Should I call the doctor?

Abram has RSV, a respiratory virus, and our doctor seemed very concerned when we saw her yesterday. She did two nebulizer treatments on him while we were there and prescribed nebulizer treatments every 4 hours plus a mini-dose of prednisone (a steroid). She said that the standard-of-care would have been to admit him, but she trusted that I would care for him well at home and instructed me to call her at home or on her cell phone if he got any worse at all. For some background, we're sort of friendly in addition to her being our doctor. Her partner attends my AP playgroup with their daughter, and they as a family attended a barbecue at our house once that we hosted for the AP group. I would never want to take advantage of the fact that we're friendly, but she must have told me 5 different times not to hesitate to call her personally if he got even the tiniest bit worse.

So, he hasn't gotten worse, but I'm having a lot of trouble giving him the prednisone. We're supposed to give 1 tsp per day, and I don't know if he actually swallowed any yesterday or today. I'm afraid to give him more in case he did get any, because I don't know if it will be harmful to give too much. But she said that even though she normally hesitates to do steroids with such a young baby, she felt it was really necessary in Abram's case.

So I'm wondering if I should call her at home to ask her what to do about the prednisone. What do you all think?
Faith, 3Aish redhead
Mama to two wild superheroes and a curly-headed baby boy
What are all the ways you've tried giving it to him? First I'd try a bunch of different ways before bothering her. You could also try talking to the pharmacist about other ways to give a newborn the meds.

It's never pleasant but sometimes we have to force the medicine issue. When I had to force feed my niece I used a dropper and when she had her mouth open to yell I dribbled it into the side of her mouth. It didn't choke her and triggered the swallow reflex.
There's no such thing as global warming. Chuck Norris was cold so he turned up the sun.
We've just tried with the syringe/dropper thingy they gave us at Rite Aid. I did a little bit at a time, not the whole teaspoonful, at the side of his mouth. He's so little that he doesn't know to try to keep his mouth shut, so that's not a problem. Yesterday some dribbled out of his mouth but then he sort of gagged and spit up a lot. Today he didn't spit up but a lot seemed to dribble out. I guess my worry is, I don't want to try again (with any method) with a full dose because if he did swallow some, I don't want to end up giving him too much. So I'm wondering which would be worse: getting too much medicine (if I try again) or too little (if I don't try again.
Faith, 3Aish redhead
Mama to two wild superheroes and a curly-headed baby boy
Banned
Join Date: Jun 2001
Posts: 41,043
So, A is getting the prednisone every 4 hours, as well?
imho, I'd be more concerned about overdosing...g/l
We never give double meds, even when steven gags and throws them up, never ever when he dribbles some out.

Will he suck on a bottle nipple at all? You can put it in the nipple part (not a full bottle) and add some breastmilk to it.

How big is the syringe they gave you? They can go as low at .5mL's (those are super skinny and short). If you are not snowed in go to the pharmacy and ask for the skiniest syringe they have and ask for A's dosage in mL's. We did this with Steven when he was A's age and would not take his meds, we had good luck and S was on 6 meds at the time.

You can stick the syringe in while he is BFing.

You can also mix the BM into the syringe. Yes, it may take 15 mins to get the meds into him, but it is worth it he takes it all down.

I would also say to give it to him before he eats, as he will be hungry and more likely to take it all.

If hre starts to gag, try distracting him. I would sing 5 little ducks and quack really loud or clap my hands ect. I still do this with S sometimes and it seems to work well.

If none of this works, call you dr. at home, tell her you did all you can and ask her for tips. She may suggest coming in monday for a shot of steriods.

Callie had croup that almost turned into RSV this past november, and Steven had pnemonia right after, so they both had to take meds, and I know what a PITA it is to get them to take them. Like you, my dr. trusted me enough to not admit them (one of the other dr.'s wanted to but checked with the kids primary first), it is scary when they are that sick though!
2 more things...

Is the med flavored? Sometimes they can flavor them and the kids take them better (Steven does NOT like the flavoring though since his typical meds are not)

It is an actual syringe or a dropper. The droppers suck for anything but tylonal at our house. The only way I can get the kids to take their meds is with an actual syringe.
go ahead and give her a call.

m
coarse, thick 3a
modified cg







I don't think I would call her for this. Simply because you probably know better than she does how to administer medicine to your own child. She's not going to tell you something you don't know already. If you know a pediatric nurse, she/he would probably be useful though!

I would definitely call her in the office on Monday.

I would also call her at home if he gets worse, as she suggested.

ETA - I hope your baby is feeling better soon!



Last edited by mad scientist; 02-06-2010 at 03:19 PM.
sorry to hear about A Pixie...
sending you HUGS..

IMO I wouldn't give him any more medicine.. and I wouldn't hesitate in calling the doctor.. she said you could so don't feel bad I wouldn't


Colin has stridor now.. just when I got my pink baby back from jaundice he got that....

he's feeding from the breast fine but his breathing is so fast sometimes it worries me.. the doctor who saw him 2 days ago said that it wasn't in his chest but most likely his nose so we are using saline drops and a cool mist humidifier.. I am keeping a close eye on him
Liam: 6 years old
Colin: 3 years old
Location: Williamsburg, Virginia
Member Since: August 2000
I would also definitely recommend a syringe squirted right into the back of his inside cheek so that it forces the swallow reflex. Once you get the hang of it, its quite easy and he won't even know that he's swallowed the medicine.

We had to give Karan antibiotics orally starting from 17 days old for kidney infection. It took a few messy doses to get the hang of it, so don't give up.


Thanks for all the replies. Wile E, the prednisone is just one teaspoon once a day. Only the nebulizer is every 4 hours. And just to clarify, I wasn't going to bother the doctor at home to ask for tips on how to give him the medicine (that's what I have you guys for ), just to ask her if I should try again and risk giving him more than the recommended dose. I've decided to just try the once each day, based on the responses here and also based on the fact that he's doing a lot better already. I think partially the virus may be running it's course and partially the nebulizer is helping. And we're going to see her again on Monday morning anyway.

Thanks again!
Faith, 3Aish redhead
Mama to two wild superheroes and a curly-headed baby boy
Just so you know, as a physician (not a pediatrician, but an emergency medicine resident) I worry a LOT about kiddos with RSV. It says a lot about you as a parent that she felt that you would watch over Abram closely enough at home (noone at NC is surprised, I'm sure, since we all know you're a great Mom). That being said, I wouldn't hesitate to call with your question. I've been in the position of answering worried pages from Moms and Dads (but honestly it's ALWAYS moms who call) at all hours of the night and I never mind being the reassuring voice on the other end of the phone, even if it's 2 AM!

Poor little Abram with RSV! Hopefully he'll get better quickly. I've DEFINITELY noticed that breastfed babies seem to recover more quickly and hospitalized less often/for shorter periods, so hopefully your antibodies will help him get through it fast!
"Well I love that dirty water. Oh, Boston, you're my home!"
Poor baby! No advice, but lots of hugs for you both.
"Maybe Lucy's right. Of all the Charlie Browns in the world, you're the Charlie Browniest."--Linus, A Charlie Brown Christmas
-----------------------------------------------
My fotki: http://public.fotki.com/nynaeve77/
Password: orphanannie
Did you call anyway? I ABSOLUTELY would. It's RSV. Respiratory stuff scares the beejeezes out of me (and I'm a nurse--adult stuff, and mom to a boy prone to respiratory ills). The predisone is pretty vital, IMHO. Don't wait until Monday. At the very least, your ped needs to know that your baby may not be getting the prescribed dose. That way she can adjust her plan, if needed, or have him come in for a neb rx with prednisone, or just let it fly if he seems to be doing well.

Best of luck getting the meds in. So hard to do. Hope you're hanging in there okay.
Mostly sure I'm a 2b/Mii
Just starting out (and brining the entire family along for the ride):
CO-wash...V05 Moisture Milks Passion Fruit Smoothie
Rinse-out Conditioner...Garnier Fructis Fortifying Cream Conditioner Moisture Works for Dry or Damaged Hair
Leave-in Conditioner...Garnier Fructis Leave-In Conditioning Cream Sleek and Shine
Gel...Herbal Essences Totally Twisted Curl Scrunching Gel
Wish me luck!
Thanks for all the replies. He really is doing so much better already. He's coughing a lot less, his breathing does not sound as labored, and his overall demeanor has improved a lot. I'll keep trying with the prednisone and we'll see what the doctor says tomorrow.
Faith, 3Aish redhead
Mama to two wild superheroes and a curly-headed baby boy
I hope you don't mind me stepping in here since I'm not a parent, but I'm having a similar issue with my cat (I'm bored so I've been browsing the various sections). I started typing it on this thread then wanted to move it to start my own thread, but it won't let me copy and paste. I guess the mod can move it if need be.

She's taking prednisone for a food allergy. The vet gave me 5mg pills which she took for the first 3 days. Now I'm giving her a 1/2 pill daily for 5 days, then she'll go 1/2 a pill every other day. I have someone hold her with her head upraised. I shoot a syringe of water straight down her throat, then insert the pill. The insertion of the water keeps her mouth open. It's actually quite easy once you get the hang of it. I don't know if it would work similarly with a baby, but this method sounds like it would be easier than dealing with liquid.

My problem is that my cat has been vomity lately. Once she threw up the pill directly after so I know she didn't get any benefit from the medicine. Today I gave the pill about an hour after she'd eaten a small portion of food. She was fine so after about an hour I gave more food and she vomited. I can't tell if she'd thrown up only that last portion of the food or the whole days' food + the pill.

Do you think the pill had time to get in her system after an hour's time? It was my mistake to feed her so soon after. Since she's been so sensitive to food I've had to break her feedings into small portions given several times during the day. I'm not going to double-med since I don't know how much if any medicine was absorbed. I hope I didn't detract away from the original purpose of this thread too much. I didn't want to erase the whole thing and it's impossible to move it. Pixiecurl, I'm glad your baby is doing better!!
PixieCurl, how's your boy doing?
Mostly sure I'm a 2b/Mii
Just starting out (and brining the entire family along for the ride):
CO-wash...V05 Moisture Milks Passion Fruit Smoothie
Rinse-out Conditioner...Garnier Fructis Fortifying Cream Conditioner Moisture Works for Dry or Damaged Hair
Leave-in Conditioner...Garnier Fructis Leave-In Conditioning Cream Sleek and Shine
Gel...Herbal Essences Totally Twisted Curl Scrunching Gel
Wish me luck!
PixieCurl, how's your boy doing?
Originally Posted by mom2e3
He's doing so much better. We saw the doc on Monday and she said he sounded a lot better already. I did get the prednisone in him pretty well on days 4 and 5. She said we could go down to nebulizer treatments just twice a day for about a week and then stop if he seemed fine.

Thanks for all the well wishes!
Faith, 3Aish redhead
Mama to two wild superheroes and a curly-headed baby boy
PixieCurl, how's your boy doing?
Originally Posted by mom2e3
He's doing so much better. We saw the doc on Monday and she said he sounded a lot better already. I did get the prednisone in him pretty well on days 4 and 5. She said we could go down to nebulizer treatments just twice a day for about a week and then stop if he seemed fine.

Thanks for all the well wishes!
Originally Posted by PixieCurl

Good news - I'm glad he's on the mend!
Sulfate & Silcone Free since July 2009
2C-3A normal to high (ends) porosity, medium texture, lower end of med density
Currently experimenting with Water Only Washing and dropping stylers

Negative on: AOHR, mineral oil
http://public.fotki.com/CurlyQMom/
Yay! I know RSV can be super scary. Glad he's doing better.
Mostly sure I'm a 2b/Mii
Just starting out (and brining the entire family along for the ride):
CO-wash...V05 Moisture Milks Passion Fruit Smoothie
Rinse-out Conditioner...Garnier Fructis Fortifying Cream Conditioner Moisture Works for Dry or Damaged Hair
Leave-in Conditioner...Garnier Fructis Leave-In Conditioning Cream Sleek and Shine
Gel...Herbal Essences Totally Twisted Curl Scrunching Gel
Wish me luck!

Trending Topics


Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are On



All times are GMT -6. The time now is 10:03 PM.


Powered by vBulletin® Version 3.8.7
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright 2011 NaturallyCurly.com