22.1 Paeds Pneumonia

Question 1

where does pneumonia infect?

Answer 1

lung parenchyma

Question 2

signs and symptoms of pneumonia?

Answer 2

fever
tachypnoea

cough
lethargy
noisy breathing

Question 3

resp rate in kids?

Answer 3

0-2 months: 60
2-12mo: 50
1-5: <40
>5: 20

Question 4

if child has head ache and rash along with symptoms of penumonia consider?

Answer 4

mycoplasma

Question 5

if child has choking episode along with symptoms of penumonia consider?

Answer 5

foreign body

Question 6

what classifies as severe pneumonia?

Answer 6

<92% O2
cyanosis
resp distress
temp >38.5
altered mental state
-empyema, or sepsis

Question 7

how long for antibiotics pneumonia?

Answer 7

7-10 days

Question 8

antibiotic of choice to add if pneumonia is severe?

Answer 8

clindamycin

suspect staph aureus

Question 9

how to treat mycoplasma?

Answer 9

macrolides

Question 10

neonate with conjunctivitis and pneumonia think?

Answer 10

chlamydia

macrolide: erythromycin

Question 11

neonatal causes of pneumonia?

Answer 11

group B strep

chlamydia

Question 12

SIADH complication of pneumonia, what happens?

Answer 12

ADH
-hyponatraemia: fluid retention
Rx: fluid restrict to 2/3 normal

Question 13

when suspect empyema?

Answer 13

if temp for 48 hours despite antibiotics