In an ISMP Quarterly Action Agenda they describe a situation in which hospital computer systems convert oral ibuprofen suspension doses to a metric volume, however, it is unknown what concentration the patient will actually receive.

The action item: Prior to discharge, counsel parents about the availability of the two liquid ibuprofen strengths. Refer to the two strengths as "children's ibuprofen" (100mg/5 mL) and "concentrated infant drops" (50 mg/1.25 mL). Ensure parents understand that the dose in mL is based on which concentration they use.

Have you added any information to your discharge paperwork to help with this? What actions have you taken to ensure the parent is educated appropriately?

Thank you for your help.