QuestionSBA
QuestionChoice
Although fluid resuscitation may be necessary if the child is dehydrated due to reduced oral intake, there is nothing in the stem to support this
34001
b
0.9% normal saline 200ml IV
QuestionChoice
Phenoxymethylpenicillin may be given to treat streptococcal infections. There is no evidence such an infection is present in the stem
34004
e
Phenoxymethylpenicillin 125mg PO
QuestionChoice
Dexamethasone is an anti-inflammatory steroid medication commonly used to treat croup in the paediatric population. It has no role in the acute management of bronchiolitis
34002
c
Dexamethasone 1.5mg PO
QuestionChoice
Bronchiolitis is generally managed conservatively unless there is evidence of disease severity (e.g cyanosis, <50% oral intake)
34000
a
No additional treatment is required
QuestionChoice
Palivizumab is a humanised monoclonal antibody that is used to prevent RSV infections in children at higher risk of severe disease. It is not routinely given without specialist paediatric input
34003
d
Palivizumab 15mg IM
QuestionComment
Not sure about his hydration level.
8506
User
subscriber
Juice Myopathy
QuestionComment
''Although fluid resuscitation may be necessary if the child is dehydrated due to reduced oral intake, there is nothing in the stem to support this'' - dude the stem says reduced oral intake


8508
User
subscriber
Embolism Relapse
Concept
Chapter
#### Monitoring

The BNF advises to monitor lung function (in patients with a history of obstructive airway disease).

#### Overdoses

Overdosages with beta-blockers may cause cardiac effects such as bradycardia, hypotension, syncope, conduction abnormalities, and heart failure. Bradycardia is the most common arrhythmia, but some beta-blockers may induce ventricular tachyarrhythmias secondary to prolongation of QT interval (e.g. sotalol) or QRS duration (e.g. propranolol).
Non-cardiovascular effects include central nervous system effects (including drowsiness, confusion, convulsions, hallucinations, and in severe cases coma), respiratory depression, and bronchospasm.

Management
 - Airway protection 
 - Activated charcoal within 1 hour
 - IV Fluids
 
IV glucagon is the first-line management.
 
For symptomatic bradycardia, IV atropine may be used.

2618
2744
Bronchiolitis
Topic
91
Paediatrics
6811
Case Presentation: A 15 month old boy is brought to A&E by his parents with fever, cough and reduced oral intake.


**O/E**

Temperature 37.8°C. HR 104, RR 32 with persistent non-productive cough. O2 95% RA. Scattered fine crepitations and audible wheeze on auscultation. Appears pale pink and not cyanosed. Weight 10kg.

He has been given paracetamol oral suspension (Calpol Infant 120mg/5ml) 120mg PO and started on 4L oxygen wafted via simple face mask.

Question: Select the most appropriate management at this stage.
a