2011/4/1

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Speaker: Date:98/12/25

2011/4/1

2

38 37.537.2

Antiphen(1cc=24mg):BW/2cc/doseq6hprn

Scolin(Ibuprofen):BW/2ccq6hprn~q8hprn

Scanol:1#/40kg/doseq6hprn

Voren50mg:1#/40kg/doseq6hprn

MeitanF.C25mg:1#/20kg/doseq6hprn

Voltaren():1#/12.5kgq6hprn~q8hprn

Aspirin,Reyessyndrome

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,2628

,

Secorine:1cc/kg/dayRhin: 1#/40kg

MediconABecantexBecantexCoughmixture510cc/dose>8y/oBensau>12y/o(opiate

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4

Unitussive:1cc1.5cc/kg/dayBisolvonS:1cc=2mg

25y/o:2ccbid510y/o:2cctidqid>10y/o:48cctidqid

Biso1#=8mgFlutafingranules: 1#tidDanzen1#2#tid

AntihistamineCypro S:1cc/kg/daytidqidCTM:1#/40kg/dosetidAllermin:0.2mg/kg/doseIV/IMAllergaZyrtec S(cetirizine):BW/4QDS i FCHSSymitec FCHS

Antihistamine+PseudoephedrineClarinase (Loratadine)bidRotec(Carbinoxaminemaleate )tid

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5

BrochodilatorButanyl:1015kgamp/doseinhalation

>15kgamp/dose>12y/o1amp/dose

Atroven inhalation(MeptinS:BW/4bidMeptinS:BW/4bidMeptin1#/40kg/dosebid

Smecta:2y/o:1pk,tid

Koapectin:1cc/kg/daytidqidImodium:1#/40kg/dosebidImodium:1#/40kg/dosebid

(infectiousdiarrhea)Questran:1pk/40kg/dose

(

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Primperan:1#/40kg/dosetidac0.10.2mg/kg/doseIVorIM

Motilium:1#/40kg/dosetidac

OtherBioferminBioferminLederscon:1#/40kg/doseGascon:1#/40kg/doseDuspatalin:1#/40kg/dose

AntibioticsCephalexin 2550mg/kg/dayAmoxicillin:4050mg/kg/day,q8hq6hhighdose:8090mg/kg/day(supercillin 1cc=25mg)

Augmetin S:1cc=80mgamoxicillinBW/ bid hi hd BW/ bidBW/4bid,highdose:BW/2bid

prostaphillin:50100mg/kg/dayErythromycin:3050mg/kg/dayAzithromycin:10mg/kg/dayQDfor35days

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2y/o:4+age/4;12+age/22y/o:;x3

age

2.53.0

06m/o 3.54,0

Sedation:Dormicum0.1mg/k/dose

7m/011m/o 4.0

1y/o2y/o 4.04.5

Epinephine:1amp10cc=1:100000.1cc/kg/dose

CorrectMetabolicacidosisNaHCO3:0.3xBWxbasedefect(mEq)

Salineinfusion:20cc/kgColloid:10cc/kg

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,,,3

,

1

(Escherichiacoli)(Listeriamonocytogens)B(groupBStreptococcus)

36(H i fl ) (S (H.influenza)(S.pneumoniae)(N.meningitidis)

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Age3monthold:vancomycin +Cefotaxime orRocephin

1014

Dexamethasone:0.15mg/kg/dose

5011

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Cause:,

Age:661418

CharactersCharactersGeneralizedtonicclonicseizureAfewsecondsto10minsdurationFollowedbyabriefpostictalperiodofdrowsiness

Febrile seizure Typical(Simple) Atypical(complex)

A 6 6 / A Age 6m6y/0 Anyage

Seizure pattern Generalized Focal

fever + +

Seizureduration 15mins

Familyhistory +

frequency 14/yr vary

NE normal abnormalNE normal abnormal

EEG normal abnormal

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100%o2andmainten airwayPulseosimeterCheck:CBC,E(Na,Mg,Ca,),glucoase ,Urea,kidneyandliverfunction,ABGDrug:

Valium:0.050.3mg/kg/doseq510minsg g qDormicum:0.1mg/kg/doseDilantin:loading20mg/kg 39mg/kg/daybid~tid

,2wks

Adenovirus

EB iEBvirus

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Virus7090%

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Bacteria Virus

Lackofcough,conjunctivitis,rhinorrhea,hoarseness

Age515yearold

Sorethroat

Cough,rhinorrhea,conjunctivitis,hoarseness

Diarrhea

Oropharyngealulceration

Fever>38C

GroupAstreptococcusthroatculture/antigendetectiontestAntibioticsfor10days

PenicillinV 250mgbidtid (drugofchoice)

Amoxicillin 4050mg/kg/daytidqid

Erythromycin 3050mg/kg/daytidqid (ifallergytopenicillin)

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ParacetamolforsorethroatAvoidAspirinduetotheriskofReyessyndrome

Indicationoftonsillectomy6 i d f illi i i >6episodesoftonsillitisinoneyear

SymptominterferepatientsdailyfunctionSorethroatduetoinflammationoftonsils

210355080

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herpangina

herpessimplextypeI

i i i i Gingivostomatitis

Lesion

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lesion

Photofrom

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,,.

from

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()

140.

SedationpropranololOnEKGmonitor,Bpmonitor

from

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>160

from

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(+/)

,.

,,

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asthma

asthmaHydrocortisone:5mg/kg/doseq6hq8h

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AsthmaHomemanagement

inhaledBetaagonistButanyl 1ampBuventol easyhalerCombivent meteredaerosol

Oralsystemicsteroid:prednisolon 1mg/k/dayx35days

Oralbetaagonist:b dmeptin(BW/4bid),

ConsiderICSFlixotide,seretid

viralinfectionofthesmallairways(bronchioles)

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Tachypnea

Tachycardia

Diffuseexpiratorywheezing

Nasalflaring

Intercostalretractions

Cyanosis

Inspiratorycrackles

Apnea,especiallyininfantsyoungerthan6weeks

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O2supporttokeepSaO29294%HypertonicsalineinhalationEpinephine:moreeffectivethanSalbutamolstandingChestcare

BronchodilatorandsteroidhavenoevidentofbenefitAntihistamineandnasalconstrictionarenotrecommended.

:barkingcough,hoarseness,stridor

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steeplesign

steeple sign

administrationofO2administeringainhaledsalinesolutionadministeringnebulizedracemicepinephrineadministeringcorticosteroid(dexamethasone):0.6mg/kg/dosex1IM/po

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