Management of common conditions Flashcards Preview

Paeds from notes > Management of common conditions > Flashcards

Flashcards in Management of common conditions Deck (22)
Loading flashcards...
1

Constipation

Movicol Sachets
- not dietary first line

2

Enuresis

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

3

UTI

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

4

Eczema

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

5

Dehydration

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

6

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

7

Epiglottitis

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

8

Croup

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

9

Meningitis

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

- 10 day treatment

10

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

11

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

12

Septic arthritis

Flucloxacillin

13

Impetigo

Fucidic acid

14

Erysipelas (group A strep)

Phenoxymethylpenicillin PenV

15

Chlamydia

Azithromycin 1g STAT

16

Gonnorhoea

Azithromycin 1g STAT
Ceftriaxone IM

17

Warts

Imiquimod

18

Mastitis

Flucloxacillin

19

UTI in pregnancy

Trimeth - after 1st
Nitro - avoid in third

20

UTI in breast feeding

Trimethoprim
(Nitro can cause haemolytic)

21

HSV

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

22

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