Pediatrics Med Review Flashcards

1
Q

Amoxicillin Trade Name

A

Moxatag

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2
Q

Amoxicillin Category

A

Amino-PCN Antibiotic

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3
Q

Amoxicillin Use

A

AOM

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4
Q

Amoxicillin Dose

A

80-90mg/kg/day PO divided q12h

< 2yo and children w/severe sxs: 10 days

2-5yo w/ mild to moderate sxs: 7 days

≥ 6yo w/mild to moderate disease: 5-7 days

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5
Q

Amoxicillin AE

A

AE: Generally well tolerated; Diarrhea; Allergic reaction: Rash, anaphylaxis, increased LFTs, interstitial nephritis; Amox/Amp: maculopapular rash with mono infection (65-90%), CLL (90%), allopurinol (15-20%); not true PCN allergy; Seizures with high doses; Neutropenia, thrombocytopenia

Contraindication: Hypersensitivity to any PCN

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6
Q

Azithromycin Trade Name

A

Zithromax; Z-PAK

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7
Q

Azithromycin Category

A

Macrolide Antibiotic

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8
Q

Azithromycin Use

A

Strep Pharyngitis

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9
Q

Azithromycin Dose

A

Age >2: 12mg/kg/day PO x 5 days

Max 500mg/day

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10
Q

Azithromycin AE

A

AE: Well tolerated; GI most common: diarrhea, nausea, vomiting, abdominal pain

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11
Q

Penicillin Trade Name

A

?

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12
Q

Penicillin Category

A

Narrow Spectrum PCN Antibiotic

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13
Q

Penicillin Use

A

Strep Pharyngitis

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14
Q

Penicillin Dose

A

250mg PO BID-TID x 10 days

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15
Q

Penicillin AE

A

AE: Generally well tolerated; Diarrhea; Allergic reaction: Rash, anaphylaxis, increased LFTs, interstitial nephritis; Amox/Amp: maculopapular rash with mono infection (65-90%), CLL (90%), allopurinol (15-20%); not true PCN allergy; Seizures with high doses; Neutropenia, thrombocytopenia

CI: Hypersensitivity to any PCN

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16
Q

Acetaminophen Trade Name

A

Tylenol

17
Q

Acetaminophen Category

A

Non-opoid Analgesic

18
Q

Acetaminophen Use

A

Pain, Fever

19
Q

Acetaminophen Dose

A

<12yo: 10-15mg/kg/dose PO q4-6h

Max 5 doses in 24 hours; 2.6g

20
Q

Acetaminophen AE

A

AE: Usually well tolerated, hepatotoxicity, nephropathy, anemia, blood dyscrasias, rare skin rxns, overdose->severe or fatal hepatotoxicity

CI: severe liver disease or hepatic impairment

21
Q

Ibuprofen Trade Name

A

Advil, Motrin

22
Q

Ibuprofen Category

A

Non-selective NSAID

23
Q

Ibuprofen Use

A

Pain, Fever, Inflammation; JIA

24
Q

Ibuprofen Dose

A

Pain, Fever, Inflamm: 5-10mg/kg/dose PO q6-8h
(max 40mg/kg/d)

JIA: 30-50mg/kg/day divided q8h
(max 2.4g/day)

25
Q

Ibuprofen AE

A

AE: GI: dyspepsia, GI complications
Renal, Antiplatelet, CV, Hepatic, CNS (sedation), Skin (SJ/TEN)

CI: pts w/angioedema and bronchospasm w/ASA or other NSAID, severe hepatic impairment, CABG

26
Q

Fluticasone Trade Name

A

Flonase, Flovent

27
Q

Fluticasone Category

A

Inhaled Corticosteroid

28
Q

Fluticasone Use

A

Asthma

29
Q

Fluticasone Dose

A

Flonase: 1 spray (50mcg/spray) per nostril once daily (100mcg/day); max 2 sprays each nostril qday (200mcg/day)

Flovent HFA: 88mcg BID; max 88mcg BID
Flovent Diskus: 50mcg BID; max 100mcg BID

30
Q

Fluticasone AE

A

AE: Dysphonia, Thrush, Cough/throat irritation, Impaired growth (high dose??)

31
Q

Prednisone Trade Name

A

Deltasone

32
Q

Prednisone Category

A

Oral Corticosteriod

33
Q

Prednisone Use

A

Asthma Exacerbation

34
Q

Prednisone Dose

A

Acute Asthma: 1-2mg/kg/day for 3-10 days (max 60mg/day)

General: 5-60mg/day

35
Q

Prednisone AE

A

AE: Osteoporosis; HTN; hyperglycemia; cataracts; skin fragility; fluid retention; weight gain; Muscle weakness; Ulcers; Malaise; Impaired wound healing; N/V; HA

36
Q

Methylphenidate Trade Name

A

Ritalin

37
Q

Methylphenidate Category

A

CNS Stimulant

38
Q

Methylphenidate Use

A

ADHD

39
Q

Methylphenidate AE

A

AE: Potential for dependency; nervousness; difficulty falling asleep or staying asleep; dizziness; nausea; vomiting; loss of appetite; stomach pain; diarrhea; heartburn; dry mouth; headache; muscle tightness; drowsiness; uncontrollable movement of a part of the body; restlessness; numbness, burning, or tingling in the hands or feet; weight gain; slow growth; sudden death

CI: marked anxiety, tension, agitation; glaucoma; use during or within 14 days of MAOI; FHx or Dx of Tourette’s syndrome or tics