Symptoms in the Pharmacy - Childhood Conditions Flashcards
1
Q
Teething
A
- Pain increased biting chewing and dribbling
- Red swollen gums
- At 4-12 months teeth starts growing
- Ear pulling more pain not eating
2
Q
Treatment for teething
A
- Paracetamol 120 per 5 ml sugar free suspension >3 month
- Iboprofen 100 mg in 5ml cannot be given to less than 5 kg
3
Q
When do you refer teething to the GP
A
- Raised temperature over 38 degrees
- Changre in passage of stools
- Infant is systematically unwell
4
Q
Warnings for teething
A
- Cool sugar free drinks to sooth gums
- Don’t use cooling gels containing salicytes for under 16s as causes rye’s syndrome
5
Q
Threadworms
A
- Itching around the anus
- Treat if eggs are found by treating all the members of your household
6
Q
Treatment for Threadworms
A
- 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
7
Q
General hygine measures
A
- Nail biting finger sucking
- Avoid sharing towels
- Don’t eat food in the bedroom
8
Q
Causes
Colic
A
- Self limiting condition crying excessively tipically late afternoon
- Indigestion and trapped wind temporary gut sensitivity
- Kicking pain in the abdomen area
9
Q
Treatment for colic
A
- Reassure the infant that colic will resolve
- Hold baby through crying episode
- Gentle motion white noise
- trapped milk in stomach so hold by abdomen
10
Q
Refer to the GP for colic
A
- Weak high pitched continous cry
- Floppy when picked up
- Green vomit isn’t feeding
- Blood in stool
11
Q
Head lice
A
- Small white brown insects behind ears at the back of neck
- Itchy scalp somthing is moving
- Confirmed with wet or dry comb method
12
Q
Treatment for head lice
A
- Hedrin 4% (dimeticone) second line of defence if person returns in 2 weeks above 6 months
13
Q
Warnings about the cautions of using hedrin
A
- Continue until no lice is found after 3 sessions
- Keep afro hair short and more manageable
14
Q
Nappy rash causes
A
- Mild rash in the nappy area
- Caused by feaces and urine with redness
- Candidal fungal infection
15
Q
Refer to GP Nappy rash
A
- Bacterial infection such as marked redness with severe inflammation
16
Q
Treatment for Nappy rash
A
- 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
17
Q
Oral thrush
A
- Asymptomatic loss of taste white patches wipe the patch leaves red
18
Q
Treatment for oral thrush
A
- 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
19
Q
Refer to GP for Oral thrush when
A
- Symptoms don’t resolve after 7 days
- Difficult to swallow
- Immunosuppressed
20
Q
Allergic rhinitis
A
- Symptoms worse in the morning and better in the evening time of year
21
Q
Treatment for allergic rhinitis
A
- Oral antihistamines such as piritone
- Loratadine 10 mg
22
Q
Red flag syptoms for patient with allergic rhinitis
A
- 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
23
Q
Why might the sale of promethazine be refused?
A
- Possible use as a sedative and could be potentially abused
24
Q
What alternatives to promethazine can be given
Cinnarizine
A
- Sea sickness tablet
- 1 dose 2 hrs beofre journey but may cause drowsiness
25
Q
Kwells sea sickness
Hyoscine tablets
A
- Do not exceed the maximum and have one dose 30 mins before journey begins
