• exacerbations
• pulse ox level
• ICU admit
• intubation
• meds taking/how much/how frequent

1. asthma
2. bronchitis
3. bronchiolitis
4. influenza
5. gastroesophageal reflux
6. pertussis
7. croup
8. viral URI
9. foreign body
10. sinusitis
11. pneumonia
12. cardiac
13. tuberculosis

• 9 & 18 months
• hgb and lead, venous

• scribble with pens
• running, walking, galloping (skipping difficult still)
• 3 word sentences
• identify colors and body parts
• potty trained
• check back for hair patches, heart, lungs, belly, ears

• recommended for boys and girls 11-27
• series of 3 shots
• first shot, second 2 months after, third 4 months after second

1. pediarix (DTap, IPV, Hep B)
2. hib (haemophilus influenza type b)
3. prevnar (pneumococcal)
4. rotateq (oral)

• Hep A #1
• prevnar

• MMR
• varicella

• DTap and Hib
• hgb and lead, venous

• Hep A #2

• MMR
• varicella

• DTap (Daptacel)

• gardisil for both boys and girls

• adacel
• menactra

• menactra #2

• little blood in stool
• change diet-no spicy foods
• prevacid OTC 20 mg to calm bowel down
• if that doesn't work--stool culture, scope, hemoccult

• benzoyl peroxide and 2.5% clinda gel- DUAC 1%
• need to ask about hormonal changes

*dries skin out

• hold head up when lift up and lay down
• check hips
• stand up to bear weight
• roll over
• babbling
• blowing bubbles
• sleeping all night
• start fruits, vegetables, juice, no more than 32oz per day of formula
• check heart, lungs, belly

1. sleep on back
2. nothing around-firm surface
3. no smoking

• medrol dose pak
• hydrocortisone OTC
• wash all contact clothes

• make sure no crepitus in MTP-wiggle toes
• sneakers to support toe

• if whole balanced diet, can introduce milk no more than 32oz per day
• able to stand when holding on to chair
• stranger anxiety
• standing when holding your hand
• heart, lung, belly, check for testicle descent b/l
• hbg, lead