This well-appearing child presents with fever, likely secondary to a urinary source vs viral syndrome. No localizing symptoms of URI or intraabdominal pathology, low suspicion for serious bacterial infection given nontoxic appearance and otherwise healthy child with no major medical problems. Doubt pneumonia or pyelonephritis. Doubt meningitis or appendicitis.
Plan: ***straight cath for urine, antipyretic instructions, reassurance and reassessment, discharge with pediatrics f/u
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.
EM DOT PHRASES 