paediatrics Flashcards
What is a way to asses pain in children
use wong baker faces pain rating scale
Flacc model
what is the FLACC model
Flacc model is an observational model looking at the
face
legs
activity
cry
consolability
Describe the pain treatment in paediatrics
what is the minimum age you can give codiene
12+
when can you not give codeine
sleep apnoea
tonsils removed
respiratory depression
breast feeding
what non pharm can we do for asthma
avoid allergic triggers
avoid house dust
how do we treat asthma in under 5
saba
low dose ics or LTRA
low dose ics + LTRA
increase v low dose ics to higher low dose
specialist
what is the criteum for moderate asthma
oxygen saturation >92
PEF >50
No clinical features of s.asthma
what is the oxtgen sat in mod asthma
92>
what is the PEF in mod astham
> 50
are there any symptoms of severe asthma in mod asthma
nope
how can we treat mod asthma
bronchodilator via spacer
oral pred 30-40mg
what is the oxy sat of acture sever asthma
<92
what is the PEF in acute s.asthma
33-50
what is the heart rate
> 125min
what is the normal heart rate in asthma
60-100
what is treatment for acture severe asthma
Neb salbutamol
IV hydrocortisone
Nebulised ipratropiunm
What is the SPo2 of life threatening asthma
<92
what is the pef of life threat asthm
<33%
what are the presenting symptoms of life threatening asthma
silent chest
poor respiratory effort
altered consciousness
cyanosis
how do we treat life threatening
ipratropium + salbutamol every 30 mins
pred
How do we treat septicimea (community)
AMinoglycoside + amoxicillin or ceftriaxone
how do we treat septicaemia in under 18 hospital
piperacillin
tazobactam
how do we treat meningitis
ceftriaxone
amoxicillin if under 3 added
what drugs can kids not have
choramphenicol
sulfonamides
Ceftriaxone
nitrofurantoin in under 3 months
