Keeping Kids Safe from Medication

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It is 11pm on a wintry February night. A mother gives liquid Tylenol to her sick child. Exhausted, the mother returns to bed and then remembers the Tylenol is still on the bathroom counter. She makes a mental note to move it before her child wakes up, but it is in a convenient spot if she needs to get up to administer it again.

Fast forward 14 hours when the child comes to the mother and informs her, “See Mama, I gave myself my own medication.” Sure enough, the child’s face has all the tell-tale signs of swallowed sugary syrup.

The mother calls Poison Control right away. Poison Control directs the mother and the child is ultimately fine. That mother was me, a pediatrician. This was a good lesson that you should practice what you preach, and EVERYONE needs a lesson and reminder on poison control.

The focus of the Safe Kids Worldwide campaign for March’s Poison Control Week is medication safety. Medications, including over-the-counter painkillers, can be found in virtually every household in the country. 

More than 50 percent of calls to poison centers involve kids 5 and younger and nearly a quarter of those calls are related to medication poisoning. That translates to more than 60,000 children each year – or approximately 165 kids per day – being treated in emergency departments due to accidental medication poisoning.

Medication Safety Tips

  • Always store medicines and vitamins in a locked location, out of the reach and sight of children.
  • Always put medicines and vitamins away after every use.  Never leave them on the counter between doses. 
  • Buy child-resistant packages when available and securely close them every time.
  • Remind babysitters and visitors to keep purses and bags that contain medicine up and away when they visit.
  • Never entice a child who resists taking medication by saying it is candy. A child could accidentally overdose by ingesting medication mistaken for a tasty treat.
  • If your child spits out or vomits medication, do not give another dose. Call your doctor for instructions.
  • When disposing of medications, make sure they stay out of children’s reach. Put the child-resistant top back on and secure the bottle further with tape or enclose it in a bag.
  • Never give adult medications to children.
  • Always read and follow the label when giving medicines to children.
  • Never give your child multiple medicines with the same active ingredient.
  • Wait the appropriate period of time between doses and do not increase the dosage because your child seems sicker.
  • Program the poison control center number, 1-800-222-1222, into your home and cell phones so you have it when you need it. 

Disposing of Medications

When medications are out of date or no longer needed, it’s important to dispose of them properly, but how?

Don’t flush medicines down the toilet. Instead, look for a pharmaceutical waste disposal program in your community that accepts leftover and expired prescriptions, and over-the-counter medicines.

The UW-Extension maintains a list of Medicine Collections in counties across Wisconsin on their Solid and Hazardous Waste Education Center website, while the Wisconsin Department of Natural Resources provides information about how to dispose of medicines, including medical sharps, mercury thermometers and even what you can donate – Household Pharmaceutical Waste (WDNR)

In Dane County, Safe Communities of Madison-Dane County provides a list of MedDropTM locations and instructions for how to prepare medicine for disposal – Safe Communities MedDrop Program.

You can also check with your City, Town or Village’s offices for regulations on medicine disposal, and whether there is a scheduled drop off location near you.

Keeping Kids Safe from Medication
About Caroline R. Paul, MD
Dr. Caroline R. Paul is a pediatrician at UW Health West Clinic.
View all posts by Caroline R. Paul, MD
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Talking with Siblings about Down Syndrome

Having a child with Down Syndrome impacts the lives of every member of his/her family. Two questions that may come to mind for parents with other children.

How to talk with children about their sibling with Down Syndrome?

Like many other topics, this should be discussed honestly and at a level that the child can understand. For young children, it can be helpful for parents to give the child a practiced response to use when a question about their sibling with Down Syndrome arises. This can help your child feel more comfortable and confident.  For example, “That is my sister.  She is just like you and me.  Sometimes, she can take longer to learn things.”

What impact will my child with Down Syndrome have on my other children?

Literature suggests that for most individuals, having a sibling with Down syndrome is a positive experience.  An article published in 2011, Having a Brother or Sister with Down Syndrome: Perspectives from Siblings, asked both younger children and adults about their views on their sibling with Down syndrome, including their feelings toward their sibling and their impact on their lives. The overwhelming response is that individuals loved and were proud of their sibling with Down Syndrome.

More resources for siblings

 Websites:

Books:

This post was originally published on the Madison Area Down Syndrome Society blog.

Talking with Siblings about Down Syndrome
About Jessica A. Scott-Schwoerer, MD
Dr. Scott-Schwoerer is a pediatric genetics and metabolism specialistist at the Waisman Center.
View all posts by Jessica A. Scott-Schwoerer, MD
Posted in Parenting | Tagged , ,

Keeping Kids Safe: Gun Safety

Keeping Kids Safe: Gun Safety

As a pediatrician, when I care for my patients, I recognize that every family is unique. This includes respecting and accepting the family’s values and beliefs, and the environment in which they live. But, to provide the very best care that I can, it is critical to help families ensure their home is safe and supportive for everyone, even when the topic might be controversial, like with guns.

According to the Academy of Pediatrics, firearm-related deaths continue as one of the top three causes of death in American youth. You can learn more about the AAP’s policy statement on firearm-related injuries, but what I would like to do is focus on how to keep your kids safe, especially if there is a gun in the home.

How to Keep Your Kids Safe

  1. Store your guns safely. Lock them. Keeping your arms locked and unloaded provides about a 70 percent reduction in risk.

2. Educate yourself about what is safe for your family and your particular circumstances.

3. Educate yourself specifically about gun safety, especially if your family is “around” guns. Look at websites. Ask your pediatrician.

4. Become aware of who in your child’s circle of friends may have guns. Hunting is well-respected tradition in many families. As you prepare for a play date for your child, routinely ask if the host has guns and if they are safely locked away and are unloaded. Two children at play with a “hidden” gun can be quite dangerous.

5. Part of our education regarding gun safety as adults should involve HOW we want to educate our children regarding gun safety. What do you want to tell your child about guns? Such education invariably will depend on your own family’s culture.

6. Think about sources of “unseen” violence that may seep into your child’s environment: movies, games and social media.

7. Set up a plan with your child so if they are at a location where a gun is brought out or they feel they are in an unsafe situation, tell them to leave and call you.

Remember, our goal is to help keep kids safe and empower them to make smart decisions.

Keeping Kids Safe: Gun Safety
About Caroline R. Paul, MD
Dr. Caroline R. Paul is a pediatrician at UW Health West Clinic.
View all posts by Caroline R. Paul, MD
Posted in Safety | Tagged , , , , ,

Play with a Purpose

March is Child Life Month and we’re kicking off the month with a poem from one of our Child Life Specialists.

What is Child Life?

Child Life Specialists have a unique career,
We’re specially trained to ease anxiety and fear.

 

Many people think all we ever do is play,
But our foundations are in Erikson and Piaget.

 

Procedures, scans, surgeries and tests,
We prepare and distract to help you do your best.

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With pictures, medical items, and videos too
We’ll teach you and your parents what staff will do.

 

Light toys, ISpy, iPads and bubbles
During an ouchie these can help you forget all your troubles.

 

When sibs come to visit it’s important they learn
About equipment, machines, and medical terms.

 

Brothers and sisters can go to Tyler’s Place
Toys, games, and art supplies, sibs have their own space.

 

Tyler's Place

Syringe paint, make slime, or a feelings wheel and see
These styles of play are a type of therapy.

 

We adapt activities so you can show how you’re feeling,
Working through your emotions to help you with healing.

 

Playrooms, activities, special events, and more
It’s our job to make sure the hospital is not a bore.

child_life_play

 

The Positive Image Center is where hair and nails can be done,
Come to the second floor salon for pampering and fun.

 

We’re found inpatient, outpatient, and did you also know,
We’re in the ER, the OR and wherever else you might go.

 

  – Heather Burgus, CCLS

Play with a Purpose
About Heather Burgus, CCLS
Heather is a Child Life Specialist at American Family Children’s Hospital.
View all posts by Heather Burgus, CCLS
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Sweet Maple, Fruit and Nut Salad Recipe

Spinach, Fruit and Nut SaladHere’s a fantastic recipe that uses ingredients that are in season all winter. This makes a great introduction to spinach if your kids have not tried it.

Ingredients

Dressing

  • 1 T Maple Syrup
  • 1 T Olive Oil

 Salad

  • 2 Pears, sliced
  • 4 C Baby spinach
  • 1/4 C Pecans

 

Toast pecans in warm skillet until slightly brown. Whisk together maple syrup and olive oil. Toss pears in dressing until coated. Sauté pears in skillet over medium-heat until fork tender.

Serve 1 cup fresh spinach topped with ½ cup of cooked pears and a 1 tablespoon of pecans. Makes 4 servings

 

Fun Fact: One cup of cooked spinach has 245mg calcium- almost as much as 1 cup of milk (300mg)- and 30% of your daily needs for Vitamin C.

Posted in Nutrition | Tagged ,