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After the ShotsWhat to do if your child has discomfort

After the What to do if your child has discomfort I think my child has a fever. What should I do? Check your child 's temperature to find out if there is a fever. An easy way Your child may need extra love and care to do this is by taking a temperature in the armpit using an electronic ther- After getting vaccinated. Some vaccinations mometer (or by using the method of temperature-taking your healthcare that protect children from serious diseases provider recommends). If your child has a temperature that your healthcare also can cause discomfort for a while. provider has told you to be concerned about or if you have questions, call Here are answers to questions many parents your healthcare provider. have After their children have been vac . cinated. If this sheet doesn't answer your Here are some things you can do to help reduce fever: questions, call your healthcare provider.

After the Shots... Your child may need extra love and care after getting vaccinated. Some vaccinations that protect children from serious diseases

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Transcription of After the ShotsWhat to do if your child has discomfort

1 After the What to do if your child has discomfort I think my child has a fever. What should I do? Check your child 's temperature to find out if there is a fever. An easy way Your child may need extra love and care to do this is by taking a temperature in the armpit using an electronic ther- After getting vaccinated. Some vaccinations mometer (or by using the method of temperature-taking your healthcare that protect children from serious diseases provider recommends). If your child has a temperature that your healthcare also can cause discomfort for a while. provider has told you to be concerned about or if you have questions, call Here are answers to questions many parents your healthcare provider. have After their children have been vac . cinated. If this sheet doesn't answer your Here are some things you can do to help reduce fever: questions, call your healthcare provider.

2 N Give your child plenty to drink. Vaccinations may hurt a little .. n Dress your child lightly. Do not cover or wrap your child tightly. n . Give your child a fever- or pain-reducing medicine such as acetamino- but disease can hurt a lot! phen ( , Tylenol) or ibuprofen ( , Advil, Motrin). The dose you give your child should be based on your child 's weight and your heathcare provider's instructions. See the dose chart on page 2. Do not give aspirin. Recheck your child 's temperature After 1 hour. Call your healthcare Call your healthcare provider right provider if you have questions. away if you answer yes to any of the following questions: My child has been fussy since getting vaccinated. What should I do? Does your child have a temper- ature that your healthcare After vaccination, children may be fussy because of pain or fever. To reduce provider has told you to be discomfort , you may want to give your child a medicine such as acetami n.

3 Concerned about? ophen or ibuprofen. See the dose chart on page 2. Do not give aspirin. If your child is fussy for more than 24 hours, call your healthcare provider. Is your child pale or limp? Has your child been crying My child 's leg or arm is swollen, hot, and red. What should I do? for more than 3 hours and just won't quit? n Apply a clean, cool, wet washcloth over the sore area for comfort. n For pain, give a medicine such as acetaminophen or ibuprofen. See the Is your child 's body shaking, dose chart on page 2. Do not give aspirin. twitching, or jerking? n If the redness or tenderness increases After 24 hours, call your healthcare Is your child very noticeably provider. less active or responsive? My child seems really sick. Should I call my healthcare provider? If you are worried at all about how your child looks or feels, call your health- care provider!

4 S Please see page 2 for information on the healthcare provider: please fill in the information below. [ ]. proper amount of medicine to give your child to reduce pain or fever. If your child 's temperature is F or C or higher, or if you have questions, call your healthcare provider. Healthcare provider phone number: immunization IAC. action coalition Technical content reviewed by the Centers for Disease Control and Prevention Saint Paul, Minnesota 651- 647- 9009 Item #P4015 (7/14). After the shots: what to do if your child has discomfort page 2. Medicines and Dosages to Reduce Pain and Fever Choose the proper medicine, and measure the dose accurately. 1. Ask your healthcare provider or pharmacist which medicine is best for your child . 2. Give the dose based on your child 's weight. If you don't know your child 's weight, give the dose based on your child 's age.

5 Do not give more medicine than is recommended. 3. If you have questions about dosage amounts or any other concerns, call your healthcare provider. 4. Always use a proper measuring device. For example: . When giving acetaminophen liquid ( , Tylenol), use the device enclosed in the package. If you misplace the device, consult your healthcare provider or pharmacist for advice. Kitchen spoons are not accurate measures. When giving ibuprofen liquid ( , Advil, Motrin), use the device enclosed in the package. Never use a kitchen spoon! Take these two steps to avoid causing a serious medication overdose in your child . 1. Don't give your child a larger amount of acetaminophen ( , Tylenol) or ibuprofen ( , Motrin, Advil) than is shown in the table below. Too much of any of these medicines can be extremely dangerous. 2. When you give your child acetaminophen or ibuprofen, don't also give them over-the-counter cough or cold medicines.

6 This can cause a medication overdose because cough and cold medicines often contain acetamino- phen or ibuprofen. In fact, to be safe, don't ever give over-the-counter cough and cold medicines to your child unless you talk to your child 's healthcare provider first. Acetaminophen (Tylenol or another brand): How much to give? Give every 4 to 6 hours, as needed, no more than 5 times in 24 hours (unless directed to do otherwise by your healthcare provider). old formulations Infants' New formulation children's junior child 's weight child 's infants' drops or children's liquid chewables strength age 80 mg in each mL 160 mg in each 5 mL (1 tsp). or in each mL Kitchen spoons are not accurate measures. 80 mg in each tab 160 mg in each tab 6 11 lbs ( 5 kg) 0 3 mos Advised dose* 1 . 12 17 lbs ( kg) 4 11 mos No longer 2 teaspoon or mL. available 3 4 teaspoon 18 23 lbs ( kg) 12 23 mos for purchase or mL 24 35 lbs ( kg) 2 3 yrs in the 1 teaspoon or 5 mL 2 tablets Please discard 1.

7 36 47 lbs ( kg) 4 5 yrs old product. 1 2 teaspoon or mL 3 tablets 48 59 lbs ( kg) 6 8 yrs 2 teaspoons or 10 mL 4 tablets 2 tablets 1 1. 60 71 lbs ( kg) 9 10 yrs 2 2 teaspoons or mL 5 tablets 2 2 tablets 72 95 lbs ( kg) 11 yrs 3 teaspoons or 15 mL 6 tablets 3 tablets Ibuprofen (Advil, Motrin, or another brand): How much to give? Give every 6 to 8 hours, as needed, no more than 4 times in 24 hours (unless directed to do otherwise by your healthcare provider). children's liquid old formulation children's child 's infants' drops children's chewables or child 's weight 100 mg in each 5 mL (1 tsp) chewables junior tablets age 50 mg in each mL Kitchen spoons are not accurate measures. 50 mg in each tab 100 mg in each tab less than 11 lbs (5 kg) 0 5 mos 12 17 lbs ( kg) 6 11 mos mL Advised dose* No longer available 18 23 lbs ( kg) 12 23 mos mL Advised dose* for purchase 24 35 lbs ( kg) 2 3 yrs 1 teaspoon or 5 mL in the 1 tablet Please discard 1 1.

8 36 47 lbs ( kg) 4 5 yrs 1 2 teaspoon or mL old product. 1 2 tablets 48 59 lbs ( kg) 6 8 yrs 2 teaspoons or 10 mL 2 tablets 1 1. 60 71 lbs ( kg) 9 10 yrs 2 2 teaspoons or mL 2 2 tablets 72 95 lbs ( kg) 11 yrs 3 teaspoons or 15 mL 3 tablets * healthcare provider: please fill in the advised dose. Immunization Action Coalition n Consumer Health Information T. he Food and Drug Administration (FDA). is urging consumers to carefully read the labels of liquid acetaminophen marketed for infants to avoid giving the wrong dose to their children. A less concentrated form of the popular medication is arriving on store shelves, and giving the wrong dose of acetaminophen can cause the medication to be ineffective if too little is given or cause serious side effects and, possibly, death if too much is given. In an attempt to reduce the confu- sion over different strengths that have been blamed for past overdoses, some manufacturers are voluntarily offer- ing only the less concentrated version for all children.

9 Until now, liquid acetaminophen marketed for infants has only been available in a stronger concentration that doesn't require giving the infants Read the Drug Facts label on the Overdosing Has Been a Risk as much liquid with each dose. package very carefully to identify An April 2011 report from FDA's Cen- But right now both concentrations the concentration of the liquid ter for Drug Evaluation and Research of liquid acetaminophen are in cir- acetaminophen, the correct (CDER) found that confusion caused culation. Before giving the medica- dosage, and the directions for use. by the different concentrations of liq- tion, parents and caregivers need to Do not depend on a banner uid acetaminophen for infants and know whether they have the less con- proclaiming that the product is children was leading to overdoses centrated version or the older, more new.

10 Some medicines with the that made infants seriously ill, with concentrated medication. FDA is con- old concentration also have this some dying from liver failure. cerned that infants could be given too headline on their packaging. So to avoid dosing errors, some much or too little of the medicine if Use only the dosing device manufacturers voluntarily changed the different concentrations of acet- provided with the purchased the liquid acetaminophen marketed aminophen are confused. product in order to correctly for infants from 80 mg per or Be very careful when you're giving measure the right amount of 80 mg per 1 mL to be the same con- your infant acetaminophen says Carol liquid acetaminophen. centration as the liquid acetamino- Holquist, director of FDA's Division of Consult your pediatrician before phen marketed for children 160 mg Medical Error Prevention and Analysis.


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