Term
| What is the dose of Tylenol and Motrin when used as anti-pyretic? |
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Definition
Tylenol: 15 mg/kg dose (q4 hrs)
Motrin: 10 mg/kg dose (q6-8 hrs) |
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Term
How do fevers mount based on age?
- Neonates
- Children under 5
- Older children, adolescents
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Definition
- often cannot mount high fever
- mount exaggerated fever
- unusual to have very high fever
*remember hypothermia can also be a sign of infxn/sepsis, esp in the newborn* |
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Term
What is considered an abnormal temp in an infant? child? |
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Definition
Infant: 38C (100.4F)
Child: 39C (102.2F) |
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Term
| What is the Rochester criteria for identifying low risk patients? |
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Definition
- appearance vigorous
- previously healthy
- no external signs of infection
- lab values: UA <10 wbc per hpf; stool <5 wbc per hpf
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Term
| What type of hx do you want to get when investigating neonatal fever? |
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Definition
- birth history
- maternal history
- sleeping
- feeding
- vomiting, diarrhea
- urine output
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Term
Neonatal fever w/u
- automatic sepsis w/u and admit
- IV abx ___ and ___
- Organisms: ___, ___, ___
|
|
Definition
Cefotaxime and Ampicillin
Group B Strep, E. coli, Listeria |
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Term
What are seven serious bacterial pathogens? |
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Definition
- S. pneumoniae
- Haemophilus influenzae type b
- Group B strep
- Salmonella
- N. meningitidis
- Listeria (in neonate)
- Gram (-) organism (in neonate)
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|
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Term
| What are five serious bacterial illnesses? |
|
Definition
- Meningitis
- Osteomyelitis or septic joint
- Pyelonephritis
- Pneumonia
- Bacterial gastroenteritis
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Term
| What does a w/u include for a pt over 3 mos old? |
|
Definition
- CBC, blood C&S, UA and urine C&S, stool studies
- CXR if resp sxs
- Ceftriaxone IM 50 mg/kg
- close f/u w/in 24hrs
- check cxs daily
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Term
| At what age do you alway do a urine culture for boys and girls when a fever is present? |
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Definition
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Term
| Kawasaki disease must have a fever >5 days and meet 4 of the following 5 criteria |
|
Definition
- conjunctivitis
- mucus membrane changes: pharynx injected, fissured lips, strawberry tongue, injected lips
- extremities: erythema, edema, periungual desquamation
- polymorphous rash
- cervical lymphadenopathy
- dz cannot be explained by another process
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Term
| For what illness should you Rx a WASP for high dose amoxicillin (80 mg/kg/day)? |
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Definition
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Term
| What do you Rx for Group A strep pharyngitis? |
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Definition
|
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Term
- common cause of severe barking cough and fever
- stridor at rest
How do you treat it? |
|
Definition
Croup (Laryngotracheobronchitis)
Use racemic epinephrine for stridor
Steroids (Decadron) |
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Term
- "whooping cough"
- apneic spells
- lymphocytosis
How do you treat it? |
|
Definition
Pertussis
Tx with erythromycin or azithromycin
Tx close contacts prophylactically |
|
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Term
- RSV, parainfluenza virus
- seasonal
- apnea in high risk infants (CHD, prematurity)
- wheezing (cold sxs, fever, but still happy)
How do you treat it? prevent it? |
|
Definition
Bronchiolitis
Tx with albuterol, steroids not indicated
Prevent with palivizumab (Synagis) |
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