Med Hx and Rx

Question 1

Who is the only adult allowed to give a medical history for the child?

Answer 1

Guardian

Question 2

How often should a pediatric medical history be updated?

Answer 2

Every 6 months (because kids change quickly)

Question 3

What is the starting age to be able to prescribe amoxicillin to a child?

Answer 3

More than 3 months

Question 4

What is the dosage for a child, more than 3 months and up to 40kg for amoxicillin 3 times a day (every 8 hours)?

Answer 4

20-40 mg / kg / day. Divided doses every 8 hrs

Question 5

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)?

Answer 5

25-45 mg / kg / day. Divided doses every 12 hours.

Question 6

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)?

Answer 6

250-500 mg every 8 hours

Question 7

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)?

Answer 7

500-875 mg every 12 hours

Question 8

What is the range of dosing of amoxicillin a day for a 67 lb child, more than 3 months?

Answer 8

((1kg/2.2kg) x 67lbs) x (40mg/kg) = 1218 mg/day ((1kg/2.2kg) x 67lbs) x (20mg/kg) = 610 mg/day

Question 9

What are Dr Berry’s dosing theory for less than 5 and greater than 5 year olds?

Answer 9

If less than 5 years old, do 3 separate doses, if less than 5 years old, do 2 doses because child is in school

Question 10

What are the overall parts of a prescription?

Answer 10

Drug name, dose, types
DISP: (how much total dispensed)
SIG: instructions

Question 11

What are the range and prescription for amoxicillin for 25 kg 5 year old child in school?

Answer 11

(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

Question 12

What is the amoxicillin prophylaxis infective endocarditis doses?

Answer 12

50 mg / kg (max 2g)

30-60 min before procedure

Question 13

When should you do SBE (subactue bacterial endocarditis) prophylaxis?

Answer 13

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

Question 14

What dental procedure requires SBE prophylaxis?

Answer 14

Manipulation of gingival tissue or periapical region of teeth or perforation of oral mucosa

Question 15

Do routine anesthetic injections through non-infected tissues require SBE prophylaxis?

Answer 15

No

Question 16

Is SBE prophylaxis indicated for oral bleeding from trauma?

Answer 16

No

Question 17

What is the acetaminophen dose for children under 12 years old?

Answer 17

10-15 mg / kg. Dose every 4-6 hours.

Question 18

What is the maximum acetaminophen dose for children under 12 years old?

Answer 18

90 mg / kg 24 hours

Question 19

What ist he acetaminophen dose for Children under 12 years not to exceed in 24 hours?

Answer 19

2.6 g 24 hours

Question 20

What is the acetaminophen does for Children less than 12 years not to exceed in 24 hours?

Answer 20

2.6 g / 24 hours

Question 21

What is the acetaminophen dose for Children more than 12 years old?

Answer 21

325-650 mg every 4-6 hrs

Or 1000 mg (1g) 3-4 times/day

Question 22

What is the maximum dose of acetamionphen for Children over 12 years old?

Answer 22

Max 4g / 24 hours

Question 23

What is the difference in dosing between ibuprofen and acetaminophen?

Answer 23

Ibuprofen is lower dose and spread out over more hours

Question 24

What is the dose range for codeine in children less than 12 yrs old?

Answer 24

0.5 mg-1mg codeine

Dosing for acetamnophen remains the same

Question 25

Does a patient have a true allergy if they broke out in hives after taking penicillin?

Answer 25

Yes

Question 26

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)?

Answer 26

Asthma

Question 27

What type of asthma is twice weekly or less, and has nighttime fits twice a month or less?

Answer 27

Mild intermittent asthma

Question 28

What type of asthma is more than twice weekly but no more than once a day, with nighttime fits more than twice a month?

Answer 28

Mild persistent asthma

Question 29

What asthma has daily symptoms and nighttime fits more than once a week?

Answer 29

Moderate persistent asthma

Question 30

What type of asthma has symptoms throughout most days and frequently at night?

Answer 30

Severe persistent asthma

Question 31

What is a question to ask a parent when they report their child has asthma to evaulate the severity?

Answer 31

“What are their night symptoms”?

Question 32

What rescue medication for asthma is a short acting beta-2 agonist?

Answer 32

Albuterol most common

Question 33

What type of asthma would a child having a Flovent (fluticasone) or Pulmicort inhaler have?

Answer 33

Severe. Theya re being treated with a steroid.

Question 34

Spacers or a nebulizer are usually prescribed to what child demographic for asthma?

Answer 34

Young children. Nebulizer used in children 3-5 years old.