WEIGH TO GO!
Pediatric oral liquid acetaminophen now comes in only this one standardized concentration, for both "infants'" and "children's" products.
What is 160 mg/5 mL?
Exclusively breastfed infants need this daily supplement at this recommended dose.
➜ What is vitamin D 400 IU?
Give the salt-water gargle recipe.
What is ½–1 tsp per 8 oz warm water?
This laxative class is the first choice and needs at least 8 oz of fluid per dose.
➜ What are bulk-forming laxatives?
Simethicone works by doing this to gas bubbles.
What is lowering their surface tension?
Pediatric ibuprofen is dosed at this mg/kg range every 6–8 hours. It is approved for fever only in children older than this age.
What is 5–10 mg/kg; 6 months?
This iron salt gives the most elemental iron per 325-mg tablet (~106 mg).
What is ferrous fumarate?
This anesthetic is avoided under age 2 because of methemoglobinemia.
What is benzocaine?
Enteric-coated bisacodyl should not be taken within 1 hour of these four products or medication classes.
*Need 4 answers
What are antacids, H2RAs, PPIs or milk?
Name the enzyme in Beano and when to take it.
What is α-galactosidase; with the first bite?
A 16-kg 4-year-old needs acetaminophen 15 mg/kg. Using children's liquid, give this many mL.
What is 7.5 mL (240 mg)
Give no more than this much elemental calcium per dose, and take carbonate this way.
What is ~500 mg; with meals?
Menthol and camphor ease pain by stimulating this receptor.
What is TRPM8?
Aspirating this laxative causes lipid pneumonia, and docusate increases its absorption.
What is mineral oil?
Its mold source and galactose product create concerns in these two groups, and this group should ask first.
What are mold allergy and galactosemia; patients with diabetes?
Pediatric acetaminophen is limited to 480 mg per dose, no more than 5 doses, and 75 mg/kg/day. Even so, a child's total daily dose may never exceed this absolute cap.
What is 2400 mg/day?
A caregiver "stretches" formula with extra water. Name the electrolyte problem that can result and its most feared consequence.
What is hyponatremia (water intoxication); seizures?
Moderate–severe pain, fever, exudate and tender anterior nodes call for this test.
What is a rapid strep test?
This laxative carries a 2014 FDA warning for acute phosphate nephropathy. Give its oral dose limit.
What is sodium phosphate; 1 dose per 24 h?
Give the temperature that inactivates it, and when to re-dose lactase.
What is >130°F (55°C); if still eating after 30–45 minutes?
Gemma, age 3, weighs 23 lb. Dad's syringe is marked only at 1.25, 2.5, 3.75 and 5 mL. At 10–15 mg/kg of 160 mg/5 mL acetaminophen, you tell him to measure this dose.
What is 3.75 mL (120 mg ≈ 11.5 mg/kg)?
Note: 10.45 kg gives a range of 105–157 mg. 5 mL (160 mg) slightly exceeds 15 mg/kg, so 3.75 mL is the only marking in range.
With oral iron, hemoglobin should rise by this much, this often. Continue therapy this long after hemoglobin normalizes.
What is ~1 g/dL every 2–3 weeks; 3–6 months?
Oral zinc: give the start window, why nasal zinc was pulled, and what the latest adult data show.
*Need 3 answers
What is within 24 h; anosmia (loss of smell); it did not shorten colds?
A fluid-restricted hospice patient is on morphine. Give the preferred regimen and why psyllium fails.
What is senna or bisacodyl ± docusate; bulk agents need fluid and are inadequate alone for OIC, which doesn't develop tolerance?
Name the concern for each: new gas pain at 45; a diabetic with early satiety; pain that migrates to the RLQ.
What are colorectal cancer, gastroparesis and appendicitis?