Child Development
Baby transitions to iron fortified solids at
4-6 months
Nursing considerations for Azithromycin are
Increases the effect of PO anticoagulants
No antacids
With our without food
Super infection
Due to penicillin cross reactivity you also avoid:
Cephalexin, Cefazolin, Cefdinir, Ceftriaxone
Non Diabetic range
4-5.9%
The cause, symptoms, treatment, and prognosis of heart failure in children vary depending on
age
Baby walks with 1 hand at
12 months
Nursing Considerations for Clindamycin
No chewing or breaking tablet
May increase AST, ALT, CPK
Tx: Staphylococcus, streptococcus
AE: Vaginitis, Jaundice
N/C for Cephalexin, Cefazolin, Cefdinir, Ceftriaxone
Finish course 10-14 days to prevent superinfection
May cause a false positive urine test
Fair diabetic control
8-9%
In infants, the cause of heart failure is generally due to
holes in the heart or other structural problems.
Baby walks with help at
10 months
Nursing Considerations for Ciprofloxacin
NO - <18 y/o, caffeine
Tendon rupture
2-3 L fluids/day
False + opiate test
Space out if taking antacids or iron
Infuse ALONE
N/C for Amox, Ampi, Penicillin
Check for hypersensitivity for cephalasporins
Equally divided doses
For Peni and Ampi take 1 hours before meals (AC) or 2 hours after meals (PC) to avoid gastric destruction of med
Poor diabetic control
> 9%
Drug therapy may include
1. furosemide
2. angiotensin-converting enzyme inhibitors
3. (beta blockers- UMMMM?)
4. digoxin to help improve heart-pumping efficiency.
The earliest a child can kick a ball is
24 months
Which anti-infectives increase LFTs (AST, ALT)?
Clindamycin, Ciprofloxacin, Cephalexin, Cefazolin, Cefdinir, Ceftriaxone
Unique A/E re: Amox, Ampi, Peni
May cause bone marrow suppression
About ___ of hemoglobin A consists of a type of hemoglobin (HbA1) that can combine strongly with glucose in a process called glycosylation.
7%
Digoxin toxicity is manifested in children by
N & V
bradycardia,
anorexia
dysrhythmias.
Object permanence develops by
9-10 months
Which anti-infective may increase CPK (injury to heart/brain/muscle?
Clindamycin
Good diabetic control Hg A1C
< 7 %
Approximately _____ of all newborn infants will have some type of structural heart defect.
1%
The prescriber of digoxin must be notified immediately if
sudden weight gain (≥2 lb in 24 hours),