SBHC Medication List

SBHC Medication List

  • Date Format: MM slash DD slash YYYY
  • The medical staff as per health care provider’s orders will administer the following list of medications:

  • Medication used for pain:

    Acetaminophen (Tylenol)
    Ibuprofen (Advil, Motrin)
    Anbesol
    Cepacol Lozenges
    Midol (for menstrual cramps)
  • Other Medications:

    Hydrocortizone cream
    Silvadene Cream (for burns)
    Lidocaine (numbing for wound care)
    Albuterol Nebulizer Solution (for wheezing)
    Ipratropium bromide/Albuterol Solution
    Prednisolone (Prelone)
  • Medications used to cleanse wounds, eyes, or ears:

    Betadine Solution
    Hibiclens
    Triple Antibiotic Ointment (Neosporin)
    Mupirocin (Bactroban ointment)
    Eye Wash Solution
    Hydrogen Peroxide
    Isopropyl Alcohol
    Normal Saline Solution
    Debrox
    Antibiotics – (if needed)
    Zithromax
    Rocephin (for injection)
  • Medication for allergies:

    Diphenhydramine (Benadryl)
    Loratadine (Claritin)
  • Medications used to relieve coughing:

    Dimetapp (Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCL)
  • Medications used for stomach issues:

    Ondansetron (Zofran)
    Ranitidine (Zantac)
  • I UNDERSTAND THIS STUDENT MAY RECEIVE ALL MEDICATIONS OFFERED AT THE SCHOOL BASED HEALTH CENTER. NOTE: GENERIC FORM MAY BE SUBSTITUTED PLEASE SUBMIT A SEPARATE SHEET LISTING ANY MEDICATIONS OR SERVICES YOU DO NOT WANT YOUR CHILD TO RECEIVE. PARENT SIGNATURE AND DATE MUST BE INCLUDED.
  • Date Format: MM slash DD slash YYYY