Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-03-24 Encounter: Spruce text message CC: Parent asking whether current Tylenol dose is appropriate for teething pain in an infant. HPI: Greta is an infant weighing approximately 16 lbs who has been experiencing significant teething pain. Parents have been administering 2.5 ml of liquid Tylenol but feel it is not providing adequate relief during intense teething episodes. Parent is asking whether increasing the dose to 3–3.5 ml would be appropriate. No other symptoms or concerns noted. Assessment: Acetaminophen dosing is weight-based; current dose of 2.5 ml is appropriate for a lighter weight but can be increased to 3 ml given Greta's approximate current weight of ~16 lbs. Plan: Dr. Hobbs recommended increasing liquid Tylenol to 3 ml every 6–8 hours based on weight-based dosing guidance. A dosing reference was shared via the messaging platform. Medications: - Acetaminophen (liquid Tylenol) 3 ml every 6–8 hours (adjust) Key clinical quotes: "I'd do 3, you'll notice there are big jumps. At her weight, 3ml every 6-8 hours" Source: Spruce conversation t_2IPCQHTH69O00