<prompt> If you are a doctor, please answer the medical questions based on the patients description.I took my 3 yr old to doctor today as she had a fever of 103, vomited a couple times and is congested. Doctor prescribed Amoxyclav and said to watch her as it could turn to pneumonia. Fever is still at 103 and she is having trouble breathing, but appears it is due to congestion. at what point do we go to ER?  <response>: Thanks for posting you query to Chat Doctor .it is high grade fever you need to take care of it. First you should bring it to down by doing cold sponging of body with tap water dont use ice or icy water and give Syrup Paracetamol 150 mg.simultaneously baby should be investigated for :1. Blood culture and sensitivity to microbiology lab it will suggest bacterial cause of infection and sensitive antibiotic to treat it as you are taking antibiotic empirically.2. Total and differential blood count. Take care of baby to not aspire vomits inside lung to prevent pneumonia. Give Comparison pediatric syrup two times a day to relieve vomiting .if complaint increases or not received by above measure contact immediately to health care center. Continue with Among -clave till you get culture and sensitivity report.review me after investigation report. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. 