Sick Child Care
If My Child Is Ill What Should Do?
If your child is ill, the first priority is to assess the seriousness of the illness. If your child’s condition appears to be life-threatening, call 911 immediately. Otherwise, if your child is ill but his/her condition is not life-threatening, our “symptom checker” link you can help you determine the best course of action. Of course, if you are not sure what to do or have concerns please call THH.
How Do I Make A Sick Visit?
If your child is experiencing a life-threatening medical emergency, please call 911 immediately. Otherwise, if your child is ill but his/her condition is not life-threatening, and you have concerns about your child during office hours please call the office to speak to a phone triage nurse. The triage nurse will ask you relevant questions related to your child’s presenting symptoms and will recommend a course of action. This may include home treatment and monitoring, a same day sick appointment in our office, or an emergency room visit. Please note: We do not accept walk-in visits.
Does THH Pediatrics Have Same Day Sick Appointments If My Child Is Ill?
Our goal is to be able to see your child in a timely manner if she/he becomes ill. With that in mind, we do allot a certain number of appointments slots for same-day sick appointments. However, we do require that you first call our office and speak to a triage nurse. Please remember we do not accept walk-in visits.
Does Your Office Accept Walk-In Visits?
How To Reach The Doctor On Call
If your child is experiencing a life-threatening medical emergency, please call 911 immediately. If your child’s illness is not immediately life-threatening but cannot safely wait until the office re-opens, you may page the doctor on call. The doctor can be reached by calling the office phone number (301) 540-0811 and following the instructions given. Please keep in mind that some insurance plans do offer after-hours advice lines for your convenience. These include:
- Blue Cross / Blue Shield of the National Capital Area 1(888) 258-3432
- Care First / Blue Choice 1(800) 535-9700
- Cigna 1(800) 564-9286
If you choose to page the doctor on call, most calls are returned within 15 minutes. It is important to speak slowly when leaving a message and include your name, your child’s name and date of birth, a brief description of your concern and a phone number where you can be reached.
Will A Pediatrician From THH Pediatrics See My Child If She/He Is Admitted To The Hospital?
If your child is admitted to Shady Grove Adventist Hospital, we will see her/him during their hospital stay. Typically, we make rounds between 7-8am. While at the hospital, your child will be cared for by a Pediatric Hospitalist – a pediatrician who specializes in inpatient pediatric medicine. We will discuss your child’s care with the hospitalist to ensure good coordination of care between the inpatient and outpatient experience, and to make sure that an appropriate plan of care and follow-up plans have been made once your child is discharged from the hospital. The pediatricians at THH only conduct inpatient rounds at Shady Grove Adventist Hospital.
What Is My Child’s Dose Of Tylenol? Or Motrin?
If your child is 12 weeks or older and has a fever, it is appropriate to give your child a dose of anti-fever medicine. However, if your child is less than 12 weeks old and has a fever of 100.4 or higher taken rectally, you must notify your pediatrician immediately. Also, it is important to keep in mind that acetaminophen (Tylenol) is approved for all ages but ibuprofen (Motrin or Advil) is only approved for those 6 months and older. In addition, ibuprofen should not be given to any child preparing or recovering from surgery because of its tendency to “thin the blood.” Acetaminophen and/or ibuprofen are also indicated for mild pain relief for such things as teething. Please remember it is never appropriate to give aspirin to a child. Giving aspirin to an ill child may cause Reye’s Syndrome, a life-threatening condition that affects the liver and brain.
Recently, the concentration of infant Tylenol has changed. The old concentration (80mg/0.8 ml) is being phased out for a less concentrated version (160mg/5ml). As such, there may be confusion during the phase out as to which concentration a caregiver is using and how much to give. It is extremely important to check the concentration of the infant acetaminophen one has and to administer the appropriate amount. Please see the links below for further details.
- New Infant Acetaminophen (Tylenol) Dosing Information
- Acetaminophen (Tylenol) Dosing Chart
- Ibuprofen (Motrin & Advil) Dosing Chart
What Is My Child’s Dose Of Diphenhydramine (Benadryl)?
Diphenhydramine (Benadryl) is useful in the treatment of mild to moderate allergic reactions, including those with hives and itching. It may also be used for nasal allergies. Due to its sedative effect, it is not recommended for children less than two years old unless advised by a physician. It should never be used with the intent to sedate a child for a long car or plane ride. Diphenhydramine is also found in many multi-ingredient cold remedies, however, these are not known to be effective and are to be avoided in children under 6 years of age. Please note that if your child is experiencing a severe allergic reaction, including difficulty breathing, vomiting, or lip/tongue/airway swelling, the best course of action is to call 911 and give epinephrine if available. Otherwise, if your child is older than 2 and having a mild to moderate allergic reactions or nasal allergy symptoms, please refer to the chart below for dosing guidelines.
Dosing For Common OTC Allergy Medications
New Policy For Negative Throat Cultures
As of April 2012, THH Pediatrics will no longer be calling patients/parents for normal throat culture results. Please note, THH will continue to contact those patients and families whose culture results are Group A Strep positive.
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