Diagnosis
This illness is the most common cause of severe gastroenteritis in infants and young children.
Rotavirus
This highly contagious disease is also called whooping cough.
Pertussis
Patient weighs 20kg, Ibuprofen dosing is 10mg/kg, and the concentration is 100mg/5ml. What is the dose? How many mL's will we give?
200mg, 10 mL
The suture of the anterior fontanelle is typically closed by ____months of age.
18 months of age
You respond to an injured child from a significant fall. Upon arrival, you find him unconscious. What should you do first?
Stabilize C-spine and check for a pulse.
A 2-week-old baby suddenly exhibits non-bilious, projectile vomiting after every feeding with a palpable olive shaped mass and visible peristaltic waves
Pyloric Stenosis
Testing: Ultrasound (donut sign)
Treatment:
This is the first vaccine to be given at birth
What is Hepatitis B
Patient weighs 30kg. They are ordered IV Cefepime 50mg/kg/dose. (Max dose 2g/day). Final concentration 40mg/mL in SWFI.
Vial: 1000mg/ 10mL
Dose: 1,500mg
Medication Volume: 15mL
Total Volume: 37.5mL
Drawing in of the muscles between the ribs or of the sternum during inspiration is defined as:
Retractions
You are called to the aid of an injured child from a significant fall. Upon arrival, you note the child is crying and lying on his left side. What is your first concern?
C-spine stabilization.
A young patient with a "hot potato" muffled voice, drooling and unilateral cervical lymphadenopathy
Retropharyngeal abscess (RPA) Drain-Antibiotics
Peritonsillar abscess (PTA) Same symptoms, tonsils shifted to the size
Bug: S. Aureus, Strep
At this age, infants can sit without support
6 months
Patient weighs 15kg. What is the bolus amount for 10mL/kg and 20mL/kg?
10mL/kg= 150mL
20mL/kg= 300mL
Equal chest rise and fall
If a child presents with multiple bruising and/or wounds at different stages of healing. What should be ruled out?
Abuse.
Two month old baby colicky abd pain and jelly like stool with a sausage shape mass in the RUQ. Diagnosis?
Intussusception.
Treatment: Air Contrast Enema
At this age, infants develop stranger and separation anxiety
8-9 months
Patient weighs 25kg. They are ordered maintenance fluids, what is the rate (mL/hr)?
65mL/hr
1.5x Maintenance= 98 mL/hr
4-2-1 Rule
What is the most common underlying cause of a seizure in a small child?
Fever
A common cause of shock in an infant is?
Dehydration from vomiting and diarrhea
It is normal for toddlers to have this kind of spinal curvature
Lumbar Lordosis (with protruding abdomen)
How can we prevent SIDS?
ABC (Alone, on their Back, in the Crib), No blankets/ stuffed animals, Firm mattress, No gaps in crib
Patient weighs 55kg. They are ordered Maintenance IV fluids, what is the rate (mL/hr)?
95 mL/hr
A 6-month old infant with a anterior fontanelle sunken below the margin of the skull is indicative of this condition
Dehydration
A 3 year old child is involved in an auto vs pedestrian accident. The child was struck head on by the vehicle. Where are you concerned about injuries to the child?
Head, Neck, Chest (Upper Body)