Management of common conditions Flashcards Preview

Question 1

1

Constipation

Answer

Movicol Sachets
- not dietary first line

Question 2

2

Enuresis

Answer

- Rule out constipation, diabetes, UTI
- Star chart
- < 7: alarm
- > 7- Desompressin

Question 3

3

UTI

Answer

> 3 months = Trimethoprim 3 days
< 3 months = admit + cefuroxime IV
- re-assess 24-48hrs
(cephalosporin if > 3 and complicated)

Question 4

4

Eczema

Answer

Emollient - E45
Hydrocortisone 0.1% : 1 finger tip unit - 2 adult hands only put on affected area, avoid healthy skin

Question 5

5

Dehydration

Answer

Fluids
Oral rehydration fluids: 1-2mls/kg every 10 mins

Question 6

6

Pneumonia
- CAP + pen allergic
- HAP/Severe CAP
- Neonate

Answer

CAP 6months-18yrs: oral amoxicillin -7 days
Pen allergic: clarithromycin
- Co-amoxicalv or cefuroxime
Neonate: Gentamicin + benzylpenicilin

Question 7

7

Epiglottitis

Answer

- secure airway + O2
- Cefotaxime IV
- Dexamethasone
- Inhaled adrenaline

Question 8

8

Croup

Answer

- Dexamethasone 150 micrograms/kg
- Neb adrenaline 400micro/kg max 5 mg
monitor 2-3 hours

Question 9

9

Meningitis

Answer

< 3 months: cefotaxime + amoxicillin IV
> 3 months: Ceftriaxone
Community benzylpenicillin
- < 1 yr: 300mg
- 1-9 600 mg
- 10+ 1.2g

- 10 day treatment

Question 10

10

Sepsis
- < 72 hours neonate
- > 72 hour neonate
- 1 month - 18 yrs
- Hospital acquired
- Meth resistent

Answer

< 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

Question 11

11

Fluids

Answer

- 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

Question 12

12

Septic arthritis

Answer

Flucloxacillin

Question 13

13

Impetigo

Answer

Fucidic acid

Question 14

14

Erysipelas (group A strep)

Answer

Phenoxymethylpenicillin PenV

Question 15

15

Chlamydia

Answer

Azithromycin 1g STAT

Question 16

16

Gonnorhoea

Answer

Azithromycin 1g STAT
Ceftriaxone IM

Question 17

17

Warts

Imiquimod

Answer

Flucloxacillin

Answer

Trimeth - after 1st
Nitro - avoid in third

Answer

Trimethoprim
(Nitro can cause haemolytic)

Answer

4 x weeks of oral acyclovir 4 weeks before birth
C-SECTION
Reassure

Answer

Cefuroxime: UTI, HAP pneumonia

Cefotaxime: Epiglottis, Meningitis, Sepsis >72 hours

Ceftriaxone: Gonnhorea

Question 18

18

Mastitis

Question 19

19

UTI in pregnancy

Question 20

20

UTI in breast feeding

Question 21

21

HSV

Question 22

22

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Management of common conditions Flashcards Preview

Paeds from notes > Management of common conditions > Flashcards

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 - E45Hydrocortisone 0.1% : 1 finger tip unit - 2 adult hands only put on affected area, avoid healthy skin

Dehydration

FluidsOral rehydration fluids: 1-2mls/kg every 10 mins

Pneumonia - CAP + pen allergic - HAP/Severe CAP- Neonate

CAP 6months-18yrs: oral amoxicillin -7 daysPen 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 mgmonitor 2-3 hours

Meningitis

< 3 months: cefotaxime + amoxicillin IV> 3 months: CeftriaxoneCommunity 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 days1 month - 18 years CA: cefotaxime - 5 daysHA: Tazocin (pipercillin + tazobactam) - 5 daysMethicillin resistant: vancomycin

Fluids

- Bolus 20ml/kg 0.9% NaCL- DKA: Bolus 10ml/kg 0.9% NaCLMaintenance: 7.1 < 5% KCL100ml -10kg > 10 KCL50ml- 10kg 20 ml - every kgDehydration: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 STATCeftriaxone IM

Warts

Imiquimod

Mastitis

Flucloxacillin

UTI in pregnancy

Trimeth - after 1stNitro - avoid in third

UTI in breast feeding

Trimethoprim (Nitro can cause haemolytic)

HSV

4 x weeks of oral acyclovir 4 weeks before birthC-SECTIONReassure

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 hoursCeftriaxone: Gonnhorea

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Movicol Sachets
- not dietary first line

- Rule out constipation, diabetes, UTI
- Star chart
- < 7: alarm
- > 7- Desompressin

> 3 months = Trimethoprim 3 days
< 3 months = admit + cefuroxime IV
- re-assess 24-48hrs
(cephalosporin if > 3 and complicated)

Emollient - E45
Hydrocortisone 0.1% : 1 finger tip unit - 2 adult hands only put on affected area, avoid healthy skin

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

- secure airway + O2
- Cefotaxime IV
- Dexamethasone
- Inhaled adrenaline

- Dexamethasone 150 micrograms/kg
- Neb adrenaline 400micro/kg max 5 mg
monitor 2-3 hours

< 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

- 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

Azithromycin 1g STAT
Ceftriaxone IM

Trimeth - after 1st
Nitro - avoid in third

Trimethoprim
(Nitro can cause haemolytic)

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