Prev Ped Flashcards
core of the field of pedia
prev ped
prev ped consists of efforts by physicians to avoid rather than cure dse and disability through what
health promotion and prevention activities
prev ped evolves into
pikachu
regularly scheduled visits
taks of prev ped
dse detection
dse prevention
health promotion
anticipatory guidance
dse detection is accomplished by
screening
surveillance
shift the focus to wellness and tp strengths of the family
health prom and anticipatory guidance
prenatal visit, education and councselling areas of concern
breastfeeding
newborn care and procudure at birth
to prevent injury and child maltreatment
tetanus toxoid immunization for the mother
maternal nutrition to include folic acid supp
newborn care and procedures at birth
rooming in
newborn screening
hearing screening
immunization with hep B and BCG
best first food for the newborn
colostrum
must be initiated during the first 30mins to one hour after delivery
latching on and breastfeeding
min. criteria for discharging newborns before 48hrs
uncomplicated courses VSD, singleton, 37wks normal stable VS has urinated and passed documented first latch, milk transfer, swallowing, infant satiety, no nipple discomfort normal PE no significant jaundice educability and ability of parents followup within 48hrs
for complete Hx and PE, every infant must be totally appraised when
at birth, daily until discharge and each visit
dev’t surveiallnce should be done when
each visit from birth to 19y/o
measurement of weight and hheight should be done when
each child visit from birth onwards
measurement of head circumference should be done at
each child visit from birth to 3yrs old
BP routinely done starting
age 3
screening for atopy
GI symptoms
skin rash
nasal symptoms
coughing with or withouth wheezing
general rpocedures in prev ped
screening for IEM hearing impairment visual defects immunization iron supp vit A supp mantoux deworming
screening for IEM be performed on all newborns when
after 34hrs HOL not later than 3 days
screening for impairment done when
all newborns not later than 1 month
those who do not pass hearing screening should have complete audio eval when
not later than 3 months
screening for visual defects should be done when
at least once at birth 6mos 3 yrs or 5 yrs
screening at birth for visual defects icnludes
steady eyes white lustrous conjunctiva pupillary reflex clear cornea nondroopy eyelids red orange reflex
comprehensive ophtha exam be done for who
premature, LBW hx of retinoblastoma hx of ongenital cataract hx of rubella or STD metabolic disorders hx of squinting visual difficulites vitA def or night blindness impaired chidlern
mantoux test done when
at leas once between 1-14y/o asymp
antyime sympto
positive mantoux test when criteria are present
5mm bigger
positive mantoux when criteria are absent
10mm bigger
deworming when
12mos - 14yo
schedule of deworming
every 6months
deworming uses
albendazole
mebendazole
contraindiciations of deworming
malnorusihed
high fever
profuse diarrhea
abdo pain
recommendations for prev ped for patients at risk
cbc
UA
work up for sexysexy
accdg to pshbt, cbc be done
at least once bet. 6-24mos 2-6yo 10-19yo
recoomendation for makating females
vaginal wet mount and smear
recoom for makating males
sero test for syph
commonr ecomm for both male female
culture for gonorrhea and chlamydia
aspects of anticipatory guidance discussed evry visit
first dental visit nutrition counseling physical activity injury and poisoning prevention counseling on exposure to lead etc
given by healthcare providers to assist parents in udnerstanding of the expected growht and devt of childern
anticipatory guidance
first dental visit when
first eruption not later that 12 mos
when in injury and poisioning prevention anticipatory guidance ang handwashing, safe and smoke free environment
newborn visit
when in injury and poisioning prevention anticipatory guidance ang avoid prolonged sun exposure, sleeping arrangement,
first week visit
when in injury and poisioning prevention anticipatory guidance ang safe crib, temp of bath water
one month visit
when in injury and poisioning prevention anticipatory guidance ang shaking baby, leaving baby, safe ride
2month visit
when in injury and poisioning prevention anticipatory guidance ang care safety, soft toys, childproof home, no babywalkers
4month visit
when in injury and poisioning prevention anticipatory guidance ang high chair, no burns no choke food
5motnh visit
all forms of physical or emotional ill-tx sexual abuse neglect resulting in actual and potential harm to the child blBL
child matreatment
antichild abuse law
RA 7610
reporting to DWD any signs of malteatment within 48hrs
RA 7610 anti child abuse law
mainly affected aspect in body by lead
cognition
