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19 Cards in this Set
- Front
- Back
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What is the preferred method of measuring temperature in children ages 5 and under?
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rectum
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Why should we not treat a fever?
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- fever enhances ability to defend against infection
- we can use fever as a clinical tool for monitoring infection.. treating it would impair that ability - most fevers are harmless |
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How to treat fever in pregnancy?
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acetaminophen only...
DO NOT use NSAIDs.. could cause premature closing of ductus ateriolis in fetus |
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Why are antipyretics given before tepid water sponging (to treat fever)?
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- tepid water sponging does not reset hypothalamic set point... body may work harder to maintain this elevated temp => shivering
- antipyretic will reduce hypothalamic set point |
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What is the adult and pediatric dose for acetaminophen?
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Adults: 325 - 650mg q4-6hr prn
kids: 10-15mg/kg q4-6hr prn (no more than 5 doses or 65mg/kg/day) |
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- common skin infection in preschool children.. caused by GAS
- honey colored crusting lesions or bullae What is this? How to treat? |
Impetigo
Mupirocin 2% TID or Fusidic acid 2% TID |
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How to treat systemic.. or outbreaks of impetigo?
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1) cloxacillin or cephalexin
2) erythro or clind 10 days |
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I have a lesion which is really, really big.. and I feel sick. How should you treat this?
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carbuncle
- may need surgical drainage - systemic tx against Staph.. like ceph or clox 250mg QID until cleared |
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- punched out ulcer surrounded by erythema
- caused by group A strep Is this... cellulitis? ecthyma? erysipelas? |
ecthyma
treat with pen V 500mg QID |
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- hot shiny and bright red
- painful and sharply demarcated from normal skin.. What is this? (ecthyma, cellulitis, or erysipelas?) How to treat? |
Erysipelas
Adults: cephalexin Children: cefuroxime |
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If you are 6-24 months old, how much DEET can you handle in a day?
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one application of <10%
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If you are 2-12 years old, how much DEET can you handle in a day?
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three applications of <10%
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What happens when you combine sunscreen with DEET?
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- sunscreen efficacy goes down when combined with DEET
- apply DEET 30 min after sunscreen |
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Can you use OFF Botanicals on children <3 ??
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NO
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How to use permethrin?
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DO NOT apply to skin..
spray on clothing, netting, etc |
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Which antiseptic is a cationic surfactant... and is inactivated by soap?
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quaternary ammonium compounds such as benzalkonium chloride
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cetrimide
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quaternary ammonium comp
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triclocarban
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anilide antiseptic
- active against gram + used in soap and deodorant |
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Amides vs esters (local anesthetics)
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amides are not as sensitizing as esters
pramoxine is less sensitizing than either of those |
