A mother is asking the nurse about relief of cold symptoms in her 4-year-old. Which preparation should the nurse advise the mother to avoid?
1. Loratadine (Claritin)
2. Acetaminophen (Tylenol)
3. Ibuprofen (Advil)
4. Dextromethorphan (Robitussin)
Correct Answer: 4
Rationale 1: Loratadine (Claritin) may be given to children ages 2 and older.
Rationale 2: Acetaminophen is safe for the relief of aches in children, provided dose guidelines are followed.
Rationale 3: Ibuprofen is safe for the relief of aches in small children, provided dose guidelines are followed.
Rationale 4: Dextromethorphan should not be used in children under 6 years of age.
Global Rationale: The FDA has issued advisories that nonprescription cough and cold products (including those containing dextromethorphan) not be used in children under 6 years of age and that they be used with extreme caution in all children. Loratadine (Claritin) may be given to children ages 2 and older. Acetaminophen and ibuprofen are safe for the relief of aches in children, provided dose guidelines are followed.
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