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13 Cards in this Set
- Front
- Back
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What are some initial interventions to treat fever in children?
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•Light loose clothes
•Expose skin for cooling •use a cool compress |
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What is one drug you should not give a child who has a fever?
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Aspirin!
however it is acceptable for a child suffering from Kawasaki's disease. |
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What medication should be given to a child with fever?
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Tylenol - 10-15mg/ kg
Ibuprofen - Only for > 6 mos old every 6-8 hrs < 39.1 - 5mg/kg > 39.1 - 10mg/kg |
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What situations should an MD be immediately contacted in regards to a child with fever?
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•fever in child less than 6 weeks old
•fever without cause for more than 24hrs •fever for more than 3 days •recurrent fevers •child looks "toxic," very sick |
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What are some characteristics of Otitis Media?
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-it has a rapid onset
-child experiences ear pain (otalgia) -child will have a bulging red or yelow tympanic membrane |
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What are some characteristics of Otitis media with Effusion?
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-there is fluid in teh middle ear space without symptoms of acute infection.
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What age groups are more prone to getting Otitis Media?
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• 80% of children < 1 yr old will get OE
• 50% of children < 3 years old will get OE •After age 7, the prevalence of OE drops dramatically |
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What are some complications that occur as a result of Otitis Media?
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•Cholestoma - this can lead to deafness due to puss and debris.
•Colisystoma - can lead to deafness or meningitis. |
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What is the pathophysiology of Otitis Media?
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•it is caused by bacteria
•leads to impaired drainage from eustacian tubes Often caused by Streptococcus Pneumoniae, Haemophilus Influenzae or Moraxella Catarrhails |
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What are some risk factors associated with Otitis Media?
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•Smoking in the household
•child's age •formula feeding. Breast feeding can cut chances of getting OM •Children in Day Care centers |
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How do you treat Acute Otitis Media?
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• for children less than 6 months old
-Give Amoxicillin for 10-14 days •for children older than 6 months old -wait for 3 DAYS, may resolve self. -if resolution doesn't occur then treat with Amoxicillan -can also treat with Myringotomy for severe pain |
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When should Otitis Media with Effusion be treated?
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It is not treated unless it persists for 3 months or more.
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What are some surgical interventions used to treat recurrent Acute Otitis Media?
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•tympanostomy tube
•Adenoidectomy |
