Management of common conditions Flashcards
(22 cards)
Constipation
Movicol Sachets
- not dietary first line
Enuresis
- Rule out constipation, diabetes, UTI
- Star chart
- < 7: alarm
- > 7- Desompressin
UTI
> 3 months = Trimethoprim 3 days
< 3 months = admit + cefuroxime IV
- re-assess 24-48hrs
(cephalosporin if > 3 and complicated)
Eczema
Emollient - E45
Hydrocortisone 0.1% : 1 finger tip unit - 2 adult hands only put on affected area, avoid healthy skin
Dehydration
Fluids
Oral rehydration fluids: 1-2mls/kg every 10 mins
Pneumonia
- CAP + pen allergic
- HAP/Severe CAP
- Neonate
CAP 6months-18yrs: oral amoxicillin -7 days
Pen allergic: clarithromycin
- Co-amoxicalv or cefuroxime
Neonate: Gentamicin + benzylpenicilin
Epiglottitis
- secure airway + O2
- Cefotaxime IV
- Dexamethasone
- Inhaled adrenaline
Croup
- Dexamethasone 150 micrograms/kg
- Neb adrenaline 400micro/kg max 5 mg
monitor 2-3 hours
Meningitis
< 3 months: cefotaxime + amoxicillin IV > 3 months: Ceftriaxone Community benzylpenicillin - < 1 yr: 300mg - 1-9 600 mg - 10+ 1.2g
- 10 day treatment
Sepsis
- < 72 hours neonate
- > 72 hour neonate
- 1 month - 18 yrs
- Hospital acquired
- Meth resistent
< 72 hours : Benzylpenicillin + gentamicin (covers Group B strep) - 7 days
> 72 hours: Amoxicillin + cefotaxime - 7 days
1 month - 18 years CA: cefotaxime - 5 days
HA: Tazocin (pipercillin + tazobactam) - 5 days
Methicillin resistant: vancomycin
Fluids
- Bolus 20ml/kg 0.9% NaCL
- DKA: Bolus 10ml/kg 0.9% NaCL
Maintenance: 7.1 < 5% KCL
100ml -10kg > 10 KCL
50ml- 10kg
20 ml - every kg
Dehydration:
5/10% x weight x 10 - over 48 hours
Septic arthritis
Flucloxacillin
Impetigo
Fucidic acid
Erysipelas (group A strep)
Phenoxymethylpenicillin PenV
Chlamydia
Azithromycin 1g STAT
Gonnorhoea
Azithromycin 1g STAT
Ceftriaxone IM
Warts
Imiquimod
Mastitis
Flucloxacillin
UTI in pregnancy
Trimeth - after 1st
Nitro - avoid in third
UTI in breast feeding
Trimethoprim
Nitro can cause haemolytic
HSV
4 x weeks of oral acyclovir 4 weeks before birth
C-SECTION
Reassure
Recap:
Which conditions do you prescribe cefuroxime?
Which conditions do you prescribe cefotaxime?
Which conditions do you prescribe ceftriaxone?
Cefuroxime: UTI, HAP pneumonia
Cefotaxime: Epiglottis, Meningitis, Sepsis >72 hours
Ceftriaxone: Gonnhorea