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

By Paul D. Chan, Jane L. Gennrich

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

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Disseminated Gonococcal Infection: -Ceftriaxone (Rocephin) 1000 mg/day IV/IM q24h x 7 days OR cefotaxime (Claforan) 1000 mg IV q8h x 7 days AND -Azithromycin (Zithromax) 1000 mg PO x 1 dose OR -Doxycycline 100mg PO bid x 7 days. 10. Symptomatic medications: -Acetaminophen (Tylenol) 10-15 mg/kg/dose PO/PR q4-6h prn. 11. Extras and X-rays: Pelvic ultrasound; social services consult. 12. Labs: beta-HCG pregnancy test, CBC, SMA 7 and 12. GC culture and chlamydia test, RPR or VDRL. UA with micro; urine pregnancy test.

Symptomatic Medications: -Acetaminophen (Tylenol) 10-15 mg/kg PO/PR q4h prn temp >38°C or pain. 11. Extras and X-rays: Chest X-ray PA and LAT, PPD. 12. Labs: CBC, ABG, blood culture and sensitivity x 2. Sputum gram stain, culture and sensitivity, AFB. Anti­ biotic levels. Nasopharyngeal washings for direct fluorescent antibody (RSV, adenovirus, parainfluenza, influenza virus, chlamydia) and cultures for respiratory viruses. UA. 5 mL; susp: 200 mg/5 mL, 400 mg/5 mL; tab: 400 mg; tab, chew: 200 mg] OR -Erythromycin base (E-Mycin, Ery-Tab, Eryc) 30-50 mg/kg/day PO q6-8h, max 2 gm/day [cap, DR: 250 mg; tabs: 250, 333, 500 mg; tabs, DR: 250, 333, 500 mg] OR -Erythromycin lactobionate 20-50 mg/kg/day IV q6h, max 4 gm/day [inj: 500 mg, 1 g m] OR -Vancomycin (Vancocin) 40 mg/kg/day IV q6h, max 4 gm/day OR -Cefotaxime (Claforan) 100-150 mg/kg/day IV/IM q6h, max 12 gm/day OR -Penicillin G 150,000 U/kg/day IV/IM q4-6h, max 24 MU/day.

Secondary bacterial infection of the skin caused by scratching is common. Pediculosis Capitis (head lice): -Permethrin (Nix) is the preferred treatment. A 1% cream rinse that is applied to the scalp and hair for 10 minutes. A single treatment is adequate, but a second treatment may be applied 7-10 days after the first treatment [cream rinse: 1% 60 mL]. -Pyrethrin (Rid, A-200, R&C). Available as a shampoo that is applied to the scalp and hair for 10 minutes. 3% pyrethrins, 3% piperonyl butoxide): 60, 120, 240 mL].

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