- Ask your doctor before you start. Better to avoid screaming than to manage it. Some kids do better with liquid others chewable. Many medications can be crushed and put in food. Pharmacist can add flavoring to liquid medications. This is usually better than adding the medication to juice or milk because not all meds can be mixed in other beverages and more importantly, the child might taste it and refuse the rest leaving you with an even larger amount of liquid to get down. Rectal medication is sometimes an option, but few medications other than tylenol, anti-emetics and seizure medications are made for this route.
- Know you can. There is no try. Only Do or Do Not.
- You need a syringe. No, not to give the child a shot. An empty syringe that you can fill with the correct amount of medicine. The pharmacy should have given you one. Always ask especially for children less than 3 years old.
- Make sure the child is not afraid of the syringe. Let him hold it. Fill it with water and let him sip it and drip it into his hand.
- If the child will try a little medication willingly, give a little more. If the Force is with you, that’s all it takes.
- If the child does not like it, promise a chocolate milk chaser or some other highly desired treat that the child can only earn after the medication and at absolutely no other time. This technique only works for children who can understand cause and effect and delayed gratification, about 2.5 to 3 years old and up.
- If the child spits the medicine back at you immediately or vomits within 10 minutes, you need to repeat the dose. Call your doctor with variations on this theme.
- To avoid the spitting, lie the child on her back. You might need a holder to steady her head. Slowly drop the medicine in a little at a time by putting the syringe at the back of the throat, but DO NOT GAG the poor girl. A few drops at a time even during crying should get the job done. It will feel like forever, but I promise you it is less than a minute. She might cough a little. Go slow.
- If she will not open her mouth, gently hold her nose until she does.
- Do not reward the child for protesting. In other words, refusing and protesting the first dose should not mean that he never has to take it again. In the words of Mary Poppins, “Be firm but kind.”
Always keep medicine safely out of the reach of children and never confuse them by calling medication candy. Apparently this is confusing enough according to recent research presented at the National AAP conference which showed that both kindergartners and teachers had difficulty telling the two apart.
Dr. Somsak was born and raised in the heartland. She describes herself as a no frills, practical gal. She writes regularly at http://www.pensivepediatrician.com.