Management of common conditions Flashcards

(22 cards)

1
Q

Constipation

A

Movicol Sachets

- not dietary first line

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2
Q

Enuresis

A
  • Rule out constipation, diabetes, UTI
  • Star chart
  • < 7: alarm
  • > 7- Desompressin
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3
Q

UTI

A

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

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4
Q

Eczema

A

Emollient - E45

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

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5
Q

Dehydration

A

Fluids

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

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6
Q

Pneumonia

  • CAP + pen allergic
  • HAP/Severe CAP
  • Neonate
A

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

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7
Q

Epiglottitis

A
  • secure airway + O2
  • Cefotaxime IV
  • Dexamethasone
  • Inhaled adrenaline
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8
Q

Croup

A
  • Dexamethasone 150 micrograms/kg
  • Neb adrenaline 400micro/kg max 5 mg
    monitor 2-3 hours
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9
Q

Meningitis

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

Sepsis

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

< 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

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11
Q

Fluids

A
  • 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

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12
Q

Septic arthritis

A

Flucloxacillin

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13
Q

Impetigo

A

Fucidic acid

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14
Q

Erysipelas (group A strep)

A

Phenoxymethylpenicillin PenV

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15
Q

Chlamydia

A

Azithromycin 1g STAT

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16
Q

Gonnorhoea

A

Azithromycin 1g STAT

Ceftriaxone IM

17
Q

Warts

18
Q

Mastitis

A

Flucloxacillin

19
Q

UTI in pregnancy

A

Trimeth - after 1st

Nitro - avoid in third

20
Q

UTI in breast feeding

A

Trimethoprim

Nitro can cause haemolytic

21
Q

HSV

A

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

22
Q

Recap:
Which conditions do you prescribe cefuroxime?
Which conditions do you prescribe cefotaxime?
Which conditions do you prescribe ceftriaxone?

A

Cefuroxime: UTI, HAP pneumonia

Cefotaxime: Epiglottis, Meningitis, Sepsis >72 hours

Ceftriaxone: Gonnhorea