Pediatrics Flashcards

(51 cards)

1
Q

Neonates

A

0-28 days

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2
Q

Infant

A

1 month - <2Y

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3
Q

Child

A

2-11

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4
Q

Adolescent

A

12-18

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5
Q

When to seek MD for pediatric

A

Temp (rectal) ≥100.4 in <3 months old

Temp (rectal) ≥101 in ≥3 months old

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6
Q

What is the APGAR score? Interpretation

A

Newborns ability to adapt to extrauterine life

Score ≥7: adapt well
<7: Requires medical intervention

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7
Q

Medications administered to neonates after birth

A

Vitamin K
Ophthalmic erythromycin
HBV
Phototherapy (jaundice)

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8
Q

Classification of premature neonate

A

<37 wks

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9
Q

What is patent ductus arterioles?

A

Ductus arteriosus didn’t not close after delivery remaining open)

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10
Q

Tx for patent ductus arterioles?

A

NSAID: IV indomethacin or ibuprofen

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11
Q

Etiology of respiratory distress syndrome?

A

Deficency of surfactant → alveoli collapse

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12
Q

When is RDS tx initiated

A

Premature neonates born before 35 wks → Poractant alfa (Curosurf) and calfactant (Infasurf)

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13
Q

What is persistent pulmonary HTN or newborn? Cause?

A

Blood vessels fail to relax → linked to in utero exposure to SSRIs

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14
Q

Tx of newborn PH

A

Supportive care: NO and pulmonary vasculature dilation

Sildenafil

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15
Q

What are the main pathogens of neonatal meningitis

A

GBS, Listeria

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16
Q

Tx for neonatal meningitis

A

Ampicillin (Listeria)
+ Ceftazidime, Cefepime, or Gentamicin

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17
Q

What is the treatment of bronchitis?

A

Supportive care

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18
Q

RSV vaccine recommended for pregnancy

A

Abrysvo: 32-36 wks to prevent infant (<6 months) infection

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19
Q

Agents used for RSV prophylaxis?

A

Nirevimab (Beyfortus)
Palivizumab (Synagis)

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20
Q

Indication for Beyfortus vs Synagis?

A

Beyfortus: neonates ≤8 months born during or entering 1st RSV season

Synagis: Premature infants <29 wks and ≤12 months

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21
Q

Dosing of Beyfortus vs Synagis

A

Beyfortus: once IM
Synagis: Q1M IM through RSV season

22
Q

When is RSV season

A

Late fall, winter, early spring

23
Q

What is croup

A

Viral infection → inflammation of upper airway

24
Q

Hallmark signs of croup?

A

Inspriatory stridor, barking cough, hoarseness

Common in <6 YO

25
Tx for croups
Systemic steroids (dexamethasone 0.6 mg/kg) Nebulized racemic epinephrine → adrenergic agonist → decreased airway edema
26
Tx for nocturnal enuresis
OTC: Positive reinforcement, daytime voiding pattern, hydration Drugs: Desmopressin
27
MOA of desmopressin?
Synthetic analog of ADH
28
CI of desmopressin? ADR?
Hyponatremia ADR: HA
29
Age for OTC cough and cold medications
Avoid in children <2YO
30
Why ASA is not for children
Reye's syndrome in children recovering from viral infection Not recommended ≤18 YO
31
Pediatric dose of APAP
10-15 mg/kg/dose Q4-6H
32
Pediatric dose of IBU
5-10 mg /kg/dose Q6-8H Infants ≥6 months
33
Drugs used for nasal congestion
Gentle suction with intranasal saline drops or spray (Ocean for Kids, Little Remedies)
34
Gas products for pediatrics
Simethicone drops
35
Pediatric drugs for diarrhea
OTC ORS (Pedialyte, Enfamil Enfalyte)
36
OTC for constipation
Prunes <6 months: Glycerin suppositories (quick relief) ≥6 months: Miralax (intermittent constipation) ≥2YO: Rectal enemas (Fleet Pedia-Lax)
37
Why are enemas only recommended for ≥2YO
Severe dehydration and electrolyte abnormalities
38
Why is benzocaine CI?
Risk of methemiglobinemia
39
CI of promethazine
<2YO due to respiratory depression
40
CI of codeine
CYP2D6 extensive metabolizers → over conversion of morphine → respiratory depression Tramadol produce the same effect CI: <12YO and <18YO after tonsillectomy/adenoidectomy
41
Exception to doxycycline in kids
Tickborne Rickettsial diseases
42
Drugs CI in neonates
Ceftriaxone
43
Drugs CI in <2YO
Promethazine Benzocaine
44
Drugs CI in <12YO
Codeine Tramadol
45
Sx of measles
Koplik spots: small white spots in the mouth Maculopapular rash
46
Sx of mumps
Swollen salivary glands under the ear
47
Sx of rubella
Fine pink rash begins on the face and spreads to rest of body
48
Prevention of polio
IPV
49
What is pertussis
Whooping cough
50
Prevention of pertussis
DTaP
51
Prevention of rotavirus
Vaccine