Fever and tired

So my baby(18mo) is acting super tired. Has 100.4 fever, feels super hot but her hands are cold. For the last week she's been skipping her nap but today she already took one and she's just laying on top of me right now, not really wanting to play. When she was playing with her blocks earlier she started breathing a little hard. Now she's breathing fast just laying on me as if shes tired. Should I take her to the doctor? She never likes to be held this much or sleep this much either.
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Have you already been alternating Tylenol and Motrin?

If she’s breathing fast at rest I would go in, especially if she’s lethargic too. Hope she’s ok.

@Kei Kei yes, since this morning. I just gave her Tylenol again but fever won't go down

@Liana she fell asleep again. Will definitely be taking her in

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