PAEDIATRIC OTC Flashcards
Medicine at school
medicine must be labelled with full details
may be able to change dosing schedule to avoid administration at school
pyrexia and fever
forehead thermometers are not sufficiently accurate to be recommended
pyrexia/fever is caused by
resulting from viral or bacterial infections causing the body to increase the set body temperature
important questions
age we can NOT manage under 3 months
how is the child
what other symptoms present (uti for eg)
treatment and licensing
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
atopic eczema onset
2-6months of age usually with family history of “atopy” eg eczema, asthma and hayfever
atopic eczema diagnosis
an itchy skin condition in the last 12 months, usually visible flexural eczema
atopic eczema presentation
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
differential diagnosis
seborrhoeic dermatitis
proriasis (adult condition)
hives/allergy
contact dermatitis
treatment for atopic eczema
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
cough and cold preparations for chldren under 12 years preparations
tixylix baby syrup (glycerol)> 3months
calpol saline nasal drops >from birth
teething
from 3 months to 3 years
teething symtoms
pain
swollen gum
red,hot cheeks
excessive dribbling
nappy rash
teething otc tx
1st line treatment: paracetamol suspension >3months
anbesol teething gel (lidocaine) >5 months
abnesol teething gel application
pie-size amount to a clean finger on the affected area, max of 6 times a day. For NO more than 7 days
When do colic occur
from about three weeks to 4 months of life
unknown cause
more common in evenings
colic tx
dentinox colic drops
dimeticone § surface active agent
you add it to babys milk
constipation in children
fairly common in children and often related to changes in diet/hydration
constipation treatment
senna +12 years
glycerol suppositories
diet changes
threadworms transmission
transmission via
- faecal -oral route
-retro infection
-inhalation
threadworms typical presentation
noctural perianal itching
possible observation of worms on the stools
retro infection ->continuous re infection