Pediatrics #1
This is the primary reason for pediatric admissions.
What is an infection?
This electrolyte is often given during an asthma exacerbation to aid in relaxing bronchial muscles and decrease inflammation.
What is magnesium?
This is in antidote for acetaminophen toxicity.
What is NAC (N-acetylcysteine)?
This class of medications is first line for the treatment of convulsive status epilepticus?
What are benzodiazepines?
This is the primary source of infections in pediatric oncology patients?
What is their central line?
This medication should be given to a patient showing signs of tumor lysis syndrome with an already elevated uric acid?
What is rasburicase (Elitek)?
This is the antidote for digoxin toxicity.
What is DigiFab (Digoxin Immune Fab)?
This medication is used to stabilize the myocardium in severe hyperkalemia.
What is calcium gluconate?
This IV antibiotic is first line therapy for treating pediatric CAP in an immunized patient with NKDA that is admitted.
What is ampicillin?
A patient with presumed meningitis would be started on this dosing of ceftriaxone?
What is 100 mg/kg/day divided q12h (MAX 2g q12)?
True or False: Patients that come in for benzodiazepine overdoses should all receive flumazenil.
False - Reversal with flumazenil can precipitate seizures.
These risk factors would increase a patient's risk for a MRSA infection. *Name 3*
What is.......?
A. Prior hospitalization within past 12-24 months
B. Live at long-term care facility
C. Recent antibiotic exposure/IV antibiotics within prior 90 days
D. IV drug use
E. Recent invasive procedure
F. Immunocompromised
This is the first line agent for PJP prophylaxis in a pediatric oncology patient.
What is Bactrim?
Pediatric patients that require ceftriaxone, for a reason other than a penicillin allergy, to treat their pneumonia are then transitioned to this antibiotic when they are ready for orals.
What is amoxicillin/clavulanate (Augmentin)?
This is the antidote for local anesthetics (ex. lidocaine)?
What is IV lipid emulsion?
This medication should be used FIRST for the reversal of warfarin in the setting of a life-threatening bleed.
What is 4-factor PCC (Kcentra)?
**Vitamin K should be used too**
Ceftriaxone is typically contraindicated in neonatal patients due to its risk of displacing bilirubin, leading to this neurologic condition.
What is bilirubin encephalopathy or kernicterus.
This antibiotic is empirically started in pediatric oncology patients with concern for neutropenic typhlitis.
What is piperacillin/tazobactam (Zosyn)?
Activated charcoal works by adsorption. Activated charcoal would be ineffective against these substances. *Name at least 3*
What is....?
a. Metals (iron, lithium, lead)
b. Electrolytes (potassium, sodium, magnesium)
c. Alcohols (ethanol, methanol, ethylene glycol, isopropanol)
d. Hydrocarbons (gasoline)
This medication would be your paralytic of choice if the patient presents with severe burn injury, requiring intubation. *Extra 500 pts for dose*
What is rocuronium? *Dose = 0.6-1.2 mg/kg*
In patients with normal physiology, succinylcholine will typically increase potassium 0.5-1 mEq/L
**Hyperkalemia risk - typically peaks 7-10 days after injury (for burns)**