cough

DC Inst – Upper Respiratory

DC

You were evaluated in the Emergency Department today for your congestion, cough and fevers. Your evaluation suggests that your symptoms are most likely due to a viral illness, which will improve on its own with rest and fluids.

***We recommend you take 600mg ibuprofen every 6 hours or tylenol 650mg every 6 hours as needed for fever. If needed, you can alternate these medications so that you take one medication every 3 hours. For instance, at noon take ibuprofen, then at 3pm take tylenol, then at 6pm take ibuprofen.

Please schedule an appointment for follow up with your primary care physician this week.

Return to the Emergency Department if you experience worsening cough, fever 100.4 ° F or greater not controlled by Tylenol or Ibuprofen, recurrent vomiting, chest pain, shortness of breath, or any other concerning symptoms.

Thank you for choosing UCLA 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 – 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.

Cough, Simple – Low Risk

MDM

This patient presents with acute cough, most consistent with ***. Differential diagnosis includes ***. Presentation not consistent with acute bacterial pneumonia, influenza, asthma, transient airway hyperresponsiveness. Presentation not consistent with chronic causes of cough (including GERD, asthma, postnasal discharge, medication side effect, CHF, lung cancer or mass).

Plan: ***CXR, supportive care, reassess

Peds Cough – URI

Peds

*** year old *** presenting with cough. Patient is afebrile. Presentation consistent with uncomplicated viral URI given classic history and physical exam, positive sick contacts, and well-appearing child***. No warning signs of systemic infection (fevers, tachypnea) to suggest pneumonia, and lung sounds clear on exam. No photophobia or neck stiffness/pain to suggest meningitis. No rash. No clinical evidence of dehydration and child is taking excellent PO and making multiple wet diapers per day. Patient has attentive parents and good follow up.

Plan: Discharge to home with strict return precautions, encourage PO hydration, return to ***clinic/ER in 48 hours if no improvement