Peads Resp Flashcards
Bronchiolitis virus
Respiratory Syncytial Virus
Signs of resp distress
RR Accessory muscles Intercostal recessions Nasal flaring Head bobbing Tracheal tug Cyanosis Abnormal airway noises
Indications for admission for bronchiolitis
< 3 mo Pre existing condition 50% less feeding Dehydration RR > 70 O2 < 92 Resp distress Apnoeas Parent not confident with home mx
RSV monoclonal antibody
Palivizumab
Bronchiolitis home mx
Normal resolves after 2 weeks
Adequate hydration and feeding
Paracetamol if over 3 mo
Safety net to A&E if resp distress
Bronchiolitis in patient mx
Airway support (Optiflow PEEP, CPAP, Intubation) Fluids (orogastric, nasogastric, IV)
7 signs of life threatening asthma
Peak flow <33% predicted Sats <92% Silent chest Hypotension Exhaustion Cyanosis Confusion
Severe asthma Mx
Oxygen aiming for sats 94-98% SABA + ipratropium bromide neb Prednisolone PO or IM IV Mag Sulph IV Aminophylline
Call anaesthetics and ICU Incase of intubation
Prednisolone dosage for asthma Mx
1mg / kg / day for 3 days
Max 40 mg per day
What bloods should be monitored on salbutamol?
U&Es for K
Salbutamol drives K into cells causing hypoklaemia
Most common cause of bacterial pneumonia in children
Strep pneumonia
Most common atypical pneumonia in children
Mycplasma pneumonia
Extra pulmonary manifestations of mycoplasma pneumonia
Erythema multiforme
Pathogen causing croup
Parainfluenza Virus
Croup tx
Oral Dex 150mcg / kg single dose repeated at 12 hrs if needed
Severe croup Mx
Oxygen Oral dex Budesonide neb Adrenaline neb Intubation and ventilation
Pneumonia tx
Amoxicillin + ( macrolide if atypical suspected)
Co Amox if severe
Macrolide (erythromycin, clarithromycin, azithromycin) monotherapy if pen allergy
Epiglottitis pathogen
Haemophilus Influenza b
Epiglottis Mx
Senior support from anaesthetics and paediatric consultants
Secure Airway
IV ceftriaxone
Dexamethasone IM
Whooping cough pathogen
Bordatella Pertussis
Whooping cough tx
Abx within 21 days of start of cough
< 1 month old : clari
> 1 month old : azithromycin
Pregnant : erythromycin prophylaxis
Whooping cough Mx
Notifiable! Health protection unit (HPU)
Admit if severe
Macrolide abx if within 21 days
Avoid school 48 hrs after abx or 21 days after start of sx
Fluids, rest and paracetamol or ibuprofen
Cough should resolve in 8 weeks
Gene effected in Cystic Fibrosis
CFTR ( cystic fibrosis transmembrane conductance regulation )
Most common cystic fibrosis mutation
Delta F508
