pediatric pharmacology

Question 1

antibiotics indications. list 3

Answer 1

odontogenic infection

SBE prophylaxis

trauma

Question 2

abx: most common 3. what is most common out of the 3?

Answer 2

Pen VK

Amoxicillin - most common

Clindamycin

Question 3

Pen VK

<12yo

a. max mg/kg/day every what hr?
b. max g/day?

>12yo and adults

c. max mg every what hr?

Answer 3

a. 50mg/kg/day every 6hr
b. 3g/day every 6hr
c. 500mg every 6hr

Question 4

Amoxicillin

<12yo

a. max mg/kg/day every what hr?

>12yo and adults:

b. max g/day divided every what hr?

Answer 4

a. 50mg/kg/day every 8hr
b. 3g/day every 8hr

Question 5

Clindamycin

<12yo

a. max mg/kg/day every what hr?

Answer 5

a. 25mg/kg/day every 8hr

Question 6

how long does abx take to kick in? what to give in meantime?

Answer 6

3 days; acetaminophen

Question 7

list 3 common pain meds

Answer 7

acetaminophen - tylenol

ibuprofen - advil, motrin

tylenol with codeine

Question 8

acetaminophen

<12yo

a. max mg/kg/day every what hr?

>12yo and adults

b. max g/d every what hr?

Answer 8

a. 65 mg/kg/d every 4hr
b. 4g/d every 4 or 8hr

Question 9

how long max for tylenol with codeine?

Answer 9

3 days max

Question 10

Ibuprofen

<12yo

a. max mg/kg/day every what hr?

>12yo and adults

b. max g/d divided every what hr?

Answer 10

a. 20mg/kg/day every 8hr
b. 1.2g/day divided every 8hr

Question 11

Fluoride:

a. at what age to age prescribe if needed?
b. max mg per Rx?
c. smear layer of toothpaste for what age?
d. pea size amount at what age?

Answer 11

a. first 2 years of life
b. 120mg per Rx
c. 2yr or younger
d. 3yr+

Question 12

Fluoride supplementation chart

Answer 12

Question 13

Fluoride:

list 2 tx options for High risk caries pt

Answer 13

prevident (NaF gel)

gel kam (SnF gel)

Question 14

a. fluoride limit placing kid at risk for fluorosis = mg/kg?
b. probable toxic dose mg F/kg
c. certainly lethal dose mg F/kg

Answer 14

a. 0.1mg F/kg
b. 5mg F/kg
c. 15mg F/kg

Question 15

water @1ppm = what mg F/L

Answer 15

1mg F/L

Question 16

Midazolam

a. max mg/kg
b. max total mg
c. reversal agent
d. what kind of drug?
e. key property?
f. onset time
g. duration time
h. full recovery time

Answer 16

a. 0.5mg/kg
b. 15mg
c. Flumazanil
d. benzodiazepine
e. amnestic properties
f. 20min
g. 30min max
h. 24hr

Question 17

Meperidine

a. max mg/kg
b. max total mg
c. reversal agent
d. peak time
e. duration

Answer 17

a. 2mg/kg
b. 50mg
c. Naloxone (Narcan)
d. 45min
e. 2-4hr

Question 18

Lidocaine 2% with 1:100,000 epinephrine

a. max mg/kg?
b. how many mg lido per carpule?

Answer 18

a. 4.4 mg/kg
b. 34mg lido per carpule