Peds Flashcards by Kalin .

NL BP in 3-5yo

89-112 / 46-72

HOTN <70 + (age*2)

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NL BP in 6-9 yo

97-115 / 57-76

HOTN <70 + (age*2)

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NL BP in 10-15 yo

102-120 / 60-80

HOTN systolic <90

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fever is anything over

100.4, lower threshold in infants

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Tx strep throat

amoxicillin

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Tx allergies

claritin

flonase

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Tx GER

zantac

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Tx AOM

amox, amox-clav, azithromycin

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claritin generic

loratidine

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amoxicillin dose for AOM

80-90 mg/kg/day (bid) x 10d

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safety ? for school aged kids

helmets, sunscreen, guns in home, smoking in home, smoke detectors

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amoxicillin SE

diarrhea, GI discomfort, rash

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amoxicillin active against

G+ and G-

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Augmentin generic

amoxicillin-clavulanic acid

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amox-clav active against

G+, G-

has beta-lactamase inhibitor

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when would you choose a different abx than 1st line?

allergy

pt had the same abx w/in last 3 months

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Bacteriocidal Pneumonic

Really Very Fine at Bug Murder

Rifampin, Vanco, FluroQ, BetaLactam, Metronidazole

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Bacteriostatic Pneumonic

ECSTaTIC
erythromycin (MACROLIDES)
clindamycin
sulfamethaoxazole
trimethoprim
TETRACYCLINES
chloramphenicol

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beta-lactam mechanism of action

blocks peptidoglycan transpeptidase (aka PBP), prevent Gly-Gly crosslink in bacterial cell wall
only active in multiplying bacteria

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tetracycline mechanism of action

rev bind 30S subunit of ribosome, block tRNA

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tetracycline not for kids < how old

8 yo, teeth discoloration

also not for pg moms

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nystatin mechanism of action

binds ergosterol, membrane pore formation, fungicidal

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thrush, candidal diaper rash tx

nystatin cream

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ibuprofen mechanism of action

cox 1/2 inhibitor

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acetaminophen mechanism of action

cox 2/3 inhibitor

motrin generic

ibuprofen

tylenol generic

acetaminophen

assuming vax UTD, what age are you worried about MMR and varicella b/c no shot yet?

<12-15 mo

zantac generic

ranitidine

zantac MOA

H2 antagonist (histamine activates acid-producing parietal cells)

claritin MOA

H1 antagonist

H1 receptors found where

endothelium (and smooth muscle, CNS)

H2 receptors found where

gastric mucosa (and vascular smooth muscle, mast cells, cardiac muscle)

central incisors generally come in at what age

6-10 mo lower | 8-12 upper

lat incisor (upper and lower) come in when

9-16 mo, upper before lower

canines (upper and lower) come in when

16-22 mo

first molars (upper and lower) come in when

13-19 mo

2nd molars (upper and lower) come in when

23-33 mo

measles (rubeola) clinical presentation

103-105F, cough, coryza, conjuntivitis, Koplik | exanthem 2d after fever

measles (rubeola) tx

isolation, vitamin A

how long is measles (rubeola) contagious

4d before rash, to 4d after rash | spread by droplets

rubella clinical presentation

pink rash, progressing head to toe, low fever, lymphadenopathy

rubella tx

supportive | BAD if mom gets in 1st trimester

roseola (6th dz) clinical presentation

high fever, blanching maculopap rash that goes from trunk to extremities

roseola causative organism

HHV6 or HHV7

erythema infectiosum (5th dz) clinical presentation

fever, malaise. then slapped cheeks to body, arthralgia in teens.

erythema infectiosum organism

parvovirus B19

NL RR in infant

30-60 breaths/min

question to ask in kids w/ allergies

epi pen rx current?

when can newborn start tummy time?

immediately

when can you give baby a bath?

when umbilical cord falls out

AAP official policy on co-sleeping

against it b/c of increased risk of SIDS

kid w/ potential infection important PE component?

lymph nodes - include axillary and inguinal

whats in pediarix?

IPV, HepB, DTaP

when to stop weighing baby in diaper?

when they can walk

newborns need to be woken q2h to feed until what age?

~ 3mo

no sunscreen/bug spray until what age

6mo

when does umbilical cord fall out?

mean 2 weeks... do something if still on after 4 weeks?

normal RR in newborn (<1mo)

30-60 (some say 30-50)

normal RR in infant - child (1mo-12yo)

20-30

normal RR in 13+ yo

12-20

normal newborn HR

120-160

normal infant HR

80-140

normal HR 1-3 yo

80-130

normal HR 3-5 yo

80-120

normal HR 6-12 yo

70-110

normal HR 13+ yo

55-105

no solid foods before

6 mo

biggest complication of juvenile idiopathic arthritis (other than the joint pains)

uveitis (inflammation of iris, ciliary body, and choroid) asymptomatic causes blindness!

Peds Flashcards

(69 cards)