Special Populations: Pediatric Conditions Flashcards
when to seek urgent care for child based on age and temp
temp 100.4+ and < 3 months old
temp > 101 and 3-6 months old
temp > 103 and > 6 months old
Infant with Apgar score less than 7 requires….
more medical care
Baby considered pre-term if born before
37 weeks
Meds that can be given to close Patent Ductus Arteriosus
NSAIDS ie IV indomethacin or IV ibuprofen
Have to be given within 14 days of birth
** dont use NSAIDs 3rd trimester, can cause PDA close early **
Respiratory Distress Syndrome
caused by deficiency of surfactant
most babies born < 35wks gestation will receive surfactant immediately after birth
drug have “surf” or “actant” in them
Aspirin and salicylates are not recommended for patients < 16yrs old due to….
Reye’s Syndrome
Ibuprofen should be avoided in children under what age
< 6 months
due to nephrotoxicity
OTC cough and cold meds are not recommended to children under…
2 years old
most labels say < 4
Acetaminophen child dosing
10-15mg/kg/dose every 4-6hrs
max 75mg/kg/day
Ibuprofen child dosing
5-10mg/kg/day every 6-8 hours
max 40mg/kg/day
Bacterial meningitis in kids
classic signs uncommon
swelling between bones of skin and neck rigidity in < 25% of cases
only way to diagnose is lumbar puncture
Bacterial meningitis < 1 month empiric treatment
Ampicillin + cefotaxime
or
Ampicillin + aminoglycoside (gent)
Bacterial meningitis 1 - 23 month empiric treatment
Vanc + 3rd gen ceph (ceftriaxone or cefotaxime)
Bacterial meningitis > 2yrs old empiric treatment
Vanc + 3rd gen ceph (ceftriaxone or cefotaxime)
RSV info
no vaccine
primarily supportive treatment
Palivizumab (Sinais) for prevention of serious lower respiratory tract disease
