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Microsoft word - viral_infection_tx_under6months.doc

Viral Infection “Cold” Treatment for
If your child is less than 3 months old, he or she should be seen by the physician prior to any
over the counter treatment.
Any child less than 3 months old with a fever greater than 100.4
should be seen by a physician immediately.

Fluid Intake

Sometimes when babies are sick the breast milk or formula will be to thick and they will have
difficulty drinking. Giving them less milk and supplementing with pedialyte can help them stay
hydrated. Pedialyte should not substitute for milk more than 2 days in a row without your child
being seen by the physician.
Nasal Saline Drops

Brand names: Little Noses, Ocean Nasal Spray, Ayr Baby
These drops contain soothing saline solution and can be very beneficial in helping your baby feel
better. To use this, fill one side of the nose with the saline drops. After 1 minute use the suction
bulb to suck out the loosened mucus. You will need to block one nostril while suctioning the
other. You can repeat this procedure as often as needed to clear the congestion. Do this
procedure at least 4 times daily. A cool mist vaporizer will also help to keep the mucus
membranes moist, cutting down on congestion.
Decongestant Drops
Brand names: Little Noses decongestant drops
These drops have a decongestant medicine in them and they need to be limited, unlike the nasal
saline drops above. Only use these drops when okayed by the doctor. To use these drops, you
will place 2 drops in each nostril 2-3 times daily. It is important that you do not exceed the
recommended dose of this medicine.
Acetometaphin and Ibuprofen

Brand names: acetometaphin, Tylenol, ibuprofen, Motrin, Advil
Acetaminophen Dosage Information
Dosages may be repeated every six to eight hours, but should not be given more than four times
in twenty-four hours.
Age* Weight**
1.2 ml (1 1/2 dropper) 3/4 tsp. (3.75 ml) (Note: Milliliter is abbreviated as ml; 5 ml equals 1 teaspoon [tsp]. Don't use household teaspoons, which can vary in size.) *Remember that your child's weight, not his age, determines how much medicine your child should get. If your baby weighs more than the weight range for his age group, check with your doctor before giving him the next highest dose. Ibuprofen Dosing Information
Dosages may be repeated every six to eight hours, but should not be given more than four times
in twenty-four hours.
Important note for Ibuprofen infant and pediatric drops dosage:
Note: as of February 2003, Motrin changed their dropper to a syringe that is identical to the
Advil syringe. The old dropper was like the Pediacare Fever Drops - if you have the old dropper,
just follow the instructions for the Pediacare drops, below.
Different dropper sizes: Pediacare Fever Drops come with a 1.25ml (¼ tsp) dropper, whereas
Motrin and Advil Infant's Drops come with a 1.875ml syringe for dosing. The amount you are
giving is the same, you are just giving it in a different sized dropper.
Pediacare: ½ dropper = 0.625ml, and 1 dropper = 1.25ml
Advil/Motrin Infant drops: 1/3 syringe = 0.625ml, 2/3 syringe = 1.25ml, and 1 syringe
Don't let the dropper/syringe difference confuse you. The milligram amount you are giving is the same, you are just giving it in a different sized syringe. If you're in doubt about how much to give, you can use the milligram dosage column on the
left to double-check yourself.

Milligram
Pediacare drops
Advil/Motrin Drops Children's liquid
50mg/1.25ml
50mg/1.25ml
100mg/5ml

Source: http://www.bransonclinic.com/PtEducation/Viral_Infection_Tx_under6months.pdf

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