North Clackamas Schools

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Notes from Nurses: Home Care Advice

Home care advice for your child.......nurse with apple

Communicable Disease Guidelines  --click on the link to view suggested guidelines Clackamas County Exclusion Guidelines

Fever of 100.5 or more:
• Keep them home and resting. Encourage fluids like water, gatorade, and apple juice.
• Do not overdress your child as it may cause overheating. Do so only if they are shivering. The body is trying to kill the infection.
• For fever over 102, Tylenol (acetaminophen) per directions on the bottle for age/weight. Do not give adult doses to a child, or any sooner than every 4 hours unless your doctor tells you to. Do not give aspirin (acetylsalicylic acid) unless directed by your doctor as it can cause Reye’s Syndrome.
When to call the doctor:
If fever remains over 102 after 8 hours despite Tylenol. If increased pain, dehydration (doughy/dry skin, dry/sticky saliva, low urine output), sleepiness, or other severe illness symptoms continue.

Diarrhea
• For frequent, watery bowel movements the stomach and intestines need rest. Give only clear liquids for the first 24 hours.
• Encourage your child to rest. Avoid milk products and spicy foods for the next 48 hours after diarrhea has stopped. The BRAT diet works well: bananas, rice, applesauce and toast.
When to call the doctor: If stool is tar-like or bloody (slight smear may be normal irritation from diarrhea), if diarrhea lasts more than 24 hours after clear liquids or if stomach pain remains severe.

Vomiting
• Rest the stomach. No food or drink for the next 4 hours after vomiting. Sips of water and ice chips only. Then clear liquids for the next 24 hours.
Progress to the BRAT diet and regular food after 48 hours if tolerated.
When to call the doctor:
If vomiting is severe and/or does not stop after 12 hours despite treatment. Call if there is blood in the vomit or severe abdominal pain.



WHEN SHOULD I KEEP MY CHILD AT HOME?

OTHER FREQUENT QUESTIONS ABOUT:
    where to get health care,
    when to return to school,
    head lice,
    sports physicals,
    sending medication to school with kids.

Last Modified on October 21, 2013