Neuro, MSK, Drug Dosing, Abuse Flashcards
How to treat seizures in pediatrics (with doses)?
Ativan .1 mg/kg (max 4mg)
Diazepam .2 mg/kg (max 10mg)
Versed .1-.2 mg/kg (max 6mg) IM
Versed .2 mg/kg (max 10mg) IN
What meds to give to pediatrics seizing if BENZOs don’t work?
Fosphenytoin 20 PE/kg
Keppra 20 mg/kg (max 1g)
What is the dosing for Phenobarbital in Status epilepticus?
SE?
Load at 20 mg/kg at rate of 2 /mg/kg/min (max dose (60 mg/min)
Apnea, HoTN
If seizures are refractory to medical treatment, what drug therapy must be considered empirically?
Pyridoxine 100mg IV
What are 2 alternative ways to administer BENZOs in kids other than IM, IN, or IV?
Versed .2 mg/kg buccal (10 mg/dose MAX)
Diazepam .5 mg/kg Rectal (max 20mg)
What is the Miller Fisher variant of GBS?
Ataxia, areflexia, ophthalmoplegia of vertical gaze
What infections are associated with transverse myelitis?
EBV
CMV
Campylobacter
Myco PNA
What to measure at bedside in case of GBS?
Treat how?
FVC, NIV
plasma exchange, IVIG
What is the Kocher criteria used for?
List the things
Septic arthritis
Fever, inability to bear weight, ESR > 40, wbc > 12k
What is a common cause of osteoarticular infections in young children?
Treat how?
Kingella kingae, g(-) coccobacillus
3rd gen Cephalosporins
Ie ceftriaxone 50 mg/kg
Toddler’s fracture peak incidence?
Is what?
If cannot see on AP/lateral films do what?
Treat how?
9-36 months
Oblique, nondisplaced fractures caused by low-energy torsional forces
Internal oblique Xray
Long leg cast x3 weeks
Benadryl dosing for Allergy?
1-2 mg/kg PO, IV
Magnesium dosing severe asthma?
Tertbutaline?
50-75 mg/kg IV over 20 minutes
.01 mg/kg SubQ
Albuterol dosing asthma?
Ipratropium?
Racemic Epi?
.15 mg/kg INH q1h
250 microgram INH if < 20 kg, 500 if > 20kg
.25-.5 mL of 2.25% solution q30min
Dosing of prednisolone?
Methylprednisolone?
Decadron?
2 mg/kg PO
1-2 mg/kg IV
.6 mg/kg PO, IV, IM
