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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 – Shortness of Breath

DC

You were evaluated in the Emergency Department today for shortness of breath. Your symptoms improved with Albuterol and steroids, and your evaluation did not show evidence of medical conditions requiring emergent intervention at this time. ***You have been given a prescription for steroids, please take them as directed.

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

Return to the Emergency Department if you experience worsening shortness of breath, chest pain, headache, light headedness, 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 – 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.

DYSPNEA – General

MDM

This patient presents with dyspnea, most likely secondary to ***. Differential diagnosis includes ***. Presentation not consistent with acute cardiac etiologies to include ACS (HEART score ***), CHF, pericardial effusion / tamponade . Presentation not consistent with acute respiratory etiologies to include acute PE (Wells low risk ***), pneumothorax , asthma, COPD exacerbation, allergic etiologies, or infectious etiologies such as PNA. Presentation also not consistent with non-cardiopulmonary causes to include toxidromes, metabolic etiologies such as acidemia or electrolyte derangements, sepsis, neurologic causes (i.e. demyelinating diseases).

Plan: supplemental O2, NIPPV ***, CXR, labs, troponin, close hemodynamic monitoring, serial reassessment