Miralax

[heather42r]

What does your camp do with miralax? Bottle says for ages 17 and up; 16 and under see physician. Orders from county health say that OTC meds can be administered per bottle directions". Parents have it as an option to check it off yes/no on OTC med list.

What do you do with these OTC meds that have an age limit?

[LikeTheDeadSea, MSN, RN]

I would request a private order from the camper's pediatrician with their dosing/instructions on it and treat it like I do all private orders instead of a standing order, since the age doesn't align with the standing order parameters. 

[NRSKarenRN, BSN, RN]

36 minutes ago, LikeTheDeadSea said:

I would request a private order from the camper's pediatrician with their dosing/instructions on it and treat it like I do all private orders instead of a standing order, since the age doesn't align with the standing order parameters. 

Agree.  All OTC meds without dose/instructions need private order from PCP  or camp physician.

[heather42r]

Thanks, I don't think I was clear.

It's not for a specific kid .. it's in our OTC stock meds. I would absolutely follow a Dr. note for it if one came in, but I was thinking for the kids that come to the infirm with belly pain, bloating and no poop for 5 days or whatnot. Last year the camp "nurse" (she was a new grad vet tech)" gave out miralax, and while looking at the bottle, I saw the age restriction, so told them I am not giving it out at all unless a 17 year old comes in, but was curious what you all do with the younger kids that are constipated. I did find some laxative tablets/liquid that are safe for 2 and up since posting, but I'm still interested to know what other places do.

[NRSKarenRN, BSN, RN]

Miralax is permitted for children:

Dosing information

Quote

 

Usual Pediatric Dose of MiraLAX for Constipation -- Acute:

Occasional constipation:
Children greater than 6 months of age: 0.5 to 1.5 g/kg daily (initial dose 0.5 g/kg; titrate to effect)
Maximum dose: 17 g/day

Fecal impaction:
Children greater than 3 years of age: 1 to 1.5 g/kg daily for 3 days
Maximum dose: 100 g daily

https://www.drugs.com/miralax.html

 

This PEDs practice guidelines:

Quote

http://www.plateaupediatrics.com/pages/2014/9/16/using-miralax-for-your-childs-constipation

 

Just  need standing order to cover med dosing in Peds.  ?

 

[heather42r]

Thank you so much for this. They won't give me a standing order for anything other than "follow bottle instructions".

I've asked.

[LikeTheDeadSea, MSN, RN]

 If residential, I'd try some good 'ol prune juice as a snack.  If no relief, I'd take that kiddo to urgent care to get the private order. 

I'd suggest that the camp director work on building a relationship with a PCP in the area to get more specific orders for their OTCs, that's what we do.  We essentially write the order of things we plan to stock and present it to them a few weeks prior to camp and get their signature on it. Compensation is a couple hundred bucks, but well worth the legal piece of mind. 

 

[NRSKarenRN, BSN, RN]

I'm blessed as my camp owned by a Pediatrician.  Hope you can work this out.