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  1. #1
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    Default Antibiotic doses

    DS was put on antibiotics today for an ear infection. He needs four doses a day. He is awake from 7am and goes to bed at 7pm so if I divide that time it's a dose every 3 hrs. The pharmacist recommended waking him for a dose, but then I have to get him back to sleep. What would you do?

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    I would opt for 3 hourly doses.

    Sent from my GT-I9505 using The Bub Hub mobile app

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    WiseOldOwl  (01-03-2014)

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    I wouldn't want to disturb sleep overnight, especially if they are a good sleeper and not waking. When Ds1 had ABs for an ear infection last year we were only giving doses in waking hours.

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    When DD2 used to get ear infections I would give her the last dose after she had gone to sleep, usually around the time I was going to bed at 10am. Just go in with a syringe and quietly talk to her, "it's time for your medicine,open your mouth, good girl, swallow" etc, she would barely wake, open her mouth take it and could never remember the next day.

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    WiseOldOwl  (01-03-2014)

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    Oral antibiotics? As an RN, I have to say third hourly is too frequent and a 12hr gap is dosing is not ideal.
    As a mum of a LO who doesn't sleep well I wanna say don't wake a sleeping baby!
    I'm gonna have to go with my RN hat.... 3rd hourly isn't the best course of action IMO. I'd be waking him for a dose

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    WiseOldOwl  (01-03-2014)

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    Quote Originally Posted by SpottySocks View Post
    When DD2 used to get ear infections I would give her the last dose after she had gone to sleep, usually around the time I was going to bed at 10am. Just go in with a syringe and quietly talk to her, "it's time for your medicine,open your mouth, good girl, swallow" etc, she would barely wake, open her mouth take it and could never remember the next day.
    This is a good idea, otherwise it's 12 hours between doses

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    Quote Originally Posted by BubblesK View Post
    Oral antibiotics? As an RN, I have to say third hourly is too frequent and a 12hr gap is dosing is not ideal.
    As a mum of a LO who doesn't sleep well I wanna say don't wake a sleeping baby!
    I'm gonna have to go with my RN hat.... 3rd hourly isn't the best course of action IMO. I'd be waking him for a dose
    Yes oral. The 12 hr gap is what I'm worried about. It's also supposed to be given with food but he won't be having food during the night. He is 2.5 yrs btw.
    So what schedule do you suggest? Would it decrease the effectiveness to give 3 slightly larger doses instead of 4, splitting the 4th dose over the 3?
    Last edited by WiseOldOwl; 01-03-2014 at 17:43.

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    Keep to the prescribed dose. It is much better to try and do one later at night - the antibiotics will work better that way.

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    WiseOldOwl  (01-03-2014)

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    Keep to the prescribed dose.
    Give a cup of milk if it needs to be with food. Partially wake and give milk then medicine.
    Work out what works best for you.
    6am, 12pm, 6pm, 12am or such. Half hour to an hours difference won't stuff things up if you change the timings slightly to fit in better with you going to bed.

    I'm an RN as well. I have to agree with pp advice.

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    WiseOldOwl  (01-03-2014)

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    I have 12 years experience in a dispensary and ideally it should be given 4-6 hourly, so unfortunately it would be best to wake him. Never give more than the prescribed dose as it is calculated for their weight and the type of infection and overdose in antibiotics can be very dangerous.

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    WiseOldOwl  (01-03-2014)


 

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