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
What x2 things should children avoid until resolution of their ITP?
- Avoid contact sports
- Avoid anti-platelet medications (e.g., NSAIDs)
How long to observe a patient with croup following their first epi neb?
2 hours
What processed food has the highest sodium content?
Bakery goods
What are risk factors in a patient with asthma that puts them at risk for ICU admission and death (x7)?
- Previous life-threatening events, admissions to an intensive care unit (ICU), intubation
- Hospitalizations or ED visits for asthma in the last year
- Deterioration while on, or recently after stopping, systemic steroids
- Using >1 canister of salbutamol per month
- Lack of an asthma action plan or poor adherence to treatment
- Comorbidities (e.g., food allergy, obesity)
- Low socioeconomic status, psychosocial concerns
25(OH)D level in nmol/L - (a) optimal, (b) deficient, and (c) toxic?
(a) 75-225
(b) <25
(c) >500
Most common dyslipidema in pediatrics?
Low HDL and high TG
What makes ceftazidine special?
Pseudomonas coverage
What genetic disorder -girl with microcephaly, seizures, absent speech, and ataxic gait?
Angelman Syndrome
What x4 genetic syndromes can be associated with self-injurious behaviour?
- Lesch Nyhan
- Cornelia de Lange
- Smith Magenis
- Prader Willi
3 week old with 2cm smooth, rubbery mass on left side of neck:
(a) Thyroglossal duct
(b) Brachial cleft cyst
(c) Congenital muscular torticollis
C
x2 most common bugs for acute otitis externa
- Pseudomonas
- S aureus
x7 deficiencies associated with a vegan diet
- Vitamin B12
- Iron
- Zinc
- Calcium
- Protein
- Vitamin D
- Omega 3 fatty acids
x8 adverse effects of septra
- Anaphylaxis
- Urticaria
- Photosensitivity
- Renal toxicity
- Hepatic toxicity
- Bone marrow suppression
- Hyperbilirubinemia (neonates)
- SJS/TEN
x3 most common pathogens to colonize CF airway
- S aureus
- Pseudomonas
- Burkholderia cepacia
x6 intestinal complications of CF
- Meconium plug/ileus
- DIOS
- Pancreatitis
- Rectal prolapse
- Malabsorption
- Biliary cirrhosis
x6 steps in management after identifying prolonged QT in a 15 year old F
- Referral to cardiology
- Restrict activity
- Consider B-blocker in consult with cardio
- Electrolytes
- Screen family members with ECG’s
- Avoid QT prolonging medications
What test should you do to screen for HIV in a neonate who may have been exposed?
HIV PCR within 48 hours if possible
HBV prophylaxis following needle stick injury
You got this! Look at CPS statement table
What to do after a possible HCV exposure from needle stick injury?
Monitor - no prophylaxis available
If high risk possible exposure to HIV following a needle stick injury, what to do?
- Baseline HIV PCR
- Start prophylaxis x28 days (within 72 hours - ideally within first 4 hours)
- Re-test 4-6 weeks later
When can children with chickenpox return to school?
If they have mild illness - as soon as they are well enough to participate (regardless of their rash status)
Most common location within a bone for acute OM?
Metaphysis