By Robert J. Hoffman MD MS, Vincent J. Wang MD MHA, Dr. Richard J. Scarfone MD, Dr. Sandip A. Godambe MD PhD MBA, Dr. Raymond Pitetti MD MPH

Fleisher and Ludwig's 5-Minute Pediatric Emergency drugs Consult offers complete, useful details on over 800 pediatric emergency matters in a fast-access two-page "5 Minute" define layout for simple emergency division use. The ebook focuses in particular on pediatric emergency drugs and is totally unique from Rosen and Barkin's 5-Minute Emergency drugs Consult, which specializes in grownup administration, with pediatrics as a far off "second". This publication is usually specified from from The 5-Minute Pediatric Consult, which covers fundamental care matters yet doesn't thoroughly deal with emergency matters and administration. assurance contains medical presentation, pre-hospital, analysis, therapy, disposition, ICD-10 coding, and pitfalls. remedy techniques are congruent with these of famous, authoritative resources together with the yankee Academy of Pediatrics and the yankee collage of Emergency medication. The booklet comprises pediatric scientific, surgical, and environmental/poisoning emergencies, and includes reference info similar to very important symptoms, resuscitation gear sizes, and drugs doses in addition to directions on universal pediatric EM procedures.

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DIAGNOSTIC TESTS & INTERPRETATION Lab Initial Lab Tests Obstructive bowel process is common cause, and laboratory testing is of limited value for diagnosis but can be used as an adjunct for patient management: r CBC with peripheral smear is recommended to evaluate for inflammatory or infectious process or malignancy. r Assess electrolytes if an ileus is suspected r Order BUN/creatinine if concerned for renal disease. xml April 15, 2011 13:20 ABDOMINAL DISTENTION A Imaging r A 2- or 3-view abdominal radiograph is the most helpful initial diagnostic study to perform for a patient presenting with abdominal distention.

Imaging Soft tissue US may be employed to aid in diagnosis or to guide drainage. d. d. d. xml April 15, 2011 13:20 ABSCESS, BARTHOLIN GLAND A r Local anesthetics: – Infiltration with a local anesthetic may achieve significant analgesia. 1 mg/kg IV/SC may be repeated q15–20min until pain is controlled, then q2h PRN. – Fentanyl 1–2 μg/kg IV q2h PRN: ◦ Initial dose of 1 μg/kg IV may be repeated q15–20min until pain is controlled, then q2h PRN. 1 mg/kg of hydrocodone component PO q4–6h PRN Issues for Referral Recurrence COMPLEMENTARY & ALTERNATIVE THERAPIES r Warm compresses r Sitz baths SURGERY/OTHER PROCEDURES r Incision and drainage is the mainstay of therapy.

Delayed passage of meconium can be seen in cystic fibrosis and Hirschsprung disease. – Fever may be from an infectious process such as sepsis causing ileus, a GI infection, or peritonitis due to perforation. – A weak urinary stream may be secondary to posterior urethral valves causing hydronephrosis. r In the infant and older child: – Inquire about previous abdominal surgeries. – Inquire about the stooling pattern. – Pain should be thoroughly evaluated and differentiated, as it may render important clues to the etiology of the disease: ◦ Acute onset of inconsolability or increased irritability should alert toward abdominal emergencies such as intussusception, obstruction, or infection.

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