e. always under the tongue, or always under the arm pit. And we rarely take rectal temps any more at all due to the infection transmission risk, the distress caused in our pediatric clients, and the documented accuracy of other route thermometer readings. When in doubt, have your dr. person check it out!
Hi! Amy, and Everyone,
I hope this morning finds you better. Levaquin, like any antibiotic is not effective against viral infections. Basically, fever and cough are inherently good things. Fever raises your blood temp to make the infecting microbes very unhappy, and cough, as long as it is moist and productive, literally helps your airways expel the mucus and germs from the nice comfy warm moist places in your lungs where the nasty germies want to stay and set up housekeeping. That said, cough prevents sleep and rest, and fever can make you dehydrated. So, drinking lots is vital, and, as a mom and gramma who used to be an ICU and Peds unit nurse, I didn't let my family take cough suppressant meds until bedtime. Levaquin is tough on your gut because it can cause nausea and diarrhea in a blink. But, it is a potent respiratory infection med that works when it is suppposed to. Once we give a pt. an AB, we expect to see it start working in 24 hours, and help noticeably by 48 hours from 1st dose. My bottom line, when in doubt, see your dr. and check it out. However, taking your tem every 4 hours or so, and being aware of any anti fever meds you might take for pain, like acetaminophen or ibuprofen, and even plotting those temps on a piece of graph paper, and a note about what time you took what, might give you and your dr. a visual picture of where your fever is heading on top of your AB. As a nurse, I can NEVER give medical advice, but as a mom person, I would vote to be hesitant about going back to an ED that is filled with people highly infectious with flu and flu like illnesses, all crammed into an overwhelmed triage place. At least here in NYS, our EDs are Code Red more often than not. Which literally means ambulances drive around the inner loop waiting to find a hospital that will let them drop off their patient. If you have to go, and don't hesitate much, ask for several masks, and change them every 30 minutes or so.
ps. this thread asked for Quick advice, it dinn't say NUTHIN about brief advice.