PAEDIATRIC OTC Flashcards

1
Q

Medicine at school

A

medicine must be labelled with full details
may be able to change dosing schedule to avoid administration at school

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2
Q

pyrexia and fever

A

forehead thermometers are not sufficiently accurate to be recommended

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3
Q

pyrexia/fever is caused by

A

resulting from viral or bacterial infections causing the body to increase the set body temperature

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4
Q

important questions

A

age we can NOT manage under 3 months
how is the child
what other symptoms present (uti for eg)

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5
Q

treatment and licensing

A

paracetamol from 2 months for post-immunisation
LICENSED from 3 months for general pyrexia and pain
Ibuprofen
LICENSED FROM 3 MONTHS OF AGE AND >5KG

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6
Q

atopic eczema onset

A

2-6months of age usually with family history of “atopy” eg eczema, asthma and hayfever

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7
Q

atopic eczema diagnosis

A

an itchy skin condition in the last 12 months, usually visible flexural eczema

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8
Q

atopic eczema presentation

A

lesions may be moist or weeping
skin may be thickened lichen field
scratch marks are often evident
atopic children ->prone to infection with herpes simplex

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9
Q

differential diagnosis

A

seborrhoeic dermatitis
proriasis (adult condition)
hives/allergy
contact dermatitis

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10
Q

treatment for atopic eczema

A

chlorphenamine antihistamine from 1year
e45 cream >1month (as much and as regular as possible)
hydrocortisone 1% cream
apply BD for a MAX of 7 days
avoid triggers

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11
Q

cough and cold preparations for chldren under 12 years preparations

A

tixylix baby syrup (glycerol)> 3months
calpol saline nasal drops >from birth

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12
Q

teething

A

from 3 months to 3 years

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13
Q

teething symtoms

A

pain
swollen gum
red,hot cheeks
excessive dribbling
nappy rash

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14
Q

teething otc tx

A

1st line treatment: paracetamol suspension >3months
anbesol teething gel (lidocaine) >5 months

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15
Q

abnesol teething gel application

A

pie-size amount to a clean finger on the affected area, max of 6 times a day. For NO more than 7 days

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16
Q

When do colic occur

A

from about three weeks to 4 months of life
unknown cause
more common in evenings

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17
Q

colic tx

A

dentinox colic drops
dimeticone § surface active agent
you add it to babys milk

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18
Q

constipation in children

A

fairly common in children and often related to changes in diet/hydration

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19
Q

constipation treatment

A

senna +12 years
glycerol suppositories
diet changes

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20
Q

threadworms transmission

A

transmission via
- faecal -oral route
-retro infection
-inhalation

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21
Q

threadworms typical presentation

A

noctural perianal itching
possible observation of worms on the stools
retro infection ->continuous re infection

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22
Q

threadwroms refer

A

treatment failure
secondary infection

23
Q

treadworms treatment

A

mebendazole (ovex) tablets or suspension >2 years
take one tablet chewed or swallowed.
second tablet taken after 2 weeks to avoid reinfection.
WE NEED TO TREAT THE WHOLE FAMILY

24
Q

counselling

A

nails kept sort and clean
srub nails and hands after each toilet use and before meals
wash bed linen daily if possible
wear underwear under night clothes to prevent scrathcing

25
Q

head lice

A

eggs laid at the top of the scalp
treatment encapsulates the lice and sufficates it.
we can NOT penetrate the eggs.

26
Q

headlice treatment

A

hedrin 4%
repeat after 7 days to ensure you have killed any eggs that might have been laid. leave it on the head for as long as possible and then wash off.

use detecting comb-> no gaps in the comb

27
Q

treat only if

A

itchy head and via seeing live louse

28
Q

transmission if head lice

A

transmission via head to head contact
we do NOT have to treat the whole family

29
Q

impetigo presentation

A

small red lesions which weep and form yellow yellow crust
touch causes spread of infection

30
Q

impetigo treatment

A

hydrogen peroxide 1% cream
apply BD or TDS for 5 days

31
Q

counselling

A

easy to pass infection
make sure they use own towels and face cloths
keep away from school until rush clears

32
Q

slapped red syndrome-> viral incfection

A

Paravirus B19
bright red rask on cheeks
slight fever
runny nose
flu like symptoms

33
Q

treatment

A

Paracetamol
it can clean in 5-7 days

34
Q

hand, foot and mouth presentation

A

fever
soar throat
coughing
spotting blister or mouth ulcers

35
Q

treatment

A

self limiting 7-10 days
paracetamol
fluids

36
Q

sraclet fever symptoms

A

white coating of the tongue
->strawberry tongue
flu like symptoms
high fever
blanching rash appears 12-48hrs after

36
Q

scarlet fever caused by

A

streptococcus pyogenes

37
Q

scarlet fever treatment

A

REFER for penicillin QDS for 10 days

38
Q

scarlet fever counselling

A

if NO antibiotics can spread for 2-3weeks after symptoms onset

39
Q

measles

A

dangerous disease but is notifiable disease ->patients can get post measles encepgalopathy

40
Q

suspected measles

A

immediate referral REQUIRED

41
Q

Measles incubation period

A

7-14 days

42
Q

what can help with diagnosis?

A

the patient feels unwell systemically and has kopliks spots in the mouth and body

43
Q

german measles

A

not as severe as measles

44
Q

germal measles incubation period

A

14-21 days with a prodromal phase of 5 days

45
Q

chickenpox cause by

A

varicella zoster virus

46
Q

incubation period

A

15-18 days and until rush scabs over is infectious

47
Q

chickenpox tx

A

Antihistamines -chlorphenamine >1year
analgesia paracetamol AVOID NSAIDS
calamine lotion or E45 cream

48
Q

in immunocompromised patients

A

aciclovir POM

49
Q

counselling for chickenpox

A

stay away from school and work until blister becomes scabs
bath with cool water and pat dry
cut nails to stop scratching
drink plenty of fluids
avoid sharing towels

50
Q

whats shingles

A

reactivation of the chickenpox virus varicella zoster

51
Q

shingles counselling

A

antihistamine
e45 cream or hydromol
rest
paracetamol or ibuprofen

52
Q

shingles red flags

A

pregnant
immunocompromised
above 50 years
eyes afffected

53
Q

meningitis symptoms

A

severe headache
phtophobia
skiff neck
drowsy
rash
stomach/joint/muscle pains