Pediatrics (2004 Edition) (Current Clinical Strategies) by Paul D. Chan, Jane L. Gennrich

By Paul D. Chan, Jane L. Gennrich

<A present scientific techniques scientific Book>Pocket-sized annual covers new AAP directions for pediatric care. additionally discusses cardiovascular issues, pulmonary issues, infectious sickness, toxicology, fluids and electrolytes, and infant care. makes a speciality of typical pediatric practices for care. For physicians and citizens. Softcover.

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Extra resources for Pediatrics (2004 Edition) (Current Clinical Strategies)

Sample text

Activity: 6. Nursing: 7. Diet: 8. IV fluids: 9. Special medications: 10. Symptomatic medications: 11. Extras and X-Rays: 12. Labs: Clinical diagnosis of bacterial sinusitis requires the following: Nasal discharge and daytime cough without improvement for 10-14 days or more severe signs and symptoms such as temp >102° F, facial swelling, or pain. Treatment of Sinusitis (Strep pneumoniae, H. influenzae, Moraxella catarrhalis, group A strep, anaerobes): -Treat for 14-21 days. -Amoxicillin (Amoxil) 40 mg/kg/day PO tid, max 3 gm/day (consider high dose therapy 80-90 mg/kg/day if resistant Strep pneumo is suspected) [caps: 250,­ 500 mg; drops: 50 mg/mL; susp: 125 mg/5mL, 200 mg/5mL, 250 mg/5mL, 400 mg/5mL; tabs: 500, 875 mg; tabs, chew: 125, 200, 250, 400mg] OR -Azithromycin (Zithromax) Children >2 years: 12 mg/kg/day PO qd x 5 days, max 500 mg/day [packet for oral soln: 1 gm; susp: 100 mg/5mL, 200 mg/5mL; tabs: 250, 500, 600 mg] OR -Trimethoprim/sulfamethoxazole (Bactrim, Septra) 6-8 mg/kg/day of TMP PO bid, max 320 mg TMP/day [susp per 5 mL: TMP 40 mg/SMX 200 mg; tab DS: TMP 160 mg/SMX 800 mg; tab SS: TMP 80mg/SMX 400 mg] OR -Erythromycin/sulfisoxazole (Pediazole) 1 mL/kg/day PO qid or 40-50 mg/kg/day of erythromycin PO qid, max 2 gm erythromycin/day [susp per 5 mL: Erythromycin 200 mg, sulfisoxazole 600 mg] OR -Amoxicillin/clavulanate (Augmentin) 40 mg/kg/day of amoxicillin PO tid, max 500 mg/dose [elixir 125 mg/5 mL, 250 mg/5 mL; tabs: 250, 500 mg; tabs, chew: 125, 250 mg] OR -Amoxicillin/clavulanate (Augmentin Bid) 40 mg/kg/day PO bid, max 875 mg (amoxicillin)/dose [susp: 200 mg/5 mL, 400 mg/5 mL; tab: 875 mg; tabs, chew: 200, 400 mg] OR -Cefuroxime axetil (Ceftin) >3 months-12 years: suspension 30 mg/kg/day PO bid (max 1 gm/day) or tablet 250 mg PO bid >12 years: suspension 500 mg PO bid or tablet 250­ 500 mg PO bid [susp: 125 mg/5 mL, 250 mg/5mL; tabs 125, 250, 500 mg] Labs: Sinus X-rays, CT scan, MRI scan.

Activity: 6. Nursing: Inputs and outputs 7. Diet: 8. IV fluids: 9. Special medications: Lower Urinary Tract Infection: -Trimethoprim/sulfamethoxazole (Bactrim, Septra) 6­ 10 mg/kg/day TMP PO q12h, max 320 mg TMP/day [susp per 5 mL: TMP 40 mg, SMX 200 mg; tab, SS: 80 mg/400 mg; tab, DS: 160 mg/800 mg] OR -Cefpodoxime (Vantin) 6 months-12 years: 10 mg/kg/day PO bid, max 800 mg/day >12 years: 100-400 mg PO bid [susp: 50 mg/5 mL, 100 mg/5 mL; tabs: 100, 200 mg] OR -Cefprozil (Cefzil) 30 mg/kg/day PO q12h, max 1 gm/day [susp: 125 mg/5 mL, 250 mg/5 mL; tabs: 250, 500 mg] OR Prophylactic Therapy: -Trimethoprim/Sulfamethoxazole (Bactrim, Septra) 2 mg TMP/kg/day and 10 mg SMX/kg/day PO qhs [ susp per 5 mL: TMP 40 mg/SMX 200 mg; tab DS: TMP 160 mg/SMX 800 mg; tab SS: TMP 80mg/SMX 400 mg] OR -Sulfisoxazole (Gantrisin) 10-20 mg/kg/day PO q12h [susp: 500 mg/5 mL; tab: 500 mg] OR -Amoxicillin (Amoxil) 20 mg/kg/day PO qhs, max 500mg/dose [caps: 250, 500 mg; drops: 50 mg/mL; susp; 125 mg/5mL, 200 mg/5mL, 250 mg/5mL, 400 mg/5mL; tabs: 500, 875 mg; tabs, chew: 125, 200, 250, 400 mg] 10.

Diagnosis: 3. Condition: 4. Vital signs: Call MD if: 5. Activity: 6. Nursing: 7. Diet: 8. IV fluids: 9. Special medications: 10. Symptomatic medications: 11. Extras and X-Rays: 12. Labs: Clinical diagnosis of bacterial sinusitis requires the following: Nasal discharge and daytime cough without improvement for 10-14 days or more severe signs and symptoms such as temp >102° F, facial swelling, or pain. Treatment of Sinusitis (Strep pneumoniae, H. influenzae, Moraxella catarrhalis, group A strep, anaerobes): -Treat for 14-21 days.

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