Common Peds Drugs
tylenol dosing and max dosage
10-15 mg/kg q4-6 (max 75mg/kg/d or 4g)
Most common cause of IDA in a 2yo
excessive cow's milk (>500ml/day)
3 most common bacteria for AOM and abx of choice
strep pneumo, h flu, moraxella (amoxi)
(most common bug? virus virus virus)
What is a fever (F and C)
100.4 F or 38 C
Treatment for wheezing in bronchiolitis?
still supportive
What age can a child take advil?
6 months
Around what age do kids start to roll
4months
(Prone to supine - less coordination, 5mo supine to prone)
(consider NAT, if a parent says their 3mo rolled off the couch)
Empiric abx for meningitis (1+ yo)
CTX + Vanc
(GBS, E. coli, S. pneumoniae, N. meningitidis)
What is a concerning rate of rise in hyperbilirubinemia
0.2 / h
Most SPECIFIC sign of dehydration in an infant
Absent tears
Dosage of amoxicillin for AOM?
90 mg/kg/day
*to overcome resistant strep PNEUMO
*duration varies by age
2 labs drawn at the 1 year visit
Hb, lead
Toddler with fever refusing to bear weight (what bug, what drug)
MSSA/MRSA (ancef -> keflex; vanc/clinda)
Maintenance fluids for a 80 kg teenager?
100 ml/h
(we cap at this rate typically, unless otherwise indicated ie pancreatitis)
Kawasaki Major Criteria
4 of 5 -> conjunctivitis, rash (desquamating), adenopathy, strawberry tongue, hand/foot edema, fever
but never forget incomplete kawasakis (ie sustained prolonged fever w negative workup)
max dosage of IN Versed?
10 mg
When can babies start wearing sunscreen
6mo (shade/clothing)
Why ampicillin for newborn sepsis rule out (specific bug)
Listeria
What Hb to consider blood transfusion?
<7
Causes of postop fever (5 in order)
wind water wound walking wonder drugs
atelectasis, UTI, site ifx, PE/DVT, drugs
Cefepime dosage for neutropenic fever
50 mg/kg q8h
2 month visit vaccines
DTAP, IPV, HiB, PCV, rotavirus, HepB
(only 7 bugs compared to the hundreds of bugs a kid will see on a daily basis ! no "overloading" the immune system)
Eyelid swelling, proptosis, pain with occular movement (diagnosis, empiric drug of choice)
(beta lactam + beta lactamase = anaerobic coverage)
Until what age is an LP REQUIRED for newborn fever workup per AAP guidelines
21d
(22-28d, consider clinical picture + labs including inflammatory markers)
Walk me thru what drugs you'd do in 25 minutes of status epilepticus (CHOP pathway)
5min benzo
10 benzo
15 keppra
25 fosphenytoin
(if PICU isnt at bedside by then u have fked up)