Paed: Pharmacy Flashcards
By 1 year how much weight should infant had gained?
10 kg
Weight based calculation?
Weight (kg) = (age +4) x2
Only for children 1-10
Dose for paracetamol
15 mg/kg/dose
q4, 6hrly
(Max 60mg/kg/day)
When is paracetamol not suitable?
- Asymptomatic with fever
- Gastroenteritis without fever
- As a sedative
Dose of ibuprofen
10mg/kg/dose q6-8h Max 40mg/kg/day
NSAID OVERDOSE CAN CAUSE
Acute renam failure/impairment…. or in a dehydrated patient!
Fever degrees?
What is moderate, high and very high?
Moderate = 38-39
39.1 - 40.4 = high fever
40.5 - 41.6 = very high fever
When to give panadol?
Child is MISERABLE + ABOVE 38.5
When to refer
- Child less than 3 months
- Temp over 40
- Persists despite treatment for 48 hrs
- Unwell
- Refusing drink
- Neck stiff, photophibia, lethargic, floppy, rash
- Pain, difficulty breathing
- Had a convulsion
How to treat a fever
- Maintain hydration
- Reduced activity
- Remove layer of clothing
- Give pandol if miserable + over 38.5
Febrile seizures..
threshold?
Risk rate?
Individualised
2-4% children under 6 years old
Febrile seizures…
Can panadol prevent it?
Does it happen Gradually?
No panadol doesn’t prevent it
Happens suddenly!!
Management of PIMS-TS
PAEDIATRIC INFLAMMATORU MULTISYSTEM SYNDROME
TEMPORALLY ASSOCIATD WITH COVID-19
- IV IG (immunoglobulin)
- IV steroids
- Infliximab/anakinra/ tocilizumab (disease modifying agents)
- anticoagulation
Inhaler devices… what’s suitable for kids?
- Less than 4:
- Older than 4:
- Older than 6:
- Older than 8:
- Less than 4:
MDI + small spacer + mask - Older than 4:
MDI + small/large spacer + mouthpiece - Older than 6:
Breath actuated device (turbuhaler) - Older than 8:
MDI OR TURBUHALOR (NO spacer)
Medications that 1 dose is fatal…
Diltiazem
Glibenclamide
Hydrochloroquine
Theophylline
Verapamil
