Management Flashcards
Mild Allergic Reaction Mx
Admit and Observe - At least 4 hours
Antihistamines - Cetirizine
If developed RF - Injection of Adrenaline (0.01 ml/kg)
Long Term
Avoid Triggers
Allergy Clinic and Specialist
Skin Test, RAST Test
Allergic Reaction Plan
Red Flags - Call 911
SCFE Mx
Non-weight Bearing - Wheel Chair
Refer to Orthopedic Surgery
Surgery - Both sides for repair and prevention
Physiotherapy after Surgery
UTI Inv. (Infant)
Urine Dipstick
Confirm - Suprapubic Aspiration
Urine MCS
<3m/o, Seriously Unwell, Recurrent - USD Kidney
Intestinal Obstruction Mx
Correct Fluids and Electrolyte abnormalities
Stool Softeners - Laxatives
If Persistent - Surgery
GORD Mx
After Feeding - Burp and do not lie down
Milk Thickeners
Small but more frequent feeds
Omeprazole - 4 weeks
AGE Mx
Fluids - Clear Fluids or Hydralate
Ondansetron - Vomiting
Paracetamol - Fever
Exclude from school until it resolves
Hand Hygiene
Monitor Red Flags
Vulvovaginitis Mx
Mild Soap
Swab if w/ discharge
Avoid bubble baths, Thigh clothing, Playing in Sand
Vinegar Bath
Mild moisturizers
Steroids - if itchy and irritating
CPS if worried about Sex abuse
Encopresis Mx
Stool Softeners or Laxatives - Regular
- Target is 1 stool/day
Avoid Dehydration
Well balanced diet - Fruits and Vegetables
Exercise
Toilet Training
- After Meals sit on the toilet for 5 mins
- Position the knee above the hip
- Bowel Motion Diary
Enuresis Mx
Patience and Empathy
Alarm Therapy - Reward System - May Take time
Healthy Diet and Exercise
Avoid Caffeinated Drinks
Avoid being dehydrated
Desmopressin - As needed treatment
- No fluids - 1 hour before and 8 hours after taking it
IDA Tx
Cut down Cow’s Milk
Well balanced Diet
Refer to Dietician
Iron Supplements
Follow up after 1 week and repeat the blood test
Obesity Mx (Pedia)
Well balanced Diet
Regular Excercise
Consider Blood Test for 2nd Cause and Risk Factor
Refer to Dietician and Excercise Physiologist
Fussy Eater Mx
Do not Panic and Be angry
Be Role Model
Involve Child in preparing food
Regular Mealtime
Small Servings
Limit 2-3 choices of food
Colorful Food and Colorful Utensils
Limit Eating time 20-30 mins - Take Plate away
Avoid
- Distractions
- Bribing
- Avoid offering food all day
- Limit Milk, Juice, Sugary Drinks
- 2 snacks per day - Healthy Options
Burn Management (Mild)
<10%, No Redflags
- Pain Medication
- Anti-Tetanus
- Burn Ointments
- Burn Dressing
- Photo of the burn
- Hydration
- Monitor Red Flags
Burn Management (Severe)
> 10%, Redflags
- Refer to ED
- Pain Medication
- Fluids
- Investigations - FBE, BG, Electrolyes, VBG, BSL
- Keep warm, Photos
- Tetanus
- Notify CPS if w/ Child Abuse
