Pediatric Cough, Cold, and Allergy
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At what age can ibuprofen be used in children?
at least 6mo
At what age can intranasal decongestants be used in children?
at least 6yrs old
At what age can systemic decongestants be used in children?
at least 4yo
At what age can antihistamines be used in children for cold?
avoid use in colds
At what age can local anesthetics be used in children for cold?
- Benzocaine at least 2yo
- Phenol at least 3yo (some 6yo)
What is the appropriate pediatric dosing of acetaminophen?
- 10-15mg/kg q 4-6h
- 5 doses max/24h
What is the appropriate pediatric dosing of ibuprofen?
- 5-10mg/kg q 6-8h
- 4 doses max/24h
What intranasal decongestants can be used in kids 6 and over?
What systemic decongestants can be used in kids 4 and up?
What antitussives can be used in kids 4 and up?
What antitussives can be used in kids 6 and up?
At what age can guaifenesin be used in kids for cough?
Who should be referred to the physician for pediatric colds?
- < 3mo with rectal temp 100.4 or higher
- Any child with rectal temp 104 or higher
- sx of bacterial infection
- underlying immunodeficiency
- fever for more than 3d
- kids under 4 with cold sx if meds desired
- kids with ear pain
- thrush or severe sore throat
- unusual fatigue or lethargy
Who should be referred to the physician for pediatric cough?
- kids under 4
- productive cough with thick yellow/green sputum
- underlying condition
- possible foreign body aspiration
- cough over 7d duration
- sx of bacterial infection
At what age should antihistamines be used for allergic rhinitis?
2yo or older
What is the antihistamine of choice for pediatric allergic rhinitis?
What are the sedating antihistamines used in kids for allergic rhinitis?
What are the nonsedating antihistamines used for pediatric allergic rhinitis?
At what age can cromolyn be used for pediatric allergic rhinitis?
at least 2yo
What intranasal steroids are used for pediatric allergic rhinitis?
- mometasone 2yo or older
- fluticasone 4yo or older
- beclomethasone 6yo or older
Who should be referred to the physician for pediatric allergic rhinitis?
- kids under 2yo
- sx of otitis media or sinusitis
- evidence of lower respiratory tract infection
- nonallergic rhinitis
What are the practical tips for parents caring for sick kids with cough/colds?
- Know the difference between different formulations of products
- Use syringes or droppers that have been calibrated; avoid household teaspoons and tablespoons
- Do not mix droppers, syringes, or cups between different meds
- Rinse delivery devices after each use with warm water
- Hold child in normal feeding position or in a high chair/car seat
- Give slowly to avoid choking. Put in side of mouth near cheek.
- Stroke the chin or blow gently in the face to encourage swallowing
- Do not refer to med as candy. keep out of reach
- Do not force to take, but stay firm and kind
- Avoid chewables if loose teeth present
- Praise for cooperation
- Flavor the med at the pharmacy if they won't take it
- Review ingredients and doses
- Keep poison control number near every phone in the house
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