3 year old child, gave antibiotics augmentin dds empty stomach., child vomited, what to do
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Augmentin amoxicillin clavulanate child vomited after dose repeat or not guidelines
Here is clear, practical guidance for your situation:
Child Vomited After Augmentin DDS - What to Do
The Key Rule: Time Since Dose
| Time between dose and vomiting | Action |
|---|---|
| Less than 30 minutes | Repeat the full dose - the medicine likely was not absorbed |
| More than 30 minutes | Do NOT repeat - enough was likely absorbed. Wait for the next scheduled dose |
This is confirmed by SA Health's official guidelines for amoxicillin/clavulanic acid specifically.
Tip: If you can still see the medicine in the vomit (color or smell of the syrup), that is a sign it was not absorbed - repeat the dose.
Why Augmentin Causes Vomiting on Empty Stomach
Augmentin (amoxicillin + clavulanate) is one of the antibiotics most likely to cause stomach upset. The clavulanate component is particularly irritating to the gut lining. Giving it on an empty stomach makes this significantly worse.
How to Prevent This Next Time
- Always give Augmentin WITH food or milk - this is the most important step. It does NOT reduce how well the antibiotic works; it only reduces stomach irritation.
- If your child refuses food, even a few bites of a cracker or a sip of milk before the dose helps.
- Give the medicine slowly using a syringe, placing it at the back of the tongue (not the tip).
- If vomiting continues with every dose, contact the prescribing doctor - they may switch to a different antibiotic or give an injectable form.
When to Call the Doctor Immediately
- Child vomits every dose repeatedly
- Child shows signs of an allergic reaction: rash (especially hives), facial swelling, difficulty breathing
- Child appears very unwell, lethargic, or has a high fever not responding to treatment
- You are unsure how much of the antibiotic was absorbed
Bottom line for right now: Check the clock. If it has been less than 30 minutes since the dose, give the same dose again once the child is calm and settled (wait 15-20 minutes after vomiting). If more than 30 minutes have passed, skip it and resume at the next scheduled dose. Going forward, always give Augmentin with food.
How many ml is given emset injection in 3 year old child intra muscular
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ondansetron emset injection dose 3 year old child IM intramuscular mg/kg pediatric
Here is the complete answer:
Emset (Ondansetron) Injection - Dose for a 3-Year-Old Child
Step 1: Know the Drug Concentration
Emset injection comes as 2 mg/mL (standard vial: 2 mg/mL, available as 2 mL vial = 4 mg total).
Step 2: Calculate the Dose
Standard pediatric dose: 0.1–0.15 mg/kg IV or IM
A typical 3-year-old weighs approximately 12–15 kg.
| Child's Weight | Dose (0.1 mg/kg) | Volume (at 2 mg/mL) |
|---|---|---|
| 12 kg | 1.2 mg | 0.6 mL |
| 13 kg | 1.3 mg | 0.65 mL |
| 14 kg | 1.4 mg | 0.7 mL |
| 15 kg | 1.5 mg | 0.75 mL |
Practical answer: Approximately 0.6–0.75 mL IM for a typical 3-year-old.
Many pediatric references (including FDA labeling for surgical patients aged 3–7 years) use a fixed dose of 2 mg for children aged 3–7 years, which equals 1 mL of the 2 mg/mL injection.
Summary Table
| Method | Dose | Volume |
|---|---|---|
| Weight-based (0.1 mg/kg, ~14 kg) | ~1.4 mg | ~0.7 mL |
| Fixed dose (3–7 years, per FDA) | 2 mg | 1 mL |
Important Notes
- IM injection site in a 3-year-old: anterolateral thigh (vastus lateralis) is preferred
- The injection can be given undiluted IM
- Maximum single dose for a child this age: 4 mg
- Do not give if child has prolonged QT syndrome or is on other QT-prolonging drugs
- Always verify the child's actual weight before dosing - weight-based dosing is safer and more accurate
⚠️ Note: This information is for clinical reference. Always confirm with the prescribing doctor or a current pediatric drug formulary (such as BNF for Children) before administering, using the child's actual weight.
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