Peds - Nose and Throat Flashcards
Common cold - treatment
Rest
Hydration
Nasal saline gtts
Humidifier
NO decongestants, antihistamines, antitussives, expectorants - just let it out
Is the common cold associated with a fever?
No
Treatment for epistaxis?
o sit upright
o pressure at Keisselbach’s triangle for 10 MINUTES
o ice
Where is Keisselbach’s triangle?
End of the the bony ridge of the nose where blood vessels converge
Acronym for symptoms suggestive of strep throat
FLEA
Fever
Lack of cough
Exudate of tonsillar area
Anterior cervical adenopathy
presence of any one warrants strep culture
this is a SENSITIVE TEST - all negative rules strep out
Treatment for STREP THROAT
Penicillin VK (“K for KIDS”, and potassium)
if allergic to PCN - Erythromicin
Sudden, severe swelling of the epiglottis that occurs as a result of a bacterial infection
epiglottitis
Peak age of incidence for epiglottitis
6 - 10 years of age
Management of epiglottitis
Immediate hospitalization
Intubation
IV 3rd gen cephalosporin until pathogen identified
Example of 3rd gen cephalosporin
ceftriaxone / Rocephin
What common illnesses do parainfluenza viruses cause?
URI –> croup
Peak age of incidence for croup
3 months to 6 years
Lungs sounds in croup
typically clear
Croup - appearance on xray
“steeple” shaped narrowing of the trachea
Croup management of moderate or severe disease
Hospitalize for respiratory support
Short course of steroids
IV fluids
Nebulized racemic epi (bronchdilator + epi)
