After several 5 mg doses of clonidine, this 5 kg boy became extremely lethargic and hypotensive. What went wrong?
A prescription was called into the local pharmacy for ciprofloxacin suspension (200 mg via G-tube bid [10 mg/kg/dose]). After the patient received 2 doses of the medication, the parents noticed that the G-tube was clogged off. What’s the problem here?
Ketorolac is a good option for relieving pain in patients with sickle cell disease, but there can be a problem with how this agent is prescribed for children.
Ceftriaxone is used to treat an array of infections and can be given once daily IV or IM. However, it should generally be avoided in neonates, especially those with high bilirubin levels. This case demonstrates how problems can -- and do -- occur with this agent.
Beware handwritten prescriptions for insulin and use of abbreviations....this case illustrates the dangers.
Infants acetaminophen, 80 mg/0.8 mL, was taken off the market early in 2012, and most pharmacies now only carry the 160 mg/5mL concentration. The label, however, does not provide instruction on how to administer an infant dose. Here, another major problem plus simple measures to prevent under- or over-dosing.
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A 4-week-old girl was referred to the ED by a pediatric ophthalmologist for evaluation of a bluish pimple at the corner of the child’s left eye that had not responded to supportive care at home. As the eye became swollen, the infant grew increasingly irritable.
A 17-year-old girl presented for evaluation of right hip pain. Several months earlier she had incurred a twisting injury to her hip when she landed from a jump while dancing.
Tar on the feet and legs can be an unwelcome consequence of summer trips to the beach. Getting it off can be difficult, painful, and harmful to the underlying tissue. Tell parents they can make removal easier by gently rubbing a small amount of mayonnaise on the affected area.