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As a group of medical students and attending physicians in pediatric ambulatory service, we start to bring our teaching and learning activities to the web-pages. We learn each other to improve our service to patients and their families, and contribute to medical education at primary practice. |
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Focus on the symptoms what patients or parents bring to you.
Go detail for current symptoms and don't spend too much time for resolved symptoms.
Know the compact of the symptoms for the patient's daily activities and family life.
Review the key PFS history.
Think about physiology and pathology for the symptoms.
Make plan to fit the symptoms what patients or parents bring to you.
Interpret the plan as simple words.
Give detail for following-up plan.
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Way to minimize medication errors
Patients should be told:
Name of the medication
Why need the medication
What is the dose and how often to take/give
How to take/give
Common side effects
Iimportant drug and/or food interactions |
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| Order Meds |
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Know how to calculate weight in kg and pounds
Know the concentrate of the medications
Think about how parents feed the medications (taste, volume, patients' swallowing habits...)
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2.2lbs=1kg and 11 lbs =5 kg: 22lbs = 10 kg; 34lbs=15.5lbs, 68lbs = 31kg, 123lbs = 56kg |
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| Order Meds |
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02/12/08 OG 5 years old girl coming for follow-up ER visit on 02/11/08
Mother: My daughter was diagonosed pneumonia at ER and given Amoxicillin 525 mg, twice a day for 10 days. I don't know how much I should give to my daughter.
Primary physician: Could you help the mother to calculate how much she should give to?
MSIII: From the medication bottle, the amoxicillin is 400mg/5ml. I can only calculate the volume by my calculator. It is 1.3125ml. How could the mother give her daughter 1.3125ml?
Primary physician: I agree with you. Let us calculate again. We should give 80mg/kg/day of amoxicillin for 10 days for pneumonia. The girl is 44lbs (20kgs) today, so she needs 1,600mg amoxicillin a day. The concentrate of the amoxicillin is 400mg/5ml (1tsp=5ml), so mother can give 2tsps (800mg) per dose, twice a day for 10 days. When we order any medication, we have to make sure the dosage of the medication is appropriate for the medical condition of the individual patient. And we also need to know how patient takes medications or how parent gives the medications to their kids. |
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