Discharge teaching for a child with Congenital Adrenal Hyperplasia includes the administration of medication for stress dosing. This should be followed when:
1. The child is going to be more active for the day.
2. The child has a high fever.
3. A dose has been missed.
4. The child has not had adequate nutrition for a day.
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1. The initial dosing should be effective for an active child.
2. A high fever increases metabolism and can create a need for a higher dose of the medication.
3. Missed doses should be taken as soon as remembered.
4. An inadequate diet for one day does not change the medication dosing.
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