Acetaminophen (160 mg/5 mL)
|
Amount given
|
Time
|
Date
|
Acetaminophen 325 mg tablets
|
Amount
• • •
|
Time
|
Date
|
Acetaminophen 500 mg tablets
|
Amount
• • •
|
Date
|
Time
|
Acetaminophen 80 mg suppository
|
Amount
• • •
|
Date
|
Time
|
Ibuprofen 200 mg tablets
|
Amount
• • •
|
Date
|
Time
|
Ibuprofen (100 mg/5 mL)
|
Amount given
|
Date
|
Time
|
Benadryl 25 mg capsules
|
Amount
• • •
|
Date
|
Time
|
Benadryl liquid 12.5 mg/5 mL
|
Amount given
|
Date
|
Time
|
Odansetron/Zofran 4mg Disintegrating Tablets
|
Amount
• • •
|
Date
|
Time
|
Dexamethasone Tablets 4 mg
|
Amount
• • •
|
Date
|
Time
|
Cephalexin (250 mg/5 mL)
|
Amount given
|
Date
|
Time
|
Amoxicillin (400 mg/5 mL)
|
Amount given
|
Date
|
Time
|
Pedialax Liquid Glycerin 4 mL
|
Amount given
|
Date
|
Time
|
Pedialax glycerin suppository
|
Amount
• • •
|
Date
|
Time
|
Albuterol Nebulizer (2.5 mg/3 mL)
|
Amount
• • •
|
Date
|
Time
|
Albuterol 3 mg/Atrovent 0.5 mg
|
Amount
• • •
|
Date
|
Time
|
Recepinephrine 2.25% (0.5 mL)
|
Amount
• • •
|
Date
|
Time
|
Silver Nitrate Applicator
|
Amount Used
• • •
|
Location used
|
Date
|
Time
|
|