Well Child Care 3 Years
/in Uncategorized /by Dr. Joe BarberNutrition
Development
Behavior Control
Reading and Electronic Media
Dental Care
Safety Tips
All parents, caregivers and babysitters should be certified in CPR every two years. Your local hospital may have a class available.
Immunizations
Well Child Care 4 Years
/in Uncategorized /by Dr. Joe BarberNutrition
Development
Behavior Control
Reading and Electronic Media
Dental Care
Safety Tips
All parents, caregivers and babysitters should be certified in CPR every two years. Your local hospital may have a class available.
Immunizations
For fever, give your child an appropriate dose of acetaminophen or ibuprofen. For swelling or soreness, put a wet, warm washcloth on the area of the shot as often and as long as needed for comfort.
Well Child Care 5 Years
/in Uncategorized /by Dr. Joe BarberNutrition
Development
Behavior Control
Reading and Electronic Media
Dental Care
Safety Tips
All parents, caregivers and babysitters should be certified in CPR every two years. Your local hospital may have a class available.
Immunizations
The virus that causes influenza (which is also called the flu) changes every year. Children over 6 months of age should receive an annual flu vaccine starting in late September. Many offices offer both tradition flu shots as well as Flumist (which is a painless squirt in the nose without any needles
Acetaminophen and Ibuprofen Preparations
/in Uncategorized /by Dr. Joe BarberBurn and Electrical Safety
/in Safety /by Dr. Joe Barber- Do not handle hot liquids (coffee/tea/coca) if your child has easy access to it. This includes trying to carry both your child and a hot liquid at the same time.
- Protect your child from “hot” appliances such as fireplaces, irons, space heaters and stoves by either removing them from the area or by strict supervision if access is available.
- Turn your hot water heater to 125 degrees. Children can turn on hot water faucets very easily, but 125 water temperatures will prevent an immediate scald.
- Do not let your child have access to matches, lighter or burning cigarettes. Be sure all such objects are stored away from sight and out of reach of children.
- Make sure your home has functioning smoke alarms in hallways and sleeping quarters. Check the alarms monthly for battery charge.
- Fire drills should be conducted by families to know where to go and what to do in case of a fire in your home.
- Prevent electrical burns by covering all electrical outlets with plastic safety caps and keeping electrical cords away from children.
- Protect children from scalds by keeping hot pots and pans back burners and turning pot handles inward and out of reach.
- Use flame retardant sleepwear and blankets.
Car Safety
/in Safety /by Dr. Joe Barber- Children should never travel in a car without fitting properly into a car seat, or an appropriate lap or shoulder restraint.
- Make sure our care seat is approved by Federal Motor Vehicle Safety Standards. The date of a manufacture should be after January 1981.
- Infant car seats are used from birth to 1 year and should always face rearward.
- Toddler and convertible seats for toddlers from 20 lbs. to 40 lbs. can be forward facing.
- Follow installation instruction of the car seat very carefully. Not all car seats match all cars and not all car seats match to seats belts the same way. Make an appointment with your local State Police Office to inspect your car seat.
- Cover your car seat with a towel or covering in hot weather to prevent metal clips from burning your child’s skin.
- Try to praise your child for using the car seat. If your child is bored or is fussy, do not remove him from the car seat. It is better to stop and take a break instead of reinforcing the idea that he can get out of the seat if he makes a fuss.
- The infant car seat shoulder harness should be securely tightened allowing only 2 fingers widths of space between the hardness and the baby.
- The car seat should be securely fastened to the car with the seat belt. A locking clip may be required to tighten the seat belt to prevent movement of the car seat. Give a hard “tug” in the lap portion of the belt. If it pulls loose, a locking clip may be the solution.
- Ask your physician for instructions or information on how to properly install and use a car seat.
Pennsylvania’s Seat Belt Law
- Under Pennsylvania´s primary child passenger safety law, children under the age of four must be properly restrained in an approved child safety seat anywhere in the vehicle.
- Children from age four up to age eight must be restrained in an appropriate booster seat.
- Children from age 8 up to age 18 must be in a seat belt.
Car Seat Recommendations for Children
- Select a car seat based on your child´s age and size, and choose a seat that fits in your vehicle and use it every time.
- Always refer to your specific car seat manufacturer´s instructions; read the vehicle owner´s manual on how to install the car seat using the seat belt or LATCH system; and check height and weight limits.
- To maximize safety, keep your child in the car seat for as long as possible, as long as the child fits within the manufacturer´s height and weight requirements.
- Keep your child in the back seat at least through age 12.
- Visit a PennDOT approved Child Safety Seat Fitting Station for advice.
The following information can be found at http://www.drivesafepa.org/:
Birth-12 Months
Your child under age 1 should always ride in a rear-facing car seat. There are different types of rear-facing car seats: Infant-only seats can only be used rear-facing. Convertible and 3-in-1 car seats typically have higher height and weight limits for the rear-facing position, allowing you to keep your child rear-facing for a longer period of time.
1-3 Years
Keep your child rear-facing as long as possible. It´s the best way to keep him or her safe. Your child should remain in a rear-facing car seat until he or she reaches the top height or weight limit allowed by your car seat´s manufacturer. Once your child outgrows the rear-facing car seat, your child is ready to travel in a forward-facing car seat with a harness.
4-7 Years
Keep your child in a forward-facing car seat with a harness until he or she reaches the top height or weight limit allowed by your car seat´s manufacturer. Once your child outgrows the forward-facing car seat with a harness, it´s time to travel in a booster seat, but still in the back seat.
8-12 Years
Keep your child in a booster seat until he or she is big enough to fit in a seat belt properly. For a seat belt to fit properly the lap belt must lie snugly across the upper thighs, not the stomach. The shoulder belt should lie snug across the shoulder and chest and not cross the neck or face. Remember: your child should still ride in the back seat because it´s safer there.
Child Safety Seat Fitting Stations:
PennDOT provides funding for more than 75 fitting stations where trained technicians will check that the child safety seat is properly installed. To find a fitting station near you, search the Fitting Station directory. Use your city and state to find a certified child passenger safety technician through the Safe Kids Website.
Acetaminophen Dosage Table
/in Uncategorized /by Dr. Joe BarberAcetaminophen (Tylenol) Dosage Table
Child’s Weight (pounds)
|
6-11
|
12-17
|
18-23
|
24-35
|
36-47
|
48-59
|
60-71
|
72-95
|
96+
|
lbs
|
Infant Drops 80 mg/0.8 ml
|
0.4
|
0.8
|
1.2
|
1.6
|
2.4
|
—
|
—
|
—
|
—
|
ml
|
Syrup: 160 mg/5 mL (1 tsp)
|
1.25
|
2.5
|
3.75
|
5
|
7.5
|
10
|
12.5
|
15
|
20
|
ml
|
Syrup: 160 mg/1 teaspoon
|
—
|
1/2
|
3/4
|
1
|
1 1/2
|
2
|
2 1/2
|
3
|
4
|
tsp
|
Chewable 80 mg tablets
|
—
|
—
|
1 1/2
|
2
|
3
|
4
|
5
|
6
|
8
|
tabs
|
Chewable 160 mg tablets
|
—
|
—
|
—
|
1
|
1 1/2
|
2
|
2 1/2
|
3
|
4
|
tabs
|
Adult 325 mg tablets
|
—
|
—
|
—
|
—
|
—
|
1
|
1
|
1 1/2
|
2
|
tabs
|
Adult 500 mg tablets
|
—
|
—
|
—
|
—
|
—
|
—
|
—
|
1
|
1
|
tabs
|
- CAUTION: In May, 2011, a move to one standard concentration (160 mg/5 ml) of liquid acetaminophen medicine for infants and children was announced. Up until that time, there were mainly 2 concentrations: 80 mg/0.8 ml (Infant Concentrated Drops) and 160 mg/5 ml (Children’s Liquid Suspension or Syrup). Old concentrations (80mg/0.8 ml) of infant acetaminophen may still be available in some homes. Therefore, if it is an older product, please have the caller confirm the correct concentration of infant acetaminophen.
- AGE LIMIT: Don’t use under 12 weeks of age (Reason: fever during the first 12 weeks of life needs to be documented in a medical setting and if present, your infant needs a complete evaluation.) EXCEPTION: Fever from immunization if child is 8 weeks of age or older. Avoid multi-ingredient products in children under 6 years of age. (Reason: FDA recommendations 1/2008).
- DOSAGE: Determine by finding child’s weight in the top row of the dosage table
- MEASURING the DOSAGE: Syringes and droppers are more accurate than teaspoons. If possible, use the syringe or dropper that comes with the medicine. If not, medicine syringes are available at pharmacies. If you use a teaspoon, it should be a measuring spoon. Regular spoons are not reliable. Also, remember that 1 level teaspoon equals 5 ml and that ½ teaspoon equals 2.5 ml.
- FREQUENCY: Repeat every 4-6 hours as needed. Don’t give more than 5 times a day.
- ADULT DOSAGE: 650 mg MAXIMUM: 3,000 mg in a 24-hour period.
- BRAND NAMES: Tylenol, Feverall (suppositories), generic acetaminophen
- MELTAWAYS: Dissolvable tabs that come in 80 mg and 160 mg (jr. strength)
- SUPPOSITORIES: Acetaminophen also comes in 80, 120, 325 and 650 mg suppositories (the rectal dose is the same as the dosage given by mouth).
- EXTENDED-RELEASE: Avoid 650 mg oral products in children (Reason: they are every 8 hour extended-release)
Ibuprofen Dosing Table
/in Uncategorized /by Dr. Joe Barber
Child’s Weight (pounds)
|
12-17
|
18-23
|
24-35
|
36-47
|
48-59
|
60-71
|
72-95
|
96+
|
lbs
|
Infant Drops 50mg/1.25 ml
|
1.25
|
1.875
|
2.5
|
3.75
|
5
|
—
|
—
|
—
|
ml
|
Liquid 100 mg/ 1 teaspoon (tsp)
|
½
|
¾
|
1
|
1½
|
2
|
2½
|
3
|
4
|
tsp
|
Liquid 100 mg/ 5 milliliters (ml)
|
2.5
|
4
|
5
|
7.5
|
10
|
12.5
|
15
|
20
|
ml
|
Chewable 50 mg. tablets
|
—
|
—
|
2
|
3
|
4
|
5
|
6
|
8
|
tabs
|
Junior-strength 100 mg tablets
|
—
|
—
|
—
|
—
|
2
|
2½
|
3
|
4
|
tabs
|
Adult 200 mg. tablets
|
—
|
—
|
—
|
—
|
1
|
1
|
1½
|
2
|
tabs
|
- AGE LIMIT: Don’t use under 6 months of age unless directed by child’s doctor. (Reason: safety not established and doesn’t have FDA approval). Avoid multi-ingredient products in children under 6 years of age (FDA recommendations 1/2008).
- DOSAGE: Determine by finding child’s weight in the top row of the dosage table.
- MEASURING the DOSAGE: Syringes and droppers are more accurate than teaspoons. If possible, use the syringe or dropper that comes with the medication. If you use a teaspoon, it should be a measuring spoon. Regular spoons are not reliable. Also, remember that 1 level teaspoon equals 5 ml and that ½ teaspoon equals 2.5 ml.
- IBUPROFEN DROPS: Ibuprofen infant drops come with a measuring syringe
- BRAND NAMES: Motrin, Advil, generic ibuprofen
- ADULT DOSAGE: 400 mg
- FREQUENCY: Repeat every 6-8 hours as needed
Sleep Needs in Children and Adolescents
/in Uncategorized /by Dr. Joe BarberResearch supports the need for children to get adequate sleep if they are to be
healthy. An insufficient quantity or quality of sleep causes negative effects on
your child’s physical and mental health, ability to learn and behavioral and
academic success. Numerous studies have shown the negative effects of sleep
restriction. and the positive effects of sleep extension have also been well
documented.
Toddlers need about 12-14 hours of sleep; preschoolers 11-13 hours; and school
aged children 10-11 hours.
Sufficient sleep allows your child to think more clearly and complete more complex task easier than when they are drowsy or fatigued. When your child is sleepy he is more irritable and less prone to succeed in performance related activities at home and at school.
Adolescents as a group are at high risk for sleep deprivation and the serious
consequences of sleepiness. Some of the most troubling risks include the
decreased attention patterns that effect cognitive and school performance as
well as the potential risks from a delayed response while driving. Drowsiness
and fatigue are principal causes of traffic accidents each year and other
unintentional injuries. Young drivers are especially prone to fall-asleep
crashes.
Adolescents require as much sleep as they did prior to adolescence.
In general adolescents require 8.5 to 9.25 hours each night. They
also prefer to go to bed later and wake up later than they did when they were
younger, Unfortunately, this conflicts with school schedules and places them at
a higher risk for difficulty falling asleep even when they try to arrange their
schedule to allow them to go to bed earlier. They also have to wake for school
when their body is telling them they need to sleep in longer. This phase delay
on top of other behavioral and schedule issues that cause them to stay up later
increases their sleep debt. Average sleep durations in early adolescence is 8
hours and later adolescence is 7 hours. Neither of these are adequate. Only
about 15% of adolescents report they sleep 8.5 hours or more each night. They
also have an extreme variability between weekday and weekend sleep schedules.
This further disrupts the quality and quantity of their sleep.
All children are different and sleep needs vary but most children do not get
adequate sleep. The best way to tell if your child is getting adequate sleep is
to look for signs of insufficient sleep. Is he difficult to wake in the morning?
Does he wake on his own? Does he sleep in on weekends and vacations? Is he extra
tired on Monday mornings? Does he show daytime sleepiness or become irritable
and short tempered when he is tired? Does he look rested? These are just some of
the clues to determine if your child is getting adequate sleep.
You should also look for healthy sleep practices. Regular bedtimes and bedtime
routines should be followed at all ages. Caffeine should be avoided and bedtime
electronics should be left out of the hours prior to going to bed. Try to fade
the intensity of light your child is exposed to and avoid vigorous exercise
during the 2-3 hours before bedtime. For the preschool and older child
it often helps to take a hot bath or wear extra clothes one hour before bed.
This warms up the body surface and helps them to relax. During the ensuing hour
before bed allow his surface temperature to drop by wearing light weight
pajamas. He should start to feel “cold” and want to get in bed between the
covers to warm up. Once in bed he will begin to feel “warm and toasty”.
This encourages and prepares your child to fall asleep.
Your goal is a pattern of healthy sleep habits and a consistent sleep schedule that
is tailored to your child’s age and developmental level. Sleep environments must
be dark, cool, quiet and relaxed. For the younger child set a daily sleep
schedule and a consistent routine and follow through with it. For the older
child keep televisions and computers out of the bedroom and try to keep a
consistent schedule on weekends and weekdays.
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