select Flashcards
(51 cards)
In constipation after initial disimpaction, how long should stools be kept soft for?
3-6m
croup all children should get what rx
single dose dex po
coryza and mild fever –> dry cough –> breathless, wheeze, crackles.
Decreased feed
Bronchiolitis
Bronchiolitis pathogen?
RSV
Bronchiolitis age
<1y
coryza, fever–> stridor –> barking cough, wheeze and hoarse
Croup
Croup age
6m-2y
Who should be admitted in croup
mod/sev/<6m
Epiglottitis age
1-6y
What do contacts get in epiglottitis
Rifampicin prophylaxis
Cold agglutins indicate what?
Mycoplasma pneumonia
What do cold agglutins cause?
Haemolytic anaemia
4w old with stridor?
Laryngomalacia
Do you treat wheezy baby with or without asthma differently?
no
a wheeze developed <2y is likely to persist into childhood? t/f
false likely to become asymptomatic mid childhood
Assessing probability of asthma in an older child
PEFR measurements 2-4w, take mean variability- if >20% = positive test
Unsure of asthma diagnosis wyd?
Either watchful waiting with review, or monitored initiation of rx (6-8w bronchodilator then diagnose or not)
asthma maintenance steps
- SABA
- very low dose ICS
- +LABA (or LTRA)
- ±LABA, increase ICS to low, add LTRA/LAMA (refer if <5yo)
- Increase ICS to medium or add 4th drug e.g. theophylline and refer
- Daily steroid tabs, maintain medium ICS
Example of ICS in paeds
fluticasone or budesonide
Moderate acute asthma =
PEFR 50%
Acute severe asthma?
sentences
33-50%
HR >140/125 (under/over 5yo)
RR>40/30
Life threatening asthma
SpO2 <92%
PEF <33%
Silent chest, cyanosis etc
Management acute asthma
O2
Salbutamol inh in mild/mod 2-10puffs/10-20m
neb in AS/LT- O2 driven, 2.5-5mg/20-30min
Prednisolone (10mg <2y, 20mg 2-5y, 30-40mg >5y) for 3 days
Ipratropium if refactory 250mcg added to the salbut nebs every 20-30m
Length of whooping cough
6-8w