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Pediatrics
Pediatric Assessment
21
Architecture
Kindergarten
02/05/2014

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Cards

Term
infiltrate
Definition
often viral
Term
consolidate
Definition
often bacterial
Term
a disorder most commonly caused in infants by viral LRTI; it is the most common lower respiratory tract infection in this age group and is characterized by acute inflammation, edema and necrosis of epithelial cells lining small airways, increased mucus production, and broncospasm
Definition
Bronchiolitis
Term
Use of Ribavirin for RSV bronchiolitis
Definition
controversial; Pros: some improvement in outcome; Cons: Cost, delivery method, potential health risks to caregivers (not recommended except in severe situations)
Term
Supplemental Oxygen for RSV
Definition
If SPo2 persistently falls below 90% in previously healthy infants
Term
Palivizumab in RSV
Definition
may administer for prophylaxis for selected infants and children with CLD or a history of prematurity or with congenital heart disease
Term
WHen given, should be given in 5 monthly doses, usually beginning in November or December at a dose of 15 mg/kg per dose IM (prevention)
Definition
Palivizumab
Term
Most important step in preventing nosocomial spread of RSV
Definition
Hand decontamination
Term
Bronchodilators for use in bronchiolitis
Definition
should not be routinely used; recommend a monitored trial and use if there is a positive clinical response
Term
Not routinely required for preschool-aged children with CAP, because viral pathogens are responsible for the great majority of clinical disease
Definition
Antimicrobial therapy
Term
should be used as first-line therapy for previously healthy, appropriately immunized infants and preschool children with mild to moderate CAP suspected to be of bacterial origin
Definition
Amoxicillin
Term
should be prescribed for treatment of children with findings compatible with CAP caused by atypical pathogens
Definition
macrolide antibiotics
Term
should be administered as soon as possible to children with moderate to severe CAP consistent with influenza virus infection during widespread local circulation of influenza viruses, particularly for those with clinically worsening disease documented at the time of an outpatient visit
Definition
influenza antiviral therapy
Term
should be administered to fully immunized pediatrics admitted to hospital with CAP
Definition
Ampicillin or penicillin G
Term
Empiric therapy with this should be prescribed for hospitalized infants/children who are not fully immunized or in regions of high penicillin resistance; or children with life threatening infection
Definition
3rd generation parenteral cephalosporin (ceftriaxone or cefotaxime)
Term
empiric combo therapy for hospitalized child for whom M. pneumoniae and C. pneumonia are significant considerations
Definition
macrolide and beta-lactam antibiotic
Term
Ampicillin dose for CAP
Definition
150-200 mg/kg/day every 6 hours
Term
Penicillin dose for CAP
Definition
200000-250000 U/kg/day every 4-6 hours
Term
Ceftriaxone dose for CAP
Definition
50-100 mg/kg/day ever 12-24 hours
Term
Amoxicillin dose for CAP
Definition
90 mg/kg/day in 2 doses or 45 mg/kg/day in 3 doses
Term
0.9% NS contains how much sodium (for use in Holliday-Segar Method)
Definition
154 mEq/L
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