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Flashcards in Pediatrics Med Review Deck (39):
1

Amoxicillin Trade Name

Moxatag

2

Amoxicillin Category

Amino-PCN Antibiotic

3

Amoxicillin Use

AOM

4

Amoxicillin Dose

80-90mg/kg/day PO divided q12h

< 2yo and children w/severe sxs: 10 days

2-5yo w/ mild to moderate sxs: 7 days

≥ 6yo w/mild to moderate disease: 5-7 days

5

Amoxicillin AE

AE: Generally well tolerated; Diarrhea; Allergic reaction: Rash, anaphylaxis, increased LFTs, interstitial nephritis; Amox/Amp: maculopapular rash with mono infection (65-90%), CLL (90%), allopurinol (15-20%); not true PCN allergy; Seizures with high doses; Neutropenia, thrombocytopenia

Contraindication: Hypersensitivity to any PCN

6

Azithromycin Trade Name

Zithromax; Z-PAK

7

Azithromycin Category

Macrolide Antibiotic

8

Azithromycin Use

Strep Pharyngitis

9

Azithromycin Dose

Age >2: 12mg/kg/day PO x 5 days
(Max 500mg/day)

10

Azithromycin AE

AE: Well tolerated; GI most common: diarrhea, nausea, vomiting, abdominal pain

11

Penicillin Trade Name

?

12

Penicillin Category

Narrow Spectrum PCN Antibiotic

13

Penicillin Use

Strep Pharyngitis

14

Penicillin Dose

250mg PO BID-TID x 10 days

15

Penicillin AE

AE: Generally well tolerated; Diarrhea; Allergic reaction: Rash, anaphylaxis, increased LFTs, interstitial nephritis; Amox/Amp: maculopapular rash with mono infection (65-90%), CLL (90%), allopurinol (15-20%); not true PCN allergy; Seizures with high doses; Neutropenia, thrombocytopenia

CI: Hypersensitivity to any PCN

16

Acetaminophen Trade Name

Tylenol

17

Acetaminophen Category

Non-opoid Analgesic

18

Acetaminophen Use

Pain, Fever

19

Acetaminophen Dose

<12yo: 10-15mg/kg/dose PO q4-6h
(Max 5 doses in 24 hours; 2.6g)

20

Acetaminophen AE

AE: Usually well tolerated, hepatotoxicity, nephropathy, anemia, blood dyscrasias, rare skin rxns, overdose->severe or fatal hepatotoxicity

CI: severe liver disease or hepatic impairment

21

Ibuprofen Trade Name

Advil, Motrin

22

Ibuprofen Category

Non-selective NSAID

23

Ibuprofen Use

Pain, Fever, Inflammation; JIA

24

Ibuprofen Dose

Pain, Fever, Inflamm: 5-10mg/kg/dose PO q6-8h
(max 40mg/kg/d)

JIA: 30-50mg/kg/day divided q8h
(max 2.4g/day)

25

Ibuprofen AE

AE: GI: dyspepsia, GI complications
Renal, Antiplatelet, CV, Hepatic, CNS (sedation), Skin (SJ/TEN)

CI: pts w/angioedema and bronchospasm w/ASA or other NSAID, severe hepatic impairment, CABG

26

Fluticasone Trade Name

Flonase, Flovent

27

Fluticasone Category

Inhaled Corticosteroid

28

Fluticasone Use

Asthma

29

Fluticasone Dose

Flonase: 1 spray (50mcg/spray) per nostril once daily (100mcg/day); max 2 sprays each nostril qday (200mcg/day)

Flovent HFA: 88mcg BID; max 88mcg BID
Flovent Diskus: 50mcg BID; max 100mcg BID

30

Fluticasone AE

AE: Dysphonia, Thrush, Cough/throat irritation, Impaired growth (high dose??)

31

Prednisone Trade Name

Deltasone

32

Prednisone Category

Oral Corticosteriod

33

Prednisone Use

Asthma Exacerbation

34

Prednisone Dose

Acute Asthma: 1-2mg/kg/day for 3-10 days (max 60mg/day)
General: 5-60mg/day

35

Prednisone AE

AE: Osteoporosis; HTN; hyperglycemia; cataracts; skin fragility; fluid retention; weight gain; Muscle weakness; Ulcers; Malaise; Impaired wound healing; N/V; HA

36

Methylphenidate Trade Name

Ritalin

37

Methylphenidate Category

CNS Stimulant

38

Methylphenidate Use

ADHD

39

Methylphenidate AE

AE: Potential for dependency; nervousness; difficulty falling asleep or staying asleep; dizziness; nausea; vomiting; loss of appetite; stomach pain; diarrhea; heartburn; dry mouth; headache; muscle tightness; drowsiness; uncontrollable movement of a part of the body; restlessness; numbness, burning, or tingling in the hands or feet; weight gain; slow growth; sudden death

CI: marked anxiety, tension, agitation; glaucoma; use during or within 14 days of MAOI; FHx or Dx of Tourette’s syndrome or tics