Pharmacotherapeutics > Paed: Pharmacy > Flashcards

Paed: Pharmacy Flashcards

(16 cards)

Study These Flashcards
1
Q

By 1 year how much weight should infant had gained?

A

10 kg

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2
Q

Weight based calculation?

A

Weight (kg) = (age +4) x2

Only for children 1-10

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3
Q

Dose for paracetamol

A

15 mg/kg/dose

q4, 6hrly

(Max 60mg/kg/day)

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4
Q

When is paracetamol not suitable?

A
  1. Asymptomatic with fever
  2. Gastroenteritis without fever
  3. As a sedative
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5
Q

Dose of ibuprofen

A

10mg/kg/dose q6-8h Max 40mg/kg/day

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6
Q

NSAID OVERDOSE CAN CAUSE

A

Acute renam failure/impairment…. or in a dehydrated patient!

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7
Q

Fever degrees?

What is moderate, high and very high?

A

Moderate = 38-39

39.1 - 40.4 = high fever

40.5 - 41.6 = very high fever

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8
Q

When to give panadol?

A

Child is MISERABLE + ABOVE 38.5

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9
Q

When to refer

A
  1. Child less than 3 months
  2. Temp over 40
  3. Persists despite treatment for 48 hrs
  4. Unwell
  5. Refusing drink
  6. Neck stiff, photophibia, lethargic, floppy, rash
  7. Pain, difficulty breathing
  8. Had a convulsion
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10
Q

How to treat a fever

A
  1. Maintain hydration
  2. Reduced activity
  3. Remove layer of clothing
  4. Give pandol if miserable + over 38.5
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11
Q

Febrile seizures..

threshold?
Risk rate?

A

Individualised
2-4% children under 6 years old

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12
Q

Febrile seizures…

Can panadol prevent it?
Does it happen Gradually?

A

No panadol doesn’t prevent it

Happens suddenly!!

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13
Q

Management of PIMS-TS

PAEDIATRIC INFLAMMATORU MULTISYSTEM SYNDROME

TEMPORALLY ASSOCIATD WITH COVID-19

A
  1. IV IG (immunoglobulin)
  2. IV steroids
  3. Infliximab/anakinra/ tocilizumab (disease modifying agents)
  4. anticoagulation
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14
Q

Inhaler devices… what’s suitable for kids?

  1. Less than 4:
  2. Older than 4:
  3. Older than 6:
  4. Older than 8:
A
  1. Less than 4:
    MDI + small spacer + mask
  2. Older than 4:
    MDI + small/large spacer + mouthpiece
  3. Older than 6:
    Breath actuated device (turbuhaler)
  4. Older than 8:
    MDI OR TURBUHALOR (NO spacer)
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15
Q

Medications that 1 dose is fatal…

A

Diltiazem

Glibenclamide

Hydrochloroquine

Theophylline

Verapamil

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16
Q

For wvery paed prescription you dispense, you should….. 7 steps

Study These Flashcards
A
  1. Known the Indication.
  2. Know weight and age
  3. Calculate dose and compare to reference
  4. Do not exceed sdult dose (unless specified in guidelines
  5. Think, how will this be administered safely…
  6. Offer carer oral syringe
  7. Demonstrate the measurement and administration of meds
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