Children - Pain Flashcards

1
Q

Pain in children

A

e.g. teething

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2
Q

Teething

A
  • Can start as early as 3 months
  • Continue for up to 3 yrs
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3
Q

Symptoms of teething

A
  • pain
  • increased chewing, drooling
  • gum rubbing
  • facial rash
  • decreased appetite
  • irritability
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4
Q

Red flag symptoms for pain

A
  • Severe pain
  • Pain with the presence of the following red flag symptoms:
    Abnormal drowsiness
    Loss of consciousness
    Difficulty breathing
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5
Q

Referral criteria

A
  • Symptoms lasting for long periods
  • Recurring or worsening symptoms
  • Failure to respond to treatment
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6
Q

Non-pharmacological treatment for teething

A
  • Teething rings cooled in the fridge are popular
  • Dummies should be avoided, but if used, then it is important not to dip them or teething rings into honey, fruit juices or syrups, as this will damage developing teeth.
  • Raw fruit & vegetables to chew on
  • Hardened bread (avoid sugary rusk biscuits)
  • Give them cool sugar-free drinks
  • Comfort them by playing with them
  • Frequently wipe their chin and rest of face to prevent teething rashes
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7
Q

Mild to moderate pain treatment

A

Ibuprofen
Only licensed non-steroidal anti-inflammatory drug (NSAID) for children > 3 months (OTC)
useful in dental pain
Gastric irritation
Caution in asthmatics

Paracetamol
> 2 months of age
Dangerous in overdose

Anbesol teething gel

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8
Q

Anbesol teething gel

A

Lidocaine
Local anaesthetic
Refer if symptoms > 7 days

  • if necessary repeat dose after 3 hours
  • no more than 6 times a day

NOT FOR; under 5 months

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