The parents of a 3-year-old child tell the nurse that they are planning to give their child diphenhydramine (Benadryl) on a flight to visit the child's grandparents to help the child sleep during the flight
What will the nurse tell the parents about giving this drug?
a. Administer 25 mg of diphenhydramine when using to induce sleep.
b. Diphenhydramine may have the opposite effect and could cause agitation.
c. Give the diphenhydramine about 5 minutes prior to takeoff.
d. Loratadine should be used instead of diphenhydramine to minimize side effects.
ANS: B
Diphenhydramine can cause excitation in some children. Parents should be advised to expect this possible side effect. The correct dose of diphenhydramine for children at this age is 6.25 mg; 25 mg would be an overdose. Oral diphenhydramine has an onset of 15 to 45 minutes. Loratadine is a second-generation antihistamine and does not cause drowsiness.
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