COPC Pediatrics A Guide To Your Child`s Health

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COPC Pediatrics
Building Blocks Pediatrics
Family Medicine & Pediatrics
at Winchester Square
Marysville Primary Care
Ohio Center for Pediatrics
Pediatric and Adolescent
Practioners
Professional Pediatrics
Providers Physicians East
Riverside Pediatrics
Step by Step Pediatrics
Associated Pediatrics
Crosswood Pediatrics
Small World Pediatrics
Westerville Medical Associates
A Guide To Your
Child‛s Health
TABLE OF CONTENTS
I. Welcome
1. About Central Ohio Primary Care……………………………………………………..4
II. General Office information
1. Marysville Primary Care…………………………………………………………...…...7
2. Provider Physicians East…………………………………………………………...…...8
3. Professional Pediatrics……………………………………………………………...…...9
4. Riverside Pediatric Associates……………………………………………………..…..11
5. Step by Step Pediatrics……………………………………………………………..…..13
6. Associated Pediatrics……………………………………………………………..…….15
7. Small World Pediatrics……………………………………………………………..….16
8. Crosswoods Pediatrics…………………………………………………………………17
III. Welcome To Parenthood…………………………………………………………….…….19
IV. General care of Your Newborn…………………………………………………………...19
V. Your Growing Child……………………………………………………………………….25
1. Introduction to Solids………………………………………………………………….32
VI. Immunizations……………………………………………………………………………...32
VII. Safety……………………………………………………………………………...…….37
VIII. Common Illnessess…………………………………………………………………..…39
1. Burns………………………………………………………………………………..…..39
2. Chickenpox………………………………………………………………………..…….40
3. Colds…………………………………………………………………………..…………40
4. Constipation…………………………………………………………………….………41
5. Cough…………………………………………………………………………….….…..42
6. Croup………………………………………………………………………………........43
7. Cuts, Scrapes, & Lacerations……………………………………………………..……43
8. Diarrhea………………………………………………………………………….….…..44
9. Earache…………………………………………………………………………...…..…44
10. Fever…………………………………………………………………………….……….45
11. Head Injury……………………………………………………………………..……….47
12. Insect Bites…………………………………………………………….………………...48
13. Nosebleeds…………………………………………………………………….…………48
14. Pink Eye…………………………………………………………………………………49
15. Poison Ivy…………………………………………………………………………….….49
16. Rash……………………………………………………………………………….……..49
17. Sore Throat…………………………………………………………………….………..50
18. Vomiting…………………………………………………………………………………51
XI. Medication List……………………………………………………………………………..53
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Lee Budin, MD: Dr. Budin received his training at Yale University and The Ohio
State College of Medicine. He completed his residency at Nationwide Children’s
Hospital and was chief resident his final year. He is Associate Administrative
Medical Director at Nationwide Children’s Hospital where he is working on
improving the health care system. He and his wife, Amy, are proud parents of four
children, Samantha, Jacob, Marshall and Tori.
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6503 E Broad St.
Suite 100
Columbus, OH 43213
614-434-5437 phone
614-434-5438 fax
Mon, Tues, Thur 8am-5pm *
Wed 8am-7pm *
Fri 8am-4pm **
We are closed for lunch daily 12:15pm-1:30pm
We have walk-in hours available on Saturdays from 8:30am to 5:30pm for urgent
sick visits only
* Telephones are open Mon-Thur 8:30am-12:15pm and 1:30pm-4:30pm
** Telephones are open Fridays 8:30am-12:15pm and 1:30pm-4:00pm
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Derek A. McClellan, M.D., Cameron K. Miller, M.D.,
Mary Lynn Niland, M.D., Katrina S. Tansky, M.D.
Nurse visits Monday-Friday 9am-11am and 2pm-4pm
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we accept Visa and MasterCard.
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Associated Pediatrics
Physicians:
Praveena V. Dhawale M.D.
Brad E. Fuller M.D.
Raju R. Gaglani M.D.
Larry M. Shepherd M.D.
Ellen Tamburello M.D.
801 Eastwind Drive
Westerville, OH 43081
(614) 882-9460 Phone
(614) 882-9802 Fax
Office Hours
8:00 A.M. to 4:30 P.M. Monday through Friday
Associated Pediatrics welcomes you to our practice. We appreciate
the opportunity to provide high quality pediatric care for your
children.
We believe that children are a most precious gift. It is our promise
to dedicate ourselves to your children’s physical and emotional wellbeing.
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Small World Pediatrics
Kathleen Stiles M.D.
Sean M. Vellucci M.D.
5175 Morse Road
Suite 400
Gahanna, Ohio 43230
(614) 741-4411 Phone
(614) 741-4412 Fax
Office Hours
Monday-Friday:
Phones on and office open 8am-6pm. Visits by appointment
available from 8am-5pm
Closed for lunch daily from noon - 1pm
Walk-in hours for sick visits only 5-6pm. Patients will be seen on a
first come/first served basis and must be in the door by 6pm
Saturday:
Phones on and office open 8-10am.
Well visits by appointment 8-10am
Walk-in hours for sick visits only 8-10am. Patients will be seen on a
first come/first served basis and must be in the door by 10am.
Holidays:
We close early the day before and are closed on all major holidays.
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Crosswoods Pediatrics
Nardia Ataman M.D.
Eileen Bolton M.D.
Joseph Fiala M.D
Zorica Bjelovuk CNP
760 Lakeview Plaza Blvd.
Suite 500
Worthington, Ohio 43085-6702
(614) 540-7339 Phone
(614) 540-7338 Fax
Office Hours
Monday 8:00 a.m. - 7:00 p.m. *
Tuesday 8:00 a.m. - 7:00 p.m. *
Wednesday 8:00 a.m. - 5:00 p.m. *
Thursday 8:00 a.m. - 6:00 p.m. *
Friday 9:00 a.m. - 5:00 p.m. *
*Telephone hours will end 30 minutes before the end of the business day.
Lunch (office closed): M-F 12:00 p.m. - 1:00 p.m.
Call Hours
We will be available weekdays to answer medical questions by
telephone. Call the office during office hours and press option 4 for
triage and leave a message for the nurse. Have your list of questions
prepared, paper to write down instructions, and the telephone
number of your pharmacy. Routine parenting questions are best
answered during a checkup.
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To schedule an appointment
Please call the office during office hours. There is always a pediatrician
on call for EMERGENCIES after hours. When you leave a message,
please spell your last name and repeat your telephone number.
The mission of Crosswoods Pediatrics is to help parents raise their
newborns into healthy and happy young adults by providing excellent
pediatric care. We will do this in a friendly, caring and professional
environment and in accordance with the latest recommendations
from the American Academy of Pediatrics.
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fever - over
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to 4-6 months
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On demand feedings are recommended for bottle-fed infants, initially. Most
babies will work up to 2-4 ounces every 3-4 hours in the first weeks of life.
We recommend an iron rich cow’s milk formula, such as Similac® Advance®
as a first formula. Most infants will remain on the same formula for their first
year. Please contact us before switching to a specialty formula. Refrain from
A vitamin suppliement containing Vitamin D is recommended for all breastfed
babies shortly after birth. Your doctor will discuss this at one of your first visits. If
your baby takes formula, your doctor will discuss if vitamins are necessary.
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spaces in public areas for the first 4-8 weeks of age.
heavy blanket over your baby. Co-sleeping (placing you infant in your own bed)
increases the risk of SIDS and IS NOT recommended.
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are breastfed will require a Vitamin D supplement.
discuss the introduction of foods at your baby’s 4 or 6 month visit. There are no
rules for what type of food to give first, but it is important to introduce only one
new food every 2-3 days. Solids at this age are primarily to teach your baby how to
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take at least 16 ounces/day. If you want to give additional fluids, we recommend
water rather than juice.
2 years of age.
out of reach and keep bite size foods in very small pieces. Your child should
remain rear facing in the car seat.
prevent choking. Your doctor may recommend your child take a multi-vitamin.
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or outside. Your child should remain rear facing in the car seat.
“drink herself full”
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cheese or even ketchup. Continue to limit whole milk intake to 16 ounces/day and
be aware of overall fluid intake. Your doctor may recommend a multi-vitamin for
your child.
Safety: If your toddler is attempting to climb out of his crib, transfer to a toddler
bed or mattress on the floor. Make sure to childproof his room and put a gate up
at the door. Make sure that all windows and doors out of the house are secured.
foods and foods they may not normally eat. At 2 years of age whole milk should
be replaced with low fat or skim milk.
a parent is present. Your child may now face forward in the appropriate car seat.
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Nutrition: Most 3 year olds begin to be better eaters. A healthy diet with plenty
of fruits and vegetables and limited sweets will help to create healthy eating habits
well into your child’s future.
Safety: Your child should ALWAYS wear a helmet when riding a bike or
scooter, even if just in the driveway. Your child should still be in a booster seat and
ALWAYS in the backseat of the car. Once your child is 4 years AND 40 lbs he
may be placed in a booster seat with a 5-point harness. Children should remain in
a booster seat until they are 8 years old or 4’9” tall. We recommend that no guns
be in a home with children. If you do own a gun it should never be kept loaded,
should be stored separately from the ammunition, and both gun and ammunition
should be locked at all times. Teach your child never to touch a gun and to find an
adult immediately if he sees one in your home or in someone else’s home.
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We prefer that you do not introduce solids until your child is at least four
months of age, but six months may be preferable to help reduce the risk of
allergies. Please discuss with your doctor what he/she recommends. There is a
common myth that early introduction of cereal will help a child sleep through the
night. Although many mothers (and grandmothers) believe this to be true, many
good scientific studies have proven this not to be the case. Early introduction of
solids can increase the risk of allergies, not only to foods, but also to grass, pollen
and other environmental agents. In addition, solids are not an optimal source of
nutrition in the first four to six months of life.
proven “safe” your can give it with other test foods. Please discuss with your
doctor what food is appropriate to give first. Nut products should be avoided
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Nutrition: Most 3 year olds begin to be better eaters. A healthy diet with plenty
of fruits and vegetables and limited sweets will help to create healthy eating habits
well into your child’s future.
DTaP: Diphtheria, Tetanus, acellular Pertussis
1. Diphtheria: An infection that causes a membrane to form in the back of the
Safety: Your child should ALWAYS wear a helmet when riding a bike or
scooter, even if just in the driveway. Your child should still be in a booster seat and
ALWAYS in the backseat of the car. Once your child is 4 years AND 40 lbs he
4-5 years. The common side effects include fever and irritability, soreness and
may be placed in a booster seat with a 5-point harness. Children should remain in
a booster seat until they are 8 years old or 4’9” tall. We recommend that no guns
be in a home with children. If you do own a gun it should never be kept loaded,
should be stored separately from the ammunition, and both gun and ammunition
should be locked at all times. Teach your child never to touch a gun and to find an
adult immediately if he sees one in your home or in someone else’s home.
Polio is a viral illness that can cause paralysis and death. It used to be very
common in the United States; but now is rarely seen because of the availability
of the vaccine. Children receive 4 doses of IPV, at 2, 4, 6-18 months and a
booster at 4-6 years. The IPV vaccine used today has never been known to
cause serious problems; occasionally mild soreness is reported.
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Your child will receive a series of 4 immunizations within the first 15 months.
Side effects are mild, usually redness or warmth at the site of injection and
fever, and can last up to 2-3 days.
Hepatitis A is a virus that can cause a serious liver disease with symptoms
such as a “flu-like” illness, vomiting and diarrhea and jaundice. In some
cases infection can lead to liver failure and/or death. The virus can be spread
by contaminated food and water, and close contact with infected persons.
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infection can also cause blood infections, pneumonia and is one of the bacterial
causes of ear infections. Children under 2 years are at highest risk for serious
infection. Your child will receive, 4 doses of this vaccine in the first 18 months.
Like other vaccines, side effects include tenderness at the site of the injection
fever and fussiness. No serious side effects have been reported.
The vaccine is given between 12-18 months of age. A booster dose
is recommended at 4-5 years of age. Anyone who has not had
chickenpox can get the vaccine. The most common reaction is soreness
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and fever. It is also possible to develop a mild rash up to a month after
the vaccination.
Td and Tdap: Tetanus, Diphtheria, and Pertussis
adolescents and people who do not have a functioning spleen. Two doses are
recommended (11-12 years and 16-18).
cause genital warts, cervical cancer in women , and oral and anal cancers
in men and women. The HPV vaccine can prevent most cases of cervical
cancer in women. The vaccine is designed to be given before one’s first
sexual contact to best prevent the disease caused by HPV.
The vaccine is recommended for girls and boys 11-12 years of age, with
catch-up dose for those 13 and older. It is given in 3 doses, within a 6
month period. The most common side effect from the vaccine is pain at the
injection site. some teens may also experience mild swelling or itching at
the injection site, or mild fever.
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age receive the influenza vaccine. The vaccine must be given yearly, in
the fall. Children who are under 9 years of age and are being vaccinated for
the first time will require 2 doses, one month apart. There are now two types
of flu vaccine available: the traditional injection and a nasal spray; the latter
has some restrictions as to whom can get it; your doctor can discuss which
is best for your child. Side effects are generally mild and can include pain
and swelling at the injection site, fever, muscle aches, headache, runny nose,
nasal congestion, cough and wheezing. These typically only last a day or two.
are breastfed will require a Vitamin D supplement.
Car seats are an absolute necessity for infant safety. Your infant should be in
a rear-facing car set in the middle of the backseat until 2 years of age and 20
pounds. Children should then be placed in an appropriate forward facing car seat.
Once children are over 4 years of age and over 40 pounds they may be placed in
a booster seat. It is now recommended that children remain in a booster seat until
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Ibuprofen Products (Advil®, Motrin®)
Give Every 6-8 Hours
These products should not be given before 6 months of age.
Infant Drops
12-16 lbs
50 mg
1.25 mL
(50mg/1.25mL)
17-21 lbs
75 mg
1.875 mL
22-27 lbs
100 mg
2.5 mL
Suspension
12-16 lbs
50 mg
½ tsp
(100 mg/5mL)
17-21 lbs
75 mg
¾ tsp
5 mL = 1 teaspoon (tsp)
22-27 lbs
100 mg
1 tsp or 1 chewable
28-32 lbs
125 mg
1 ¼ tsp
22-32 lbs
100 mg
2 chews
33-43 lbs
150 mg
3 chews
44-55 lbs
200 mg
4 chews
Junior Strength
33-38 lbs
150 mg
1 ½ tsp
Chewable Tablets (100 mg)
39-43 lbs
175 mg
1 ¾ tsp
44-49 lbs
200 mg
2 tsp or 2 chewables
50-54 lbs
225 mg
2 ¼ tsp
55-60 lbs
250 mg
2 ½ tsp
61-65 lbs
275 mg
2 ¾ tsp
66-87 lbs
300 mg
3 tsp or 3 chewables
44-87 lbs
200 mg
1 tablet
88-131 lbs
400 mg
2 tablets
132+ lbs
600 mg
3 tablets
Chewable Tablets (50 mg)
Adult Tablets (200 mg)
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Claritin® (Loratadine)
Alavert
®
Zyrtec (cetirizine)
2-5 years
5 mg (1 tsp or 1 chew)
once daily
6 years and up
10 mg
once daily
6 years and up
10 mg
once daily
6-23 mos
2.5 mg (½ tsp)
once daily
2-5 years
2.5 mg (½ tsp or ½ chew)
once daily
6 years and up 5-10 mg (1-2 tsp or 1-2 chews)
Allegra (Fexofenadine)
once daily
6-23 mos
15 mg (½ tsp)
twice daily
2-11 years
30 mg (1 tsp)
twice daily
12 years and up
60 mg (2 tsp or 1 tablet)
twice daily
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Lee Budin, MD: Dr. Budin received his training at Yale University and The Ohio
State College of Medicine. He completed his residency at Nationwide Children’s
Hospital and was chief resident his final year. He is Associate Administrative
Medical Director at Nationwide Children’s Hospital where he is working on
improving the health care system. He and his wife, Amy, are proud parents of four
children, Samantha, Jacob, Marshall and Tori.
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97072B_A_COPC_PediatricsCX.indd 64
10/1/12 12:16 PM
Abbott Laboratories
Columbus, OH
43219-3034 USA
Printed courtesy of Abbott Nutrition
®
Makers of Similac Advance®, Similac® Advance® Organic, Similac® For Supplementation,
Similac Sensitive®, Similac Total Comfort™, Similac® Soy Isomil ®, Similac® For Spit-Up,
Similac Expert Care®Alimentum®, Similac Expert Care® NeoSure®,
EleCare®, PediaSure®, & Pedialyte®.
Abbott takes no responsibility for the content of this booklet.
(Rev.) 01/2015