Med Hx and Rx Flashcards
Who is the only adult allowed to give a medical history for the child?
Guardian
How often should a pediatric medical history be updated?
Every 6 months (because kids change quickly)
What is the starting age to be able to prescribe amoxicillin to a child?
More than 3 months
What is the dosage for a child, more than 3 months and up to 40kg for amoxicillin 3 times a day (every 8 hours)?
20-40 mg / kg / day. Divided doses every 8 hrs
What is the dosage for a child, more than 3 months and up to 40 kg for amoxicillin 2 times a day (every 12 hours)?
25-45 mg / kg / day. Divided doses every 12 hours.
What is the dosing for amoxicillin for a child greater than or equal to 40 lbs up to adults for 3 times a day dosing (every 8 hours)?
250-500 mg every 8 hours
What is the dosing for amoxicillin for a child greater than 40 lbs up to adults for 2 times a day dosing (every 12 hours)?
500-875 mg every 12 hours
What is the range of dosing of amoxicillin a day for a 67 lb child, more than 3 months?
((1kg/2.2kg) x 67lbs) x (40mg/kg) = 1218 mg/day ((1kg/2.2kg) x 67lbs) x (20mg/kg) = 610 mg/day
What are Dr Berry’s dosing theory for less than 5 and greater than 5 year olds?
If less than 5 years old, do 3 separate doses, if less than 5 years old, do 2 doses because child is in school
What are the overall parts of a prescription?
Drug name, dose, types
DISP: (how much total dispensed)
SIG: instructions
What are the range and prescription for amoxicillin for 25 kg 5 year old child in school?
(25kg x (25mg/kg)) = 625mg / bottom range
(25kg x (45mg/kg)) = 1125 mg / top range
Rx: Amoxicillin 400 mg
DISP: 16 tabs SIG: Take 2 tabs (800mg) loading dose, then take 1 tab (400 mg) twice a day for 7 days
What is the amoxicillin prophylaxis infective endocarditis doses?
50 mg / kg (max 2g)
30-60 min before procedure
When should you do SBE (subactue bacterial endocarditis) prophylaxis?
Prosthetic cardiac valve or prosthetic material for valve repair
Previous infective endocarditis
Congenital heart defect that is unrepaired cyanotic
Completely repaired congenital heart defect within 6 months of surgery
Repaired congenital heart defect with residual defect
Cardiac transplant recipient who develops cardiac valvulopathy
What dental procedure requires SBE prophylaxis?
Manipulation of gingival tissue or periapical region of teeth or perforation of oral mucosa
Do routine anesthetic injections through non-infected tissues require SBE prophylaxis?
No
Is SBE prophylaxis indicated for oral bleeding from trauma?
No
What is the acetaminophen dose for children under 12 years old?
10-15 mg / kg. Dose every 4-6 hours.
What is the maximum acetaminophen dose for children under 12 years old?
90 mg / kg 24 hours
What ist he acetaminophen dose for Children under 12 years not to exceed in 24 hours?
2.6 g 24 hours
What is the acetaminophen does for Children less than 12 years not to exceed in 24 hours?
2.6 g / 24 hours
What is the acetaminophen dose for Children more than 12 years old?
325-650 mg every 4-6 hrs
Or 1000 mg (1g) 3-4 times/day
What is the maximum dose of acetamionphen for Children over 12 years old?
Max 4g / 24 hours
What is the difference in dosing between ibuprofen and acetaminophen?
Ibuprofen is lower dose and spread out over more hours
What is the dose range for codeine in children less than 12 yrs old?
0.5 mg-1mg codeine
Dosing for acetamnophen remains the same
Does a patient have a true allergy if they broke out in hives after taking penicillin?
Yes
What is produced by chronic inflammation of the bronchial tubes whose edema leads to narrowing of the bronchi (can be caused by a hyperactive response or inflammatory response)?
Asthma
What type of asthma is twice weekly or less, and has nighttime fits twice a month or less?
Mild intermittent asthma
What type of asthma is more than twice weekly but no more than once a day, with nighttime fits more than twice a month?
Mild persistent asthma
What asthma has daily symptoms and nighttime fits more than once a week?
Moderate persistent asthma
What type of asthma has symptoms throughout most days and frequently at night?
Severe persistent asthma
What is a question to ask a parent when they report their child has asthma to evaulate the severity?
“What are their night symptoms”?
What rescue medication for asthma is a short acting beta-2 agonist?
Albuterol most common
What type of asthma would a child having a Flovent (fluticasone) or Pulmicort inhaler have?
Severe. Theya re being treated with a steroid.
Spacers or a nebulizer are usually prescribed to what child demographic for asthma?
Young children. Nebulizer used in children 3-5 years old.
