Rx

Question 0

Gbs prophylaxis

Answer 0

• Benzylpenicillin 60mg/kg/dose bd
• grntamycin 2.5mg/kg 3/7
  >30wks - daily
  <30wks - q36hrs

Question 1

Pertussis whopping cough

Answer 1

ANTIBIOTICS (if <14/7 cough)
Neonate - Azithromycin 5/7
Child able to swallow - clarithromycin 7/7
VACCINATION - children and adults
STAY HOME - daycare/school for 5-7
Days or 21 days after cough
D/C criteria

Question 2

Pertussis whopping cough

Answer 2

ANTIBIOTICS (if <14/7 cough)
Neonate - Azithromycin 5/7
Child  unable to swallow - clarithromycin liquid 7/7
child able to swallow - azithromycin
VACCINATION - children and adults
STAY HOME - daycare/school for 5-7
Days or 21 days after cough
D/C criteria

Question 4

Sepsis - suspected infants

Answer 4

3mo:

Cefotaxime 50mg/kg/dose QID 7days

Question 5

mild croup Rx

Answer 5

CRITERIA:
- BARKING COUGH. no stridor at rest. no resp distress at rest. no oxygen req. no cyanosis

TREATMENT:

• 0.15-0.3mg/kg PO dexamethasone SINGLE DOSE
• D/C.

Question 6

D/C criteria for croup

Answer 6

suitable if over the preceding hour:

• saturating >94% oxygen
• no stridor at rest
• no signs of resp distress at rest e.g.) recession

Question 7

moderate croup Rx

Answer 7

CRITERIA:
- stridor and respi distress at rest
- no cyanosis. no oxygen req
TREATMENT:
- consider neb adrenaline: 0.5ml/kg (max 6ml)
\+
- PO dexamethasone 0.15-0.3mg/kg
OR
- neb budesonide 2mg (if vom dex)

Question 8

severe croup Rx

Answer 8

CRITERIA:
- severe respiratory distress; severe fatigue, alteration mental status. oxygen req
TREATMENT:
1) Oxygen via face mask (if ICU?
2) continuous nebulized adrenaline 0.5ml/kg
3) PO prednisolone .15-.3mg/kg OR
IV hydrocortisone

Question 9

Croup d/c mx and advice to parents

Answer 9

Parents:

1) cough and low grade fever may cont for sev days (viral)
2) represent if stridor recurs, worsening resp distress –> sig airway obstruction. need immediate r/v
3) poor feeding or parental concern -> return