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Pediatrics > Pharm for Peds > Flashcards

Pharm for Peds Flashcards

1
Q

What ages is it most difficult to administer meds?

A

0-4 years old

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2
Q

Easiest way to restrain a child

A

Have parent with one arm around child and one arm around head and face towards the provider

Use hand over head to tilt patient and instruct the parent to do this

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3
Q

What is the main role in peds for providers?

A

Educating parents on how to take care of their kids

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4
Q

What dosing of meds should you almost never give kids?

A

TID

Should give QD or BID

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5
Q

How should you adminster meds to peds

A

45 degrees
Past cheek pouch
tablet on back of the tongue

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6
Q

Clinical pearl for how kids can easily swallow pills

A

Apple sauce pouch, squirt it down

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7
Q

Worst tasting med for kids

A

Augmentin

Tastes like disgusting pinacalada

also steroids

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8
Q

How do you cover taste of bad tasting meds

A

Spoon fool of chocloate syrup
Adminster med
Another spoon of choclate syrup

Coats the mouth
can also use marshmallow syrup

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9
Q

Where in WV is a good place that has meds that are not anywhere else?

A

Travillions

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10
Q

What environment should we allow for administering meds?

A

Comfortable and distracted

Tablets ok

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11
Q

What tactics can you use to encourage kids to take meds?

A

Give options (10 days meds, one day shot - sometimes preferred in older kids and higher efficacy)
Use stuffed animals
Use rewards (stickers)
Positive reinforcement

Let them know that they NEED to take the medicine and they may need a shot

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12
Q

What are the different ways that meds can be given?

A

Oral
Suppository
Shot

DO NOT negotiate, use commands

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13
Q

What is important way to write when prescribing meds to peds?

A

Be very clear!!!

Use mL/cc instead of teaspoons (teaspoons can vary in volume)

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14
Q

What is an equivalent to mL

A

CC

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15
Q

Common SE of omnicef

A

Red poop

TELL PARENTS

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16
Q

Common SE of steroids in kids

A

Bouncing off the walls

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17
Q

What can be given prior to a med to reduce GI SE in peds

A

Probiotics for diarrhea

can cause bloody poop in Omnicef

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18
Q

SE of ADHD meds and way to combat it

A

Decrease appetite

Should eat first before using meds

Nutella with meds can help

19
Q

MC method of adminstering meds to kids

A

syringe

20
Q

What age is it discouraged to take OTC cough meds and why (2007-2017).

A

<6 years according to American Academy of Peds
< 2 years according to the FDA (because of parents not giving the right dosage)

Only use it under 2 in major

FDA found in 2007 that there were 1000s of hospitalized kids d/t overdose and a few deaths. There are dangerous ingredients like aspirin that can cause overdose d/t being combo meds. Cannot clear dosages easily d/t not as efficient kidneys.

Fine in kids if given proper dosages!!!

dimataph
romatesin

21
Q

What is dosing based on for kids?

A

Drug facts on the meds
Typically based on weight (kg)

USE SYRINGE THAT COMES WITH THE BOTTLE

22
Q

When giving a med to a kid, what is important to treat?

A

ONLY the symptoms

Combo drugs are not necessary

23
Q

If a child overdoses, what should a parent do?

A

CONTACT POISON CONTROL not the provider

for dog poop even

24
Q

What should you never give to kids and why?

A

Aspirin d/t Rey’s Syndrome

DO NOT GIVE PEPTO BISMAL

25
Q

What are the three OTC

A

Cough suppresants
Exporants

26
Q

What age can you give antihistamines?

A

> 6 months after IgE kicks in

27
Q

What is an alt to Sudafed

A

Saline and suctioning is #1

Can do Afrin

28
Q

Robitussin and Delsym contain

A

Dextromethorphan

Delsym has JUST dextromethorphan so this is good for a dry hacking cough

29
Q

When is dextromethorphan not given?

A

Productive cough (want to get it out)
Asthma or CF

30
Q

What med can trigger an asthma?

A

Codeine

only should use inhaler +/- steroids

31
Q

What do you use for productive cough?

A

Mucinex/Guanificen

loosens secretions so that you can cough

ONLY plain mucienx (guanificen)

32
Q

What can be found in honey that makes it a CI in kids <1?

A

Botulism spores

Immune system can fight it off after this age, so honey can be used for cough

33
Q

How to give nasal saline?

A

2 person job

Lay down
Arms over head one person
One person adminsters it

before feeding
before bed
in between in necessary

helps prevent infections

34
Q

What should babies not have in the crib?

A

Blankets d/t suffocation

elevate head of bed

35
Q

What is a fever?

A

100.4 rectal

axillary 99.4 (add 1 degree)

only 2 you can use

36
Q

What can you use for fever and why do you use it?

A

Tylenol

Only for symptoms otherwise let it do its thing

37
Q

When do you get brain dmg from a fever?

A

108

do not treat every fever because you wanna burn up the infection

38
Q

What type of bath can you use to decrease temp?

A

Lukewarm

push cool liquids, keep hydrated

39
Q

What can stain tooth enamel?

A

Tetracyclines

tetracycline, doxycycline, minocycline, tigecycline

40
Q

What are the three key things

A

mg/kg/day

amoxicillin

41
Q

1 teaspoon = ___ mL

A

5

42
Q

What dose should you choose?

A

The highest dose

ask for quantity suffienct

43
Q

A child diagnosed with acute otitis media who needs amoxicillin
Weight 22 lbs

5 mL/cc PO BID x 10 days

A

400/5 = 80
22/2.2 = 10 kg

10kg x 80 = 800mg/day
800 mg / BID = 400 mg
400/

Pediatrics (7 decks)

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