RTS Flashcards
Age range of an infant?
1month to 2 years
Give 4 ideas for shared decision making in paediatrics
Tablet or suspension
Drowsy or non drowsy
Flavour
Spoon or syringe
Name the two notifiable diseases in paediatrics
Measles
Mumps
Name the 10 common childhood ailments in community pharmacy
Napkin dermatitis Eczema Chicken pox Measles Mumps Scabies Headlice Threadworms Fever Vomiting
Name 12 drugs no longer used in
Brompheniramine Chlorphenamine Diphenhydramine Dextromethorphan Pholcodeine Guaifenesin Ipecacuanha Phenylephrine Pseudoephedrine Ephedrine Oxymetazoline Xylometazoline
What’s the age range for neonates?
Birth to 1month unless pre term
How do you treat candidiasis napkin dermatitis?
Clotrimazole 1% cream (canesten) apply thinly 2-3 times daily
How do you treat irritant napkin dermatitis
Sudocrem
Metanium (titanium)
Conotrane (dimethicone)
Apply after every nappy change
Do you refer psoriasis in children
Yus u do
What should you check if using castor oil prep on someone?
PeaNUT allergy 😁
What should you not use in candida nappy rash?
Barrier cream cos it’s locks in moisture which will trap in fungi
What’s the age limit on steroids for eczema?
HAS TO BE OVER 10 👶🙅
What causes chicken pox?
Varicella zoster virus (a herpes virus)
What does chicken pox start with?
Fever
Headache
Sore throat
Few days later rash forms
What are the treatment options for chicken pox
Calamine lotion dab affected area Calpol 2months+ Calpol 6years+ Piriton tablets Piriton syrup
Secondary infection of chicken pox can be caused by what
Scratching- S. Aureus
What is shingles caused by
Herpes zoster
What can occur following a case of chicken pox?
Shinglez
What’s the incubation period of chicken pox?
10-20 dayz
What’s the incubation period of measles?
10dayz
What virus causes measles?
Paramyxovirus
Where’s does measles start
At the hairline and spreads rapidly over body over 24-48 hours lasting for 3days
How long are you infectious with measles
4 days before onset of rash and till 5 days after it disappears
What are kopliks spots?
Spots in the mouth that can occur prior to the rash forming in measles
How long does the rash in measles generally last for?
3 dayz
What’s encephalitis
Rare inflammation of the brain
What’s the incubation period of mumps
14-25 days
Is mumps contagious a week before breakout?
YEH
Where does the mumps virus thrive?
In the parotid salivary glands
How long does mumps last?
Mild case: 3-4 days
Most cases: 7 days
What’s the complications of mumps
Inflammation of areas
How do you treat headlice?
Wet combing
Physical insecticide- hedrin
Chemical insecticide- malathione
What causes threadworms?
Enterobius vermicularis
Where do threadworms live
Upper part of colon EW
What is used to treat threadworms
Mevendazole (ovex)
How does mebendazole (ovex) work
Inhibits works uptake of glucose causing immobility and death
Can you treat a 1yr old with mebendazole
No you can’t you fool
Where are the four places you can take temperature
Mouth
Rectal
Ear
Under arm
How to treat dry/chesty cough in paediatrics
Calcough infant
3months to 1year:5ml tds
1-5yrs: 10ml tds
When are you at your greatest risk to take medicines during pregnancy
First 12 weeks
What advice do you give pregnant women to help with vomiting
Eat ginger biscuit or toast before rising
P6 pressure bands
Drink water
Why is constipation common later in pregnancy?
Reduced GI motility, increased levels of progesterone
What type of laxative is first line in pregnancy?
Bulk forming
Second- osmotic
Then refer
Why does vaginal thrush occur in pregnancy?
Changes in oestrogen levels
Do leg cramps occur in pregnancy?
Yes cramps in calf are common in the third trimester
Can you use quinine in pregnancy
No no no
If not breast feeding when do you give whey based milk
From birth to 12 months
What two proteins are in whey based milks
60% whey
40% casein
When do you use casein based milk and why?
Birth to 12 months
For hungrier babies
How many times more iron does follow on milk contain than cows milk?
24
When can you start follow on milk
From 6-12 months
When can you have toddler milk and what extra does it contain
From 1 year
Extra minerals and vitamins
What milk would you give a baby with cows milk intolerance
Soya based
What milk would you give a baby experiencing significant reflux?
Stay down milk
What milk would you give a baby intolerant to lactose
Lactose free duh
What milk would you give a baby with medically identified increased energy and nutrient requirements
High energy milk
What milk would you give preterm/low birth weight babies
Preterm range
Define viral conjunctivitis
In both eyes, watery discharge, gritty feeling, red
Associated with a cough/cold
Describe bacterial conjunctivitis
One eye then both, purulent discharge, gritty feeling, red
Which is more severe: episcleritis or scleritis
Scleritis
What is keratitis
Corneal ulcer
Dodgy shaped pupil is linked to what eye condition?
Uveitis - inflammation of ureal tract/red eye
What do you treat bacterial/viral conjunctivitis with first line
Chloramphenicol 1% (optrex)
One drop every 2hrs for 48hrs then one every 4hrs for 5 days
What do you use to treat allergic conjunctivitis
Opticrom allergy eye drops (sodium cromoglycate 2%)
What can you treat dry eye with
Viscotears (carbomer 980 0.2%)
What’s the scientific name for a stye
Hordeola
What’s the scientific name for a painless lump in the eye lid
Chalazion
What’s entropion?
When your eyelid flops inward refer