Symptoms in the Pharmacy - Childhood Conditions

Question 1

Teething

Answer 1

• Pain increased biting chewing and dribbling
• Red swollen gums
• At 4-12 months teeth starts growing
• Ear pulling more pain not eating

Question 2

Treatment for teething

Answer 2

• Paracetamol 120 per 5 ml sugar free suspension >3 month
• Iboprofen 100 mg in 5ml cannot be given to less than 5 kg

Question 3

When do you refer teething to the GP

Answer 3

• Raised temperature over 38 degrees
• Changre in passage of stools
• Infant is systematically unwell

Question 4

Warnings for teething

Answer 4

• Cool sugar free drinks to sooth gums
• Don’t use cooling gels containing salicytes for under 16s as causes rye’s syndrome

Question 5

Threadworms

Answer 5

• Itching around the anus
• Treat if eggs are found by treating all the members of your household

Question 6

Treatment for Threadworms

Answer 6

• Hygine measures or mebenazole 100mg/5ml
• Infants under 6 months only hygine measures could be used but not licenced for over 2 years (suspension)
• Contraindications for pregnant and breastfeeding women
• Reinfection common take a second dose 2 weeks after

Question 7

General hygine measures

Answer 7

• Nail biting finger sucking
• Avoid sharing towels
• Don’t eat food in the bedroom

Question 8

Causes

Colic

Answer 8

• Self limiting condition crying excessively tipically late afternoon
• Indigestion and trapped wind temporary gut sensitivity
• Kicking pain in the abdomen area

Question 9

Treatment for colic

Answer 9

• Reassure the infant that colic will resolve
• Hold baby through crying episode
• Gentle motion white noise
• trapped milk in stomach so hold by abdomen

Question 10

Refer to the GP for colic

Answer 10

• Weak high pitched continous cry
• Floppy when picked up
• Green vomit isn’t feeding
• Blood in stool

Question 11

Head lice

Answer 11

• Small white brown insects behind ears at the back of neck
• Itchy scalp somthing is moving
• Confirmed with wet or dry comb method

Question 12

Treatment for head lice

Answer 12

• Hedrin 4% (dimeticone) second line of defence if person returns in 2 weeks above 6 months

Question 13

Warnings about the cautions of using hedrin

Answer 13

• Continue until no lice is found after 3 sessions
• Keep afro hair short and more manageable

Question 14

Nappy rash causes

Answer 14

• Mild rash in the nappy area
• Caused by feaces and urine with redness
• Candidal fungal infection

Question 15

Refer to GP Nappy rash

Answer 15

• Bacterial infection such as marked redness with severe inflammation

Question 16

Treatment for Nappy rash

Answer 16

• Caster oil cream apply thin layer
• If the nappy rash is causing discomfort - Hydrocortisone causes skin thinning should be older than 1 month no longer than 7 days
• Clotrimazole 1% if candidal infection has settled if nappy rash stays after hydrocortisone
• 20 minutes between the hydrocortisone and barrier cream

Question 17

Oral thrush

Answer 17

• Asymptomatic loss of taste white patches wipe the patch leaves red

Question 18

Treatment for oral thrush

Answer 18

• Inital course of 7 day continue for 7 days after symptoms resolve using miconazole oral gel (give 2 6 onths appart)
• Can’t give miconazole and warfin interaction give nistatin instead continue 2 days after treatment

Question 19

Refer to GP for Oral thrush when

Answer 19

• Symptoms don’t resolve after 7 days
• Difficult to swallow
• Immunosuppressed

Question 20

Allergic rhinitis

Answer 20

• Symptoms worse in the morning and better in the evening time of year

Question 21

Treatment for allergic rhinitis

Answer 21

• Oral antihistamines such as piritone
• Loratadine 10 mg

Question 22

Red flag syptoms for patient with allergic rhinitis

Answer 22

• Wheezing ear pain and facial pain
• Pregnant or breastfeeding
• Uncontrolled syptoms after 2-4 weeks of correct use of medication
• <2 years and severe symptoms

Question 23

Why might the sale of promethazine be refused?

Answer 23

• Possible use as a sedative and could be potentially abused

Question 24

What alternatives to promethazine can be given

Cinnarizine

Answer 24

• Sea sickness tablet
• 1 dose 2 hrs beofre journey but may cause drowsiness

Question 25

Kwells sea sickness

Hyoscine tablets

Answer 25

• Do not exceed the maximum and have one dose 30 mins before journey begins