PEDS part 2 Flashcards
BASIC TREATMENT OF JAUNDICE
- GOAL: reduce level of serum bilirubin and prevent bilirubin toxicity
- PREVENTION: early feedings, adequate hydration
- TREATMENT: ______ exchange ______, _______ drugs (use of phenobarbital promote liver enzymes and protein syntheses)
PHOTOTHERAPY
TRANSFUSION
PHENOARBITAL
RUBEOLA
_____ & mmr vaccine
supportive
RUBELLA
____ & MMR vaccine
supportive
VARICELLA
______ & mmr vaccine
supportive
HAND FOOD AND MOUTH
TREATMENT ______ care & isolation
- Mainly focus on containing the outbreak and _____ of infected individuals (don’t go back to school/camp until ALL lesions are gone – oral ulcers and blisters)
SUPPORTIVE
ISOLATION
ERYTHEMA INFECTIOSUM (FIFTH DISEASE)
_____
SUPPORTIVE
ROSEOLA
_____
SUPPORTIVE
SCARLET FEVER
_______ & ___
penicillin G or VK
IMPETIGO
TREATMENT topical abx (_______) & good hygiene (wash hands, don’t touch face, avoid sharing towels)
MUPIROCIN
MOLLUSCUM CONTAGIOSUM
TREATMENT lesions are self-limited, generally treated to avoid spread (___or other treatment modalities used for warts)
LN2
VIRAL CONJUNCTIVITIS
______, wash _____
COMPRESSES, WASH HANDS
BACTERIAL CONJUNCTIVITIS
_______
abx
otitis externa
TREATMENT
- Commonly used topical eardrops: ______ drops (which decrease pH), antibacterial drops, and antifungal preparations
- Severe cases: oral or parenteral ___
- Otic abx and steroid combinations are very effective (Ex. Cipro HC Otic and Cortisporin Otic)
- Effective analgesic: Auralgan (benzocaine + antipyrine)
- For swimmers ear: Swim-Ear (OTC) or diluted rubbing alcohol for prevention
acetic acid
abx
otitis media
TREATMENT
- In healthy children older than 2 y/o who present with less severe symptoms: ______ for 48 hours may be considered
- If the decision is made to treat with abx: 1ST line = _________
o Azithromycin or clindamycin for pts with penicillin allergy
o 1ST line = high-dose amoxicillin/clavulanate (augmentin) AND 2nd or 3rd generation ______
- May use myringotomy tubes (for recurrent AOM, middle ear effusion, etc.)
observation
AMOXOCILLIN
cephalosporins
ROTA VIRUS GASTROENTERITIS
___________
SELF LIMITING
E COLI
________
o Preventative measures: improved sanitation, washing hands after using the bathroom, avoiding uncooked meats, avoiding unpasteurized dairy, produce washed in untreated water
SUPPORTIVE`
SHIGELLA
- TREATMENT: tx with abx (third generation _____) ↓ the severity of illness and reduces the transmission
CEPHALOSPORIN
SALMONELLA
- TREATMENT:
o No indicated abx therapy in immunocompetent individuals between ages 1-50
o _____ or fluoroquinolones in high risk pts (over 18)
BACTRIM
GIARDIA LAMBLIA
______
METRONIDAZOLE
BACTERIAL MENINGITIS
____
ABX
VIRAL MENINGITIS
______
SUPPORTIVE
MILLIARIA
- TX: avoid excess ___ and humidity, cool environment, ______ clothing & lukewarm baths
HEAT
LIGHTWEIGHT
HEMANGIOMA
- TX: most require NO intervention, most resolve spontaneously by age _
o Can tx with ___ therapy if they don’t involute and if cosmetically desired
5
LASER
SALMON PATCHES (STORK BITES OR ANGEL KISSES)
_______
SPONTANEOUSLY RESOLVES
