A parent calls a clinic for advice about giving an over-the-counter cough medicine to a 6-year-old child. The parent tells the NP that the medication label does not give instructions about how much to give a child. The NP should:
a. order a prescription antitussive medication for the child.
b. ask the parent to identify all of the ingredients listed on the medication label.
c. calculate the dose for the active ingredient in the over-the-counter preparation.
d. tell the parent to approximate the dose at about one third to one half the adult dose.
B
Over-the-counter cough medications often contain dextromethorphan, which can be toxic to young children. It is important to identify ingredients of an over-the-counter medication before deciding if it is safe for children. A prescription antitussive is probably not warranted until the cough is evaluated to determine the cause. Until the ingredients are known, it is not safe to approximate the child's dose based on only the active ingredient.
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