Passmed Paediatrics - Pharmacological Managements

Question 1

Acute epiglottitis

Answer 1

IV antibiotics

Question 2

Acute asthma attack

Answer 2

Prednisolone and as with adults but check BNF for dose adjustments

Question 3

Paediatric constipation

Answer 3

Polyethylene glycol 3350 + electrolytes (Movical Paediatric Plain)
Add stimulant laxative if no response
If stools are hard then lactulose/docusate

Question 4

Croup

Answer 4

Single dose oral dexamethasone to all regardless of severity (prednisolone if dex not available)

Question 5

Ongoing paediatric seizures

Answer 5

Ambulance if seizure >5 mins
Specialist admin of rectal diazepam or buccal midazolam

Question 6

Kawasaki disease

Answer 6

High-dose aspirin
IV Ig

Question 7

Meningitis in children

Answer 7

<3 months = IV amoxicillin/ampicillin + IV cefotaxime
>3 months = IV cefotaxime/ceftriaxone
Dexamethasone if LP reveals large contamination

Question 8

Neonatal hypoglycaemia

Answer 8

Asymptomatic = encourage normal feeding
Symptomatic = IV 10% dextrose

Question 9

Neonatal sepsis

Answer 9

IV benzylpenicillin + gentamicin

Question 10

Whooping cough

Answer 10

Any macrolide