PAEDS Flashcards

1
Q

age restrictions on promethazine and reason

A

contraindicated in less than 6 months, caution in less than 2yo

risk of fatal respiratory depression and apnea

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2
Q

paracetamol dosing by weight and max dose for po vs pr

A

10-15mg/kg/dose,
max dose PO 75mg/kg/day
pr 90mg/kg/day

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3
Q

lactulose dose by weight

A

7-7.5ml/dose q12-24h

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4
Q

nsaids and varicella infection

A

nsaids assoc w elevated risk of severe skin and soft tissue complications of varicella zoster virus infection in children w varicella

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5
Q

carbocysteine restriction in children and why

A

contraindicated in less than 2yo

aggravation of respiratory sx (use of mucolytics)

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6
Q

minimum age of ppsv23

A

2 yo

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7
Q

when should rotavirus vaccines be given, and what is the interval

A

dose 1: 6-16 weeks of age, dose 2 must complete by 24 weeks

interval at least 4 weeks

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8
Q

when should mmr vax be given

A

at least 12 months and above

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9
Q

for the combined DTAP, polio and h influenzae type b vaccine:
when can you start, how many doses, what is the interval and how to take a booster

A

min age: 2 months
3 doses in the first 6 months of life
at least 1 month interval
booster: second year of life, at least 6m after completing basic doses

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10
Q

risk of mmrv vax and who should avoid it. what is the alternative method to administer the vax

A

mmrv vax: increases risk of febrile seizure. administer mmr and varicella separately

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11
Q

preferred antibiotic in kids with g6pd

A

trimethoprim

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12
Q

which are live vaccines: MMRV, rotavirus, yellow fever, pcv13

A

all except pcv13

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13
Q

minimum age of influenza vaccine

A

6 months

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14
Q

distribution of neonates compared to adults

A

larger volume of distribution in neonates

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15
Q

total body water vs age

A

total body water declines with increasing age

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16
Q

clearance rate of drugs in children

A

reduced clearance, prolonged half life for drugs requiring metabolism for elimination

17
Q

body surface area calculation

A

(height in cm x weight)/ 3600 then take sq root

18
Q

max dose of ibuprofen , and dosing regimen

A

40mg/kg/day. usual dose 5-10mg/kg/dose

19
Q

min age for ibuprofen

20
Q

min age for diclofenac

A

1 year old

21
Q

dosing of diclofenac

A

0.5-2mg/kg/d in 2-3 divided doses, max dose 150mg/day

22
Q

dosages for oxymetazoline

A

<1yo: 0.01%
1 to 6 yo: 0.025%
>6 yo: 0.05%

23
Q

recommended age for oral decongestants

A

at least 12 yo

24
Q

loperamide for how old, what is the dosing

A

at least 6 years old. 0.05-0.1mg/kg q8-12h. max 0.4mg/kg

25
contraindications of hidrasec
less than 3 months angioedema with acei
26
minimum age for forlax
8 years old
27
administration for forlax
space at least 2 hours from other meds
28
contraindications to forlax
hypersensitivity to peg severe IBD, toxic megacolon bowel obstruction fructose intolerance
29
preferred tetracycline in children and why
doxycycline. not likely to cause visible teeth staining in children younger than 8 years
30
can you administer vaccines on the same day regardless of live or not
yes
31
if administered on different days, what is the minimal interval for live vaccines
at least 28 days
32
are these vaccines live? BCG MMRV Rotavirus
yes
33
live or not? yellow fever
yes
34
are these vaccines live or not? hepb, h influenzae, dtap, tdap
no
35
are these vaccines live or not? polio, pcv, ppv
no
36
do children have higher or lower body surface area to mass ratio than adults
higher
36
is gastric ph higher or lower in neonates
higher (less acidic)
37