Fever
PO Acetaminophen Dosing
10-15mg/kg q4-6h
3 most common viruses responsible for viral conjunctivitis
adenovirus, coxsackievirus, enterovirus
This is suspected when pain is produced by pushing on tragus or pulling auricle
What are possible side effects of decongestants in young children
drowsiness, upset stomach, headache, insomnia, convulsions, rapid heart rate, death
3 components that characterize asthma
reversible airway obstruction, airway inflammation, airway hyperresponsiveness
True or False: Temperature greater than 40 is typically infectious in origin
False - usually CNS dysfunction or other cause
Cardinal symptom of allergic conjunctivitis
Itching
Choice of antibiotic for AOM
Amoxicillin 80-90mg/kg/day
AmoxiClav 40-80mg/kg/day
Non pharm interventions for sinusitis
saline irrigations, analgesics, humidifier, increased PO intake.
most common cause of bacterial pneumonia
s. pneumonaie
What age can children start taking ibuprofen
6 months
Caused by neisseria species, requires gram stain and hospitalization
hyperacute bacterial conjunctivitis: topical and systemic therapy required.
Most common cause of pharyngitis in preschool age kids
viral
Original possible causative agent of CAP in children
Influenza
When to obtain an XR for a child with suspected pneumonia in an outpatient setting
older than 3 months and no improvement within 72hrs of starting treatment
5mg/kg q6-8h for fever less than 39
10mg/kg q6-8h for fever greater than 39.1
Erythromycin ointment 0.5% QID x 5-7 days
modified centor score of 2 indicated need for what
rapid antigen test WITHOUT empiric treatment
When giving a parent anticipatory guidance about influenza, how long can they expect symptoms to last
Up to 11 weeks
Pharmacological treatment of s. pneumoniae
Azithromycin 10 mg/kg/day on first day, then 5 mg/kg/day x 4 days (max 1.5g/day)
Erythromycin estolate 40 mg/kg/day divided QID for 7-10 days (max 2
gm/day)
Clarithromycin 15 mg/kg/day divided BID x 7-10 days (max 1g/day)
*** AGE 3 months to 5 years: as above, also may consider Amoxicillin 80mg/kg/day TID 7-10 days
Must not miss Dx for someone with a "hot potato" voice and tripod position
epiglottitis
Eye drop of choice in bacterial conjunctivitis and dosing
Trimethoprim-polymixin 1-2 drops to affected eye(s) q2-3h
Where does a scarlitina rash typically start
groin/ armpits and extends over trunk. spares palms/ soles.
antibiotic of choice in sinusitis
amoxicillin
True or False: The NP should prescribe the first line antibiotic even if the child received it for a different infection within the last 3 months
False, avoid repeating same antibiotic in a 3 month period