Pediatric Cough, Cold, and Allergy

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Author:
giddyupp
ID:
82603
Filename:
Pediatric Cough, Cold, and Allergy
Updated:
2011-04-29 00:09:51
Tags:
Pediatric Cough Cold Allergy PHPR524 Test8
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Description:
Pediatric Cough, Cold, and Allergy
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  1. At what age can ibuprofen be used in children?
    at least 6mo
  2. At what age can intranasal decongestants be used in children?
    at least 6yrs old
  3. At what age can systemic decongestants be used in children?
    at least 4yo
  4. At what age can antihistamines be used in children for cold?
    avoid use in colds
  5. At what age can local anesthetics be used in children for cold?
    • Benzocaine at least 2yo
    • Phenol at least 3yo (some 6yo)
  6. What is the appropriate pediatric dosing of acetaminophen?
    • 10-15mg/kg q 4-6h
    • 5 doses max/24h
  7. What is the appropriate pediatric dosing of ibuprofen?
    • 5-10mg/kg q 6-8h
    • 4 doses max/24h
  8. What intranasal decongestants can be used in kids 6 and over?
    • Phenylephrine
    • Oxymetazoline
  9. What systemic decongestants can be used in kids 4 and up?
    • Pseudoephedrine
    • Phenylephrine
  10. What antitussives can be used in kids 4 and up?
    dextromethorphan
  11. What antitussives can be used in kids 6 and up?
    codeine
  12. At what age can guaifenesin be used in kids for cough?
    over 12yo
  13. 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
  14. 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
    • hemoptysis
    • sx of bacterial infection
  15. At what age should antihistamines be used for allergic rhinitis?
    2yo or older
  16. What is the antihistamine of choice for pediatric allergic rhinitis?
    loratadine
  17. What are the sedating antihistamines used in kids for allergic rhinitis?
    • diphenhydramine
    • brompheniramine
    • chlorpheniramine
    • doxylamine
    • clemastine
  18. What are the nonsedating antihistamines used for pediatric allergic rhinitis?
    • cetirizine
    • loratadine
    • fexofenadine
  19. At what age can cromolyn be used for pediatric allergic rhinitis?
    at least 2yo
  20. What intranasal steroids are used for pediatric allergic rhinitis?
    • mometasone 2yo or older
    • fluticasone 4yo or older
    • beclomethasone 6yo or older
  21. 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
    • asthma
    • nonallergic rhinitis
  22. 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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