Kirk,

In my opinon, you should ALWAYS error on the side of caution. Now that I’ve had some experience and talked with the ped endo and endocrine nurses following "injection oppertunities" and from reading hear on the list, if I think my daughter needs an injection, I will give it. I will not wait for the school nurse, emergency personel, or the ER to do it, I will.

With my 4-year-old, I have had 3 such oppertunities. The first time, I had myself convinced that I even though she was vomitting and running a temp, that I didn’t need to give it. There were no signs of any problems. But as I was told, you don’t ever want to have signs that an injection is needed.

The second time there was vomitting and fever I waited 30 minutes and tried dosing the cortef a 2nd time. It came right back up, so I gave her the injection (at 3:30 am no less) and I didn’t have to go to the ER.

The third time this happened I didn’t try the second dose of cortef, I gave the injection as soon as my neighbor got to the house to hold the 2-year-old. We did end up at the ER for fluids since she was very lethargic. Now I have learned that with how my daughter reacts, if I’m not able to get fluilds down her an hour or so after the injection, we will head to the ER.

Best regards,

Janet