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51 Cards in this Set

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Presents with small, red macules with honey colored crusts

Impetigo

Treatment for Impetigo

Topical Antibiotics:


Mupirocin


Anoxicillin


*Remove crusts and apply ointment

Presents with erythema, swelling, pain and tenderness at the site with red streak

Cellulitis

Treatment for cellulitis

Antibiotics

Presents as circular, scaly red patches with intense itching

Ringworm

Treatment for ringworm

Oral: Griseofulvin


Topical: Lamisil, Lotrimin & Miconazole

Presents as generalized itching with bugs/nits in hair and scalp

Lice (Pediculosis)

Treatment for pediculosis

Permetherin shampoo (Nix)

Presents as intense itching with burrow tracks in the skin

Scabies

Treatment for scabies

Topical permetherin ointment

Treatment for Acetaminophen poisoning

Activated charcoal if within 1-2 hours of ingestion


N-acetylcysteine for overdose

Guideline and treatment for salicylate poisoning

-Serum levels >70=treatment


-Activated charcoal & gastric lavage


-Alkalize urine w/IV bicarbonate


-Ensure adequate ventilation/oxygenation


-Severe cases may require dialysis

Treatment for hydrocarbon poisoning

-May require oxygen/intubation


-Airway management


-Electrolyte replacement


-Gastric lavage (depending on poison, may be contraindicated)

Treatment for corrosive or caustic ingestion

-Airway maintenance


-Gastric lavage


-Electrolyte replacement


-Endoscopic/Surgical consultation

Schedule for Hepatitis B immunization

Birth


2 months


6 months

Schedule for dTaP immunization

2 months


4 months


6 months


1-1.5 yrs


4-6 yrs

Schedule for TdaP immunization

11-12 yrs and then once every 10 yrs

Schedule for Hib (h. influenzae b) vaccination

2 months


4 months


6 months


1 year

Schedule for polio vaccination

2 months


4 months


6 months


4-6 yrs

Schedule for PCV (Prevnar) immunization

2 months


4 months


6 months


1 yr

Schedule for MMR vaccination

1 yr


4-6 yrs

Schedule for Varicella vaccination

1 yr


4-6 yrs

Schedule for influenza (flu shot)

6 months and then yearly

Presents fatigued with a fever, and intense red rash on the cheeks (slapped face appearance)

Fifth Disease (Erythema infectiosum)

Isolation precautions for Fifth Disease?

Droplet precautions

Presents with a fever, decreased appetite, malaise and an itchy blister-like rash

Chicken pox (varicella)

Isolation precautions for chicken pox

Airborne/Contact precautions

Presents with fever, loss of appetite, skin rash that is red and blotchy, inflammed eyes, sore throat and Koplik's spots

Measles (Rubeola)

Isolation precautions for measles (rubeola)

Airborne precautions

Presents with reports of a weeks long fever, but does not feel ill; pale pink rash on the trunk spreading outwards that fades with pressure

Sixth disease (Roseola)

Presents with swollen painful parotid (salivary) glands, fever and an earache that worsens when chewing

Mumps (Parotitis)

Presents with fever, malaise, swollen lymph nodes and a pink, maculopapular rash that appears first on the face and spreads downward

Rubella (German Measles)

Isolation precautions for Rubella (German measles)

Droplet/contact precautions

Isolation precautions for Mumps (Parotitis)

Droplet precautions

Presents with a high fever, bright red rash, enlarged tonsils, and a red swollen tongue that progresses to a "white strawberry tongue" by day 4

Scarlet Fever

Isolation precautions for Scarlet Fever

Droplet precautions

Infection of the middle ear associated with pain; frequently bacterial infection; more common in the winter

Acute otitis media

Painless presence of fluid behind the tympanic membrane with no signs/symptoms of infection; usually due to allergies; more common in Spring

Otitis media with effusion

Orange discoloration of tympanic membrane with decreased movement

Otitis media with effusion

Bulging yellow or red tympanic membrane, purulent ear drainage, decreased or absent movement with and increased temp and swollen lymph nodes

Acute otitis media

Procedure for problematic or recurring AOM

Tympanostomy tubes

Presents with a barky seal-like cough, inspiratory stridor, suprasternal retractions and a low grade fever

Croup (Laryngotracheobronchitis)

Mild retractions

Substernal


Subcostal

Moderate retractions

Intercostal

Severe retractions

Clavicular


Suprasternal

Medical management for respiratory distress

-Albuterol (bronchodilator)


-Racemic Epinephrine (sa vasodilator decreases airway edema)


-Decadron (steroid decreases inflammation)


-Antibiotics


-Analgesics


Signs and symptoms of Epiglottitis

4 D's:


-Drooling


-Dysphagia


-Dysphonia


-Distressed respirations


*Absence of cough: indicator

Considerations with Epiglottitis

No tongue depressors


No lying down

When can a tonsillectomoy be performed?

When a child is at least 3 yrs or older


Must be free from infection

Considerations post tonsillectomy

Soft foods


Avoid coughing/nose blowing


No spicy foods


No chips


No red liquids

Which narcotic pain medication is associated with chest wall rigidity?

Fentanyl