DC Inst – Ear Infection

DC

You were evaluated in the Emergency Department today for ear pain. Your evaluation suggests your pain is due to an ear infection.

Please take your prescribed antibiotics ***or use your antibiotic drops as directed for the full course of the medication.

***Please use over the counter debrox drops to help clean wax out of your ears. As discussed, please do not use cotton swabs in your ears.

Please follow up with your primary care physician within two days.

Return to the Emergency Department if you experience hearing loss, discharge from your ear, headaches, fevers, recurrent vomiting, or any other concerning symptoms.

Thank you for choosing us for your care.

DC Inst – DVT

DC

You were evaluated in the Emergency Department today for leg swelling. Your evaluation, including an ultrasound, showed evidence of a blood clot in your leg. You have been started on a blood thinning medication to help the blood clot break down.

Please rest and elevate your affected leg to help reduce swelling, and resume normal activities as tolerated.

Please schedule an appointment for follow up with your primary care physician as soon as possible.

Return to the Emergency Department if you experience worsening swelling or pain of your leg, shortness of breath, coughing up blood, chest pain, palpitations, nausea/vomiting, redness or warmth to your leg, fevers, or any other concerning symptoms.

Thank you for choosing us for your care.

DC Inst – Dizziness

DC

You have been evaluated in the Emergency Department today for dizziness. Your evaluation suggests that your symptoms are most likely due to peripheral vertigo.

You have been prescribed meclizine to help relieve your symptoms. Please take your prescription as directed. You can also try Epley Maneuvers at home to help relieve your symptoms- instructions are available online.

Please follow up with your primary care doctor in 2-3 days.

Return to the ER immediately for worsening or uncontrolled symptoms, worsening headache, chest pain, shortness of breath, persistent vomiting, vision changes, fainting, or for any other concerning symptoms.

Thank you for choosing us for your care.

DC Inst – Cough

DC, Peds

You were evaluated in the Emergency Department today for a cough. Your chest xray did not show evidence of a pneumonia- your cough is most likely due to a viral illness which will improve on its own with rest and fluids. You can take over the counter medications such as dextromethorphan to help manage your symptoms.

Please schedule an appointment for follow up with your primary care physician within two days.

Return to the Emergency Department if you experience worsening cough, fever 100.4 ° F or greater, recurrent vomiting, chest pain, shortness of breath, or any other concerning symptoms.

Thank you for choosing us for your care

DC Inst – Peds Rash

DC, Peds

Your child has been evaluated in the Emergency Department today for a rash. Your child’s rash is most likely due to ***.

Please follow up with your child’s pediatrician within three days.

Return to the Emergency Department immediately if your child has worsening rash, rash that spreads to the mouth or the palms of the hands or soles of the feet, fevers that cannot be controlled with tylenol or motrin, behavior changes, or any other concerning symptoms.

Thank you for choosing us for your child’s care.

DC Inst – Peds MSK (No Fx)

DC, Peds

Your child has been evaluated in the Emergency Department today for *** pain. Your child’s evaluation, including X-rays, did not find signs of any concerning conditions such as fractures or dislocations.

Please rest, ice, and elevate your child’s ***, and resume normal activities as tolerated.

Give your child Tylenol and Ibuprofen per the attached dosing instructions for pain.

Please schedule an appointment with your child’s pediatrician for follow up this week.

Return to the Emergency Department if your child experiences worsening pain, numbness, tingling, change of color in your child’s extremity, or any other concerning symptoms.

Thank you for choosing us for your child’s care.

DC Inst – Peds Fracture

DC, Peds

Male child?????????????????????????

Your son has been evaluated in the Emergency Department today for his ______ pain. His evaluation, including an x-ray of his _____, has revealed a _____ fracture. Your son’s ______ has been splinted in the ER.

Please rest, ice, and elevate your son’s ____ to control pain and inflammation.

Please give your son tylenol/motrin as directed in the attached dosing instructions for discomfort.

Please follow up with a pediatric orthopedic surgeon in about 1 week.

Return to the ER immediately if your son has any worsening or uncontrolled pain, numbness or weakness to his ____, color change to his ____, or for any other concerning symptoms.

Thank you for choosing usfor your child’s care.

Female child??????????????????????????????

Your daughter has been evaluated in the Emergency Department today for her ______ pain. Her evaluation, including an x-ray of her _____, has revealed a _____ fracture. Your daughter’s ______ has been splinted in the ER.

Please rest, ice, and elevate her ____ to control pain and inflammation.

Please give your daughter tylenol/motrin as directed in the attached dosing instructions for discomfort.

Please follow up with a pediatric orthopedic surgeon in about 1 week.

Return to the ER immediately if your daughter has any worsening or uncontrolled pain, numbness or weakness to her ____, color change to her ____, or for any other concerning symptoms.

Thank you for choosing us for your child’s care.

Pediatric Tylenol/Motrin Dosing Chart by Weight

Acetaminophen (Tylenol) Dosing Chart
May give acetaminophen dose every 4 – 6 hours:
Weight Tylenol Milligram Dosage Tylenol Infant drops 80mg/0.8ml Tylenol Children’s liquid160mg/5ml Tylenol Chewables 80mg each Tylenol Junior 160mg each
6 – 8 lbs 40 mg ½ dropper (0.4 ml) N/A N/A N/A
9 – 11 lbs 60 mg ¾ dropper (0.6 ml) N/A N/A N/A
12 – 17 lbs 80 mg 1 dropper (0.8 ml) ½ tsp (2.5 ml) N/A N/A
18 – 23 lbs 120 mg 1 ½ dropper (1.2 ml) 3/4 tsp (3.75 ml) N/A N/A
24 – 35 lbs 160 mg 2 droppers (1.6 ml) 1 tsp (5 ml) 2 tablets 1 tablet
36 – 47 lbs 240 mg 3 droppers (2.4 ml) 1 ½ tsp (7.5 ml) 3 tablets 1 ½ tablet
48 – 59 lbs 320 mg N/A 2 tsp (10 ml) 4 tablets 2 tablets
60 – 71 lbs 400 mg N/A 2 ½ tsp (12.5 ml) 5 tablets 2 ½ tablets
72 – 95 lbs 500 mg N/A 3 tsp (15 ml) 6 tablets 3 tablets
Note: Tylenol suppositories can be used if the child is vomiting or is very resistant to taking medicine by mouth. The suppositories can be cut-up to get the proper dose.

Ibuprofen (Motrin / Advil) Dosing Chart
May give ibuprofen dose every 6 – 8 hours:
Weight Motrin Milligram Dosage Motrin Infant drops 50mg/1.25ml Motrin Children’s liquid100mg/5ml Motrin Chewables 50mg each Motrin Junior100mg each
12 – 17 lbs 50 mg 1 dropper (1.25 ml) ½ tsp (2.5 ml) N/A N/A
18 – 23 lbs 75 mg 1 ½ dropper (1.875 ml) 3/4 tsp (3.75 ml) N/A N/A
24 – 35 lbs 100 mg 2 droppers (2.5 ml) 1 tsp (5 ml) 2 tablets 1 tablet
36 – 47 lbs 150 mg 3 droppers (3.75 ml) 1 ½ tsp (7.5 ml) 3 tablets 1 ½ tablet
48 – 59 lbs 200 mg N/A 2 tsp (10 ml) 4 tablets 2 tablets
60 – 71 lbs 250 mg N/A 2 ½ tsp (12.5 ml) 5 tablets 2 ½ tablets
72 – 95 lbs 300 mg N/A 3 tsp (15 ml) 6 tablets 3 tablets
Note: Motrin should NOT be given to infants less than 6 months old.

DC Inst – Peds Fever

DC, Peds

Male Child ???????????????????????

Your son was evaluated in the Emergency Department today for his fever. His evaluation, including ***, suggests that his symptoms are due to ***.

Please alternate Tylenol and Motrin every 4-6 hours to help control your son’s fever.

Please follow up with your son’s pediatrician within three days.

Return to the Emergency Department immediately if your son experiences severe cough, fevers greater than 100.4°F that cannot be controlled with Tylenol/Motrin, recurrent vomiting, lethargy, seizures, shortness of breath, or any other concerning symptoms.

Thank you for choosing us for your child’s care.

Female child?????????????????????????????????

Your daughter was evaluated in the Emergency Department today for her fever. Her evaluation, including ***, suggests that her symptoms are due to ***.

Please alternate Tylenol and Motrin every 4-6 hours to help control your daughter’s fever.

Please follow up with your daughter’s pediatrician within three days.

Return to the Emergency Department immediately if your daughter experiences severe cough, fevers greater than 100.4°F that cannot be controlled with Tylenol/Motrin, recurrent vomiting, lethargy, seizures, shortness of breath, or any other concerning symptoms.

Thank you for choosing us for your child’s care.

Pediatric Tylenol/Motrin Dosing Chart by Weight

Acetaminophen (Tylenol) Dosing Chart
May give acetaminophen dose every 4 – 6 hours:
Weight Tylenol Milligram Dosage Tylenol Infant drops 80mg/0.8ml Tylenol Children’s liquid160mg/5ml Tylenol Chewables 80mg each Tylenol Junior 160mg each
6 – 8 lbs 40 mg ½ dropper (0.4 ml) N/A N/A N/A
9 – 11 lbs 60 mg ¾ dropper (0.6 ml) N/A N/A N/A
12 – 17 lbs 80 mg 1 dropper (0.8 ml) ½ tsp (2.5 ml) N/A N/A
18 – 23 lbs 120 mg 1 ½ dropper (1.2 ml) 3/4 tsp (3.75 ml) N/A N/A
24 – 35 lbs 160 mg 2 droppers (1.6 ml) 1 tsp (5 ml) 2 tablets 1 tablet
36 – 47 lbs 240 mg 3 droppers (2.4 ml) 1 ½ tsp (7.5 ml) 3 tablets 1 ½ tablet
48 – 59 lbs 320 mg N/A 2 tsp (10 ml) 4 tablets 2 tablets
60 – 71 lbs 400 mg N/A 2 ½ tsp (12.5 ml) 5 tablets 2 ½ tablets
72 – 95 lbs 500 mg N/A 3 tsp (15 ml) 6 tablets 3 tablets
Note: Tylenol suppositories can be used if the child is vomiting or is very resistant to taking medicine by mouth. The suppositories can be cut-up to get the proper dose.

Ibuprofen (Motrin / Advil) Dosing Chart
May give ibuprofen dose every 6 – 8 hours:
Weight Motrin Milligram Dosage Motrin Infant drops 50mg/1.25ml Motrin Children’s liquid100mg/5ml Motrin Chewables 50mg each Motrin Junior100mg each
12 – 17 lbs 50 mg 1 dropper (1.25 ml) ½ tsp (2.5 ml) N/A N/A
18 – 23 lbs 75 mg 1 ½ dropper (1.875 ml) 3/4 tsp (3.75 ml) N/A N/A
24 – 35 lbs 100 mg 2 droppers (2.5 ml) 1 tsp (5 ml) 2 tablets 1 tablet
36 – 47 lbs 150 mg 3 droppers (3.75 ml) 1 ½ tsp (7.5 ml) 3 tablets 1 ½ tablet
48 – 59 lbs 200 mg N/A 2 tsp (10 ml) 4 tablets 2 tablets
60 – 71 lbs 250 mg N/A 2 ½ tsp (12.5 ml) 5 tablets 2 ½ tablets
72 – 95 lbs 300 mg N/A 3 tsp (15 ml) 6 tablets 3 tablets
Note: Motrin should NOT be given to infants less than 6 months old.

DC Inst – Child Cough

DC, Peds

Male child:????????????????????

Your son was evaluated in the Emergency Department today for his cough. His evaluation suggests that his symptoms are likely due to a viral illness.

You can give your son Tylenol or Motrin per the attached dosing instructions as needed for fever.

Please follow up with your son’s pediatrician within three days.

Return to the Emergency Department if your son experiences worsening cough, fever 100.4°F or greater, recurrent vomiting, lethargy, or any other concerning symptoms.

Thank you for choosing us for your care.

Female child: ???????????????????????????????????

Your daughter was evaluated in the Emergency Department today for her cough. Her evaluation suggests that her symptoms are likely due to a viral illness.

You can give your daughter Tylenol or Motrin per the attached dosing instructions as needed for fever.

Please follow up with your daughter’s pediatrician within three days.

Return to the Emergency Department if your daughter experiences worsening cough, fever 100.4°F or greater, recurrent vomiting, lethargy, or any other concerning symptoms.

Thank you for choosing us for your care.

Pediatric Tylenol/Motrin Dosing Chart by Weight

Acetaminophen (Tylenol) Dosing Chart
May give acetaminophen dose every 4 – 6 hours:
Weight Tylenol Milligram Dosage Tylenol Infant drops 80mg/0.8ml Tylenol Children’s liquid160mg/5ml Tylenol Chewables 80mg each Tylenol Junior 160mg each
6 – 8 lbs 40 mg ½ dropper (0.4 ml) N/A N/A N/A
9 – 11 lbs 60 mg ¾ dropper (0.6 ml) N/A N/A N/A
12 – 17 lbs 80 mg 1 dropper (0.8 ml) ½ tsp (2.5 ml) N/A N/A
18 – 23 lbs 120 mg 1 ½ dropper (1.2 ml) 3/4 tsp (3.75 ml) N/A N/A
24 – 35 lbs 160 mg 2 droppers (1.6 ml) 1 tsp (5 ml) 2 tablets 1 tablet
36 – 47 lbs 240 mg 3 droppers (2.4 ml) 1 ½ tsp (7.5 ml) 3 tablets 1 ½ tablet
48 – 59 lbs 320 mg N/A 2 tsp (10 ml) 4 tablets 2 tablets
60 – 71 lbs 400 mg N/A 2 ½ tsp (12.5 ml) 5 tablets 2 ½ tablets
72 – 95 lbs 500 mg N/A 3 tsp (15 ml) 6 tablets 3 tablets
Note: Tylenol suppositories can be used if the child is vomiting or is very resistant to taking medicine by mouth. The suppositories can be cut-up to get the proper dose.

Ibuprofen (Motrin / Advil) Dosing Chart
May give ibuprofen dose every 6 – 8 hours:
Weight Motrin Milligram Dosage Motrin Infant drops 50mg/1.25ml Motrin Children’s liquid100mg/5ml Motrin Chewables 50mg each Motrin Junior100mg each
12 – 17 lbs 50 mg 1 dropper (1.25 ml) ½ tsp (2.5 ml) N/A N/A
18 – 23 lbs 75 mg 1 ½ dropper (1.875 ml) 3/4 tsp (3.75 ml) N/A N/A
24 – 35 lbs 100 mg 2 droppers (2.5 ml) 1 tsp (5 ml) 2 tablets 1 tablet
36 – 47 lbs 150 mg 3 droppers (3.75 ml) 1 ½ tsp (7.5 ml) 3 tablets 1 ½ tablet
48 – 59 lbs 200 mg N/A 2 tsp (10 ml) 4 tablets 2 tablets
60 – 71 lbs 250 mg N/A 2 ½ tsp (12.5 ml) 5 tablets 2 ½ tablets
72 – 95 lbs 300 mg N/A 3 tsp (15 ml) 6 tablets 3 tablets
Note: Motrin should NOT be given to infants less than 6 months old.

DC Inst – Peds CHI

DC, Peds

MALE CHILD:
?????????????????????????????????????????

Your son has been evaluated in the Emergency Department today for his head injury. It is possible that your son has had a minor concussion tonight. Typical symptoms after a concussion include headache, some nausea, and difficulty concentrating. If these symptoms worsen or become severe, bring your son back to the ER.

He should avoid contact contact sports, strenuous exercise, or extended computer use for the next few days, until he is feeling completely well again.

Please follow up with your son’s pediatrician within three days.

Return to the Emergency Department if your son experiences severe headache, vision changes, recurrent vomiting, difficulty with normal activities, lethargy, abnormal behavior, difficulty walking, numbness, weakness, or any other concerning symptoms.

Thank you for choosing us for your son’s care.

FEMALE CHILD:
????????????????????????????????????????????
Your daughter has been evaluated in the Emergency Department today for her head injury. It is possible that your daughter has had a minor concussion tonight. Typical symptoms after a concussion include headache, some nausea, and difficulty concentrating. If these symptoms worsen or become severe, bring your daughter back to the ER.

She should avoid contact contact sports, strenuous exercise, or extended computer use for the next few days, until she is feeling completely well again.

Please follow up with your daughter’s pediatrician within three days.

Return to the Emergency Department if your daughter experiences severe headache, vision changes, recurrent vomiting, difficulty with normal activities, lethargy, abnormal behavior, difficulty walking, numbness, weakness, or any other concerning symptoms.

Thank you for choosing us for your daughter’s care.