By Tim Barrett, A Lander, V Diwakar
A whole revision of this winning pocketbook, the fourteenth variation of A Paediatric Vade-Mecum offers the junior general practitioner and trainee grade paediatrician with priceless info at the prognosis and administration of affliction in teenagers, and with useful evidence-based suggestion for the secure and potent administration of the ailing child.
Retaining the easy-to-digest variety that has made prior variants so well known, the content material has been restructed into 5 significant sections: acute paediatric difficulties, outpatient paediatrics, formulary, general values and thesaurus of phrases, with entries in sections 1 and a couple of organised alphabetically for ease of reference. Pre-registration condo officials, SHOs and SpRs in Paediatrics, and GPs in education shouldn't be with out a own replica.
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In allergic individuals, or those who have received penicillin within the previous 4 weeks, give clindamycin (dose: over 10 years, 600 mg 1 h before extraction; under 10 years, 300 mg; under 5 years, 150 mg). Special considerations apply to those with a previous history of bacterial endocarditis, and those who are to receive a general anaesthetic (see RCPCH Publications (2002) Medicines For Children). qxd 9/6/02 5:37 PM Page 31 CHILD ABUSE AND PROTECTION AWARENESS CHILD PROTECTION Doctors must be aware of both internal departmental and interagency child protection procedures.
SODIUM BICARBONATE Metabolic acidosis rapidly develops during CPR as a result of anaerobic metabolism. Myocardial contractility is depressed in acidosis. Sodium bicarbonate is not routinely recommended as it can produce a worsening intracellular acidosis. Sodium bicarbonate can reliably be used in the treatment of hyperkalaemia and, as worsening acidosis renders adrenaline ineffective, its use may be advocated if spontaneous circulation has not been restored after the second dose of adrenaline.
Keep a detailed, accurate and up-to-date record. Use a standard proforma where available. • Record the name of the person(s) giving the history and their relationship to the child. • Record history and clinical findings, using carefully labelled diagrams and drawings. When necessary, obtain photographs. • Document weight, stature, head circumference, developmental status, behaviour and effect of child. g. Personal Health Record). There are four main categories of abuse: physical abuse, sexual abuse, emotional abuse and neglect.
A paediatric vade-mecum by Tim Barrett, A Lander, V Diwakar