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16 Cards in this Set
- Front
- Back
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Management of first presentation nephrotic syndrome |
1. Admit to hospital. 2. Manage oedema, fluid and salt restriction 3. Prophylactic antibiotics (penicillin V) 4. Prednisolone |
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Investigation in infant with atypical or recurrent UTIs |
1. Urine MCS, dipstick 2. Renal US 3. Micturating Cystourethrogram - in all young children to look for structural abnormalities 4. DMSA scan - perform years after UTI to indicate renal injury |
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Rx UTI in child over 12 months |
Augmentin or Trimpethoprim |
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Investigation for VUR |
Micturating cystourethrogram (VCUG) - X-ray of bladder with intraurethral contrast, patient voids and look for reflux |
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Mx of enuresis |
Once above 4 only 5% spontaneously resolve. 1. Education - parent and child. Common and no ones fault 2. Star chart 3. Enuresis alarm, stops child from completing micturiation 4. Desmopressin - SHORT TERM holidays and sleepovers |
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Mx: iron overdose paeds |
ABCE, fluid resus. 1. Whole bowel irrigation if symptomatic or tablets visible on AXR. 2. Antidote Desferrioxamine |
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Mx: paracetamol overdose |
Order serum paracetamol level Rx: N-Acetylcysteine |
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Abx Neonatal meningitis |
Amoxy + cefotaxime + vanc |
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Rx: meningitis |
Ceftraixone + dexamethasone |
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Rx meningitis in GP setting |
IM Benpen |
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Mx: ITP |
Mild: Send home, advice against contact sports Severe: Steroids, IVIg, platelet transfusion. Splenectomy |
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Mx: HSP |
Bed rest and simple analgesia - usually self limiting Significant joint and abdo pain: Prednisolone Significant abdo pain: Arrange surgical consultation (?Intussusception) Nephritic or nephrotic syndrome: admit to hospital |
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Mx Beta thalassaemia |
Transfusions lifelong (monthly) - with desferrioxamine to stop iron buildup. Risk of diabetes, HF, liver disease Bone marrow transplants - risky and not usually recommended. May provide cure |
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Empirical antibiotics for neonatal Sepsis (<48 hours old) |
BenPen IV, Gent IV (Cefotaxime IV is meningitis suspected |
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Empirical IV antibiotics for neonatal Sepsis (>48 hours old) |
Nosocomial in origin Fluclox IV, Gent IV |
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Prevention & treatment of RDS/HMS |
Antenatal steroids (hydrocortisone, two doses, 12-24 hours apart 28-34 weeks gestation if preterm anticipated) Rx: Surfactant therapy (exogenous surfactant) + oxygen |
