You don't mention how long she's had the fever...did you give her anything for her nose/cough?
most drs. suggest watching her at home for at least the first 24 hours. However there are certain times when that is too long. Last week my daughter had been congested. Then at daycare woke up with a fever and screaming from ear pain. Turns out she had a double ear infection.
Rotate the tylenol/ibuprofin. Also, don't foget the humidifier and to 'prop' her up when sleeping so that she's not laying flat. Watch her sleep for a few minutes. Yes she sounds bad, but is she stressing? If she is stressing or breathing quickly, then call the drs. service for advice. You may even be able to have the dr. listen to her over the phone and decide. As a loving mom, you ALWAYS have the right to take her to the ER for an evaluation. I'm one of those that would rather go and be told their okay, then not go and be wrong...