Pediatrics

     

    Parameters

    • Neonate should be feeding ~q2-3h making 3-5 or 4-6 urines per day and 3-6 stools/day.
    • Pneumonia:
      • Typical - treat with amoxicillin.
      • Atypical - treat w/ ceftriaxone or azithromycin
    • UTI - Keflex, cefixime

    Random Useful Peds Topics

    1. If sick, give Tylenol (15mg/kg) or Advil (10mg/kg).
      • If gets better --> URTI --> send home
      • If still toxic --> worry about sepsis/meningitis etc..
    2. Don't write "irritable" or "lethargic" on the chart, usually means meningitis
    3. Vital signs:
      • For every 1 deg C in fever, HR  10, and RR ↑ by 4
      • High fever NOT dangerous, but treat to make comfortable.
      • Febrile seizures not prevented by fever control
      • Best treatment for fever is Advil + Tylenol alternating q8h each (so either Advil or Tylenol given q4h)
    4. ALWAYS consider Kawasaki
      • Must have 5 days of PERSISTENT FREVER.  If one day without fever, reset the clock.
    5. ET tube selection:
      • Age/4 + 4 ?  (need to confirm)
    6. Acute Otitis Media
      • Generally:  (High dose amoxil 90 mg/kg)
        • <2 years --> treat if sx and signs for 10 days.
        • >2yrs --> 80% spont. resolve.
          • If comes back --> treat (5-7 days)
          • If really sick --> treat (5-7 days)
        • Localized heat can help (hot towel on ear), don't put anything in.
    7. Bag Urine --> never send for C&S (only dip to r/o infection)
      • In Neonates, dip is unreliable (false negatives)
      • 8% of neonates with 1 day of fever have UTI
      • 18% of neonates with 3 days of fever have UTI
      • Use cath if want C&S
    8.  
    Tag page (Edit tags)
    • No tags
    Page statistics
    7861 view(s), 4 edit(s) and 1997 character(s)

    Comments

    You must login to post a comment.

    Attach file

    Attachments