CPS Statements Flashcards
Most likely SE from ondansetron
Mild/self-limiting diarrhea
Dosing for ondansetron in mg/kg
0.15 mg/kg
Criteria for anaphylaxis
- Hypotension following known antigen.
- Acute onset of cutaneous +/or mucosal involvement with at least one of the following: (a) resp, (b) CVS
- Two or more of the following systems involved: (a) cutaneous/mucosal, (b) resp, (c) GI, (d) CVS
Biphasic anaphylaxic reaction: (a) when most occur and (b) total time frame when this can occur
A. 4-6 hours
B. 1-72 hours
EpiPen dosing
- 15mg for <25kg
0. 3mg for >25kg
In-hospital epi dosing for anaphylaxis
0.01 mg/kg of 1 mg/mL concentration
What age/gender most at risk for childhood UTI? x2 scenarios
- Boys: uncircumcised, <3 months
- Females: <1 year
Predictive rule for r/o UTI in girls <24 months of age (x5 risk factors)
- Age <12 months
- White race
- Temp >39
- Fever >2 days
- Absence of another source for infection
When to consider RBUS and VCUG for UTI?
- RBUS: First febrile UTI in <2 year old
- VCUG: Abnormality on RBUS and/or second febrile UTI in <2 year old
When to consider antibiotic UTI prophylaxis?
- VUR grade IV or V
- Significant urological abnormality
What do we call UTI without fever?
Cystitis
When to consider a complicated UTI?
- Hemodynamically unstable
- Not improving (with persistent fever, elevated inflam)
- Renal dysfunction (elevated Cr)
- Poor voiding/urine output
- Bladder or abdo mass
How does juvenile onset recurrent respiratory papillomatosis occur?
-Rare vertical transmission of HPV to infant
What x3 symptoms are classic for acute nicotine toxicity?
- Headache
- Tachycardia
- Abdo pain
Following a needle stick injury, what x2 infections have been reported and what x1 infection has not?
- HCV + HBV
- HIV
What is a rare but serious complication of vertical transmission of HPV?
Juvenile onset recurrent respiratory papillomatosis
Recommendations on hydration for sports
- If less than 1 hour = water
- If >1 hour and/or in hot environment = sports drink with 6% glucose with 20-30 mEq/L NaCl
What does lower SES and having a TV in your bedroom increase your risk for?
Overweight and obese through increased screen time
What are risk factors for being less active (x5)?
- Older
- Female
- Aboriginal
- “overscheduled”
- Not involved in or dislike sports/recreational activities
How much screen time is recommended for (a) <2 years old, (b) children 2-4 years old, and (c) children + youth?
(a) None
(b) <1 hours per day
(c) <2 hours per day
How much activity (of any intensity) should toddlers + preschoolers achieve each day?
-180 minutes per day
Important questions to ask for a neurologically impaired child in terms of feeding/nutrition?
- Duration of feeds
- Feeding aversion
- Safety: coughing/choking, recurrent PNA, chronic chest symptoms
- AEDs
What do AEDs do nutritionally to children with neurological impairment?
Micronutrient deficiency - folate, vit B12
When to consider supplemental fluoride + what preparations would you recommend?
-If >6 months of age
-Water supply contains <0.3 ppm
-At risk for caries
-No regular brushing
= mouthwash/lozenges