Info for Patients

Schedule of visits

Newborns and small children

The first newborn visit should occur between 5 and 7 days of age or earlier if recommended by the hospital in order to follow up jaundice (discoloration of the skin and eyes) or any other problems.

 

A typical schedule of well visits is as follows:

At 2 weeks of age to check weight gain and feeding;

At 1 month of age- weight and height measurement and developmental milestones;

At 2 months of age – weight and height measurement, development and vaccinations;

At 4 months of age - weight and height measurement, development and vaccinations;

At 6 months of age – weight and height measurement, development and vaccinations;

At 9 months of age - weight and height mesurements, developmental milestones (ASQ-3), no vaccinations;

At 12 months of age – weight and height measurement, development, hearing and vaccinations, blood test for anemia and lead poisoning;

At 15 months of age – weight and height measurement, development and vaccinations;

At 18 months of age – weight and height measurement, developmental milestones (ASQ-3), M-CHAT (autism test) and vaccinations;

At 24 months of age – weight and height measurement, development, hearing, blood test for anemia and lead poisoning, M-CHAT (autism test), vaccination;

At 30 months of age – weight and height measurement, developmental milestones (ASQ-3), no vaccinations;

At 3 years of age – weight and height measurement, development, vision, hearing, blood work;

At 4 years of age – weight and height measurement, development, vision, hearing, blood work and vaccination;

 

From this point on children and adolescent should be seen for annual physical at which vision and hearing are assessed, and blood and urine tests are performed in a fasting state.

At 11 years of age – Tetanus vaccine (Tdap), Meningococcal meningitis (MCV). In addition, there is a recommended vaccination for Human Papilloma Virus (HPV) given in a series of three doses administered in appropriate time intervals.

 

Everyone should get a Tetanus vaccination at least every 10 years.

 

MEDICATION DOSES

For pain and fever recommended doses of Tylenol and Motrin are:

Tylenol (101 °F and above)/pain, can repeat every 6 hours. 1 tsp= 5ml (cc)

Motrin (102 °F and above)/pain, can repeat every 6 hours.


Tylenol/
APAP/
Acetaminophen
Concentrated
Infants’
Tylenol
APAP drops
80mg/0.8ml
Tylenol/APAP
Suppositories
120mg
Children’s
Tylenol
160mg/5ml
Suppositories
325mg
Tylenol
tablets
500 mg
10 lb / 4.5 kg 0.7 ml 2 ml
12 lb / 5.4 kg 0.8 ml 2.5 ml
15 lb / 6.8 kg 1 ml ¾ supp 3 ml
18 lb / 8 kg 1.2ml / 1½ dropper 1 3.5 ml
20 lb / 9 kg 1.3ml / 1¾ dropper 1 4.5 ml
25 lb / 11 kg 1.6 ml / 2 dropper 1½ supp 5 ml
30 lb / 13.5 kg 2.2 ml / 2½ dropper 1¾ supp 6 ml
40 lb / 18 kg 2 supp 8 ml ¾ supp
50 lb / 22 kg 2½ supp 11 ml 1 supp
70 lb / 32 kg 15 ml 1½ supp 1
90 lb / 40 kg 15 ml 1½ supp 1
110 lb / 50 kg 15 ml 1½ supp

 

Motrin after 6 months of age.


Child's
Weight
Concentrated
Infants’ Motrin drops
50mg/1.25ml
Children’s Motrin
100mg/5ml
Motrin Ibuprofen
Tablets 200mg
10 lb / 4.5 kg 2 ml
12 lb / 5.4 kg 1.25 ml / 1 dropper 2.5 ml
15 lb / 6.8 kg 1.7 ml / 1¼ dropper 3 ml
18 lb / 8 kg 2 ml / 1½ dropper 3.5 ml
20 lb / 9 kg 2.3 ml / 1¾ dropper 4.5 ml
25 lb / 11 kg 2.5 ml / 2 dropper 5.5 ml
30 lb / 13.5 kg 3 ml / 2½ dropper 7 ml
40 lb / 18 kg 9 ml
50 lb / 22 kg 12 ml 1
70 lb / 32 kg 15 ml 2
90 lb / 40 kg 20 ml 2
110 lb / 50 kg 20 ml 2

 

TEMPERATURE CONVERTION CHART °F -> °C

F 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9
95 35 35.1 35.1 35.2 35.2 35.3 35.3 35.4 35.4 35.5
96 35.6 35.6 35.7 35.7 35.8 35.8 35.9 35.9 36 36.1
97 36.1 36.2 36.2 36.3 36.3 36.4 36.4 36.5 36.6 36.6
98 36.7 36.7 36.8 36.8 36.9 36.9 37 37.1 37.1 37.2
99 37.2 37.3 37.3 37.4 37.4 37.5 37.6 37.6 37.7 37.7
100 37.8 37.8 37.9 37.9 38 38.1 38.1 38.2 38.2 38.3
101 38.3 38.4 38.4 38.5 38.6 38.6 38.7 38.7 38.8 38.8
102 38.9 38.9 39 39.1 39.1 39.2 39.2 39.3 39.3 39.4
103 39.4 39.5 39.6 39.6 39.7 39.7 39.8 39.8 39.9 39.9
104 40 40.1 40.1 40.2 40.2 40.3 40.3 40.4 40.4 40.5
105 40.6 40.6 40.7 40.7 40.8 40.8 40.9 40.9 41 41.1
106 41.1 41.2 41.2 41,3 41.3 41.4 41.4 41.5 41.6 41.6
107 41.7 41.7 41.8 41.8 41.9 41.9 42 42.1 42.1 42.2

 

COLD AND FLU SYMPTOMS

Useful information regarding cold and flu symptoms:

 

NUTRITION

Important nutritional and weight loss information from your pediatrician Dr. Hanna Lesicka

To stay healthy and not gain too much weight you need to:

• Stop drinking soda, soft drinks, iced tea and all fruit juices.

• Drink only low fat milk and water.

• Avoid all foods with High Fructose Corn Syrup as an ingredient (It causes you to feel hungry all the time).

• Eat a lot of vegetables, fruits, and nuts instead of bread, rice, pasta, and pizza.

• Eat meat (beef, pork, chicken) and dairy products – it gives you protein necessary for growth.

• Avoid salty foods like chips, French fries.

• Eat 5 smaller meals per day to avoid being too hungry or too full. Remember to eat breakfast.

• Exercise intensively for 20 minutes at least three times a week.


Reducing saturated fat decreases the risk of heart disease. To read more please go on: www.health.state.ny.us/health_care/medicaid/program/update/2004/nov2004.htm#pat

 

LEAD EXPOSURE

ANTICIPATORY GUIDANCE AS REQUIRED BY NYS LAW TO MINIMIZE CHILDREN’S EXPOSURE TO LEAD.

Children between 9 months and 59 months of age are at risk of lead exposure due to normal hand to mouth toddler behavior. Rapid growth and development at these ages also makes them more vulnerable to lead’s toxic effects.

Minimizing exposure to lead is the best way to prevent developmental and cognitive deficits associated with lead poisoning. Following the below mentioned pointers will help you minimize the exposure to lead.

• Keep your children away from peeling paint and home repairs that disturb lead paint;

• Report peeling paint to your landlord. If your landlord does not make repairs, call 311;

• Frequently wash toys, hands, pacifiers, bottles, and other items your child puts in his or her mouth;

• Clean floors, windowsills, and dusty places often with wet mops and wet cloths;

• Avoid using health remedies and eye cosmetics (such as kohl, kajal, surma) from other countries. Some of these products have been found to contain high levels of lead;

• Use caution when using candies, spices, snack foods, and children’s toys and jewelry made in other countries. These items may contain lead;

• Use only cold tap water for making baby formula, drinking and cooking. Let the water run for a few minutes before use;

• Keep your child away from the work clothes and tools of household members who do construction work or other work and hobbies that may expose them to lead. Wash work clothes separately from other laundry. Remove shoes and work clothes before entering your home;

• Use safe work methods when doing home repair that disturbs paint. For more information on lead-safe work methods, call 311.


PRACTICE PERFORMANCE

Hanna Lesicka, MD, FAAP
Hanna Lesicka, MD, FAAP
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NCQA is a private, non-profit organization dedicated to improving health care quality. www.ncqa.org