9651866
Description
Flashcards by Averil Tam, updated more than 1 year ago
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Created by Averil Tam
over 6 years ago
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| Question | Answer |
| TRUE/FALSE? 1. Young children presenting with fever, vomiting and / or diarrhoea may be found to have an illness other than gastroenteritis. | True: Children presenting with fever, vomiting and/or diarrhoea often have an infection other than gastroenteritis (e.g. urinary tract infection, sepsis, appendicitis). Always exclude other causes especially in young infants. |
| TRUE/FALSE? 2. Rice water is a suitable oral rehydration fluid in infants. | False: Rice water is not suitable as an oral rehydration fluid in children as it does not contain enough salts. |
| TRUE/FALSE? 3. Dystonic reaction is a recognized complication of some anti-emetics especially young children. | True: Dystonic reaction to anti-emetics such as prochlorperazine and metoclopramide may occur especially in children. It is most common in the under 2 year age group. Treatment is with an anticholinergic antihistamine or diazepam, in children less than 1 year of age. Older children can be treated by benztropine. |
| SIMPLE FEBRILE CONVULSIONS - T/F? 4a. They generally occur between the ages of 6 months and 6 years. | True: Simple febrile convulsions usually occur between 6 months and 6 years of age. |
| SIMPLE FEBRILE CONVULSIONS - T/F? 4b. As a treating doctor you should initiate treatment as soon as febrile convulsion commences. | False: Simple febrile convulsions are brief, generally lasting less than 5 minutes. It is important to keep calm, ensure the safety of the child, check the clock and commence treatment if the convulsion does not cease within 5 minutes. |
| SIMPLE FEBRILE CONVULSIONS - T/F? 4c. There is no residual neurological impairment resulting from a simple febrile convulsion. | True: There is no residual neurological impairment resulting from a simple febrile convulsion. This is an important message to give to parents. |
| SIMPLE FEBRILE CONVULSIONS - T/F? 4d. A post-ictal phase is usually observed. | True: There is usually a brief post-ictal phase. |
| 5a. Give 4 signs of toxicity/sepsis in a child. | i. Decreased alertness/arousal ii. Breathing difficulty: increased RR, recession/effort; cyanosis, irregular or shallow respiratory effort iii. Impaired circulation (central CRT >2secs), pallor, tachycardia; hypotension iv. Decreased fluids in and out |
| 5b. If one of these signs is missing, sepsis is reliably excluded – T/F? | False: Absence of any of the above signs does not rule out toxicity/sepsis. Clinical signs may appear/change over time and children in particular may undergo rapid clinical deterioration. Frequent assessment and re assessment is of key importance when monitoring clinical status in a child/infant. |
| 6. What are some ways of decreasing the number of deaths in children due to immersion injuries? | Promote pool safety to parents: i. Appropriate supervision of children around pools ii. Ensure a responsible adult is always present iii. Proper fencing around pools iv. Encourage parents to learn cardio pulmonary resuscitation (CPR). Administering CPR as soon as possible following an immersion injury - remember that any CPR is better than no CPR. |
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