Paeds

Question 1

What antibiotics do you give to Neonates?

Answer 1

In the neonatal unit - Penicillin & Gentamicin

In the paed ward - Cefotaxime & Amoxicillin

Either is correct, it’s just a convention on what they use

Question 2

What’s age are you likely to see malrotation vs intusseusception?

Answer 2

Malrotation in weeks or months olds

Intussuseption 9months to a couple years

Question 3

What fluids do you give kids as resus and maintenance?

Answer 3

Resus - 9% saline

Maintenance - 9% NaCl + 5% dextrose + K

Question 4

Define a low (etc) Birth weight?

Answer 4

Low Bw <2.5Kg
Very low Bw <1.5Kg
Extremely low Bw <1Kg

Question 5

Define premature?

Answer 5

<37wks gestation

Extremely Preterm = <28wks

Question 6

What could you test to determine the cause of an afebrile seizure?

Answer 6

• Glc for hypoglycaemia
• ECG for Long QT or other arrhythmia
• EEG (helps in diagnosing epilepsy)

Question 7

List 5 differences between a child vs an adult re respiratory disease?

Answer 7

Children have:

• High chest wall compliance
• Lower SVR
• Lower surface area for air-tissue interface
• Higher Surface area-weight ratio
• Fewer Type 1 respiratory fibres