Doctor insights on:
Nafrinse Pediatric Medication
No science on this: Probably not. Osgood schlatter is a condition involving a portion of the tibial growth plate at the insertion of the patellar tendon. It resolves when the growth plates close. The best cure for it is to stretch, stretch and stretch, supplemented with rest, ice and anti inflammatory medication. Save your money and don't buy it; there are no proven benefits and no evidence that is safe. ...Read more
When administrating medication through an ng tube or gastrostomy tube, how many mls of saline is used to flush for pediatric patients?
Variable: Different body size and different metabolism lead to differences in how much drug is needed. Susceptibility to side effects is also an important consideration. ...Read more
What?: Don't risk your life. Anyone who has a structural heart problem or rhythm problem who is followed by a pediatric cardiologist should avoid "sneaking drugs". It's your heart and your life... Seriously, don't risk your life. Ask your cardiologist..."is there a risk if I take...X-drug? ". ...Read more
Pediatric neurology, does lgs epilepsy usually get worse with age/growth. 28month male showing no response to onfi, this is the 4th new drug tried.
Difficult to treat: Lenox-gastaut syndrome is difficult to treat. It is usually treated with a combination of medications instead of monotherapy (single drug). You need to be followed by a specialist for seizures and you should also get involved in your local epilepsy foundation-they can help provide for the non-medical needs of your family and help with education. ...Read more
What's the next best drug when keppra (levetiracetam) fails to control pediatric epilepsy? Staring seizures with full body involvement, now in clusters.
It depends: There's no 1-size-fits-all seizure med any more than all kids eat 1 food or wear identical clothes. There are 3 basic types of epilepsy: 1) primary generalized, 2) partial-onset, and 3) everything else. "staring spells" etc is not good enough. That's not a diagnosis. Find that out. The "best" med is the 1 that reduces seizures with minimum side effects in your child. Arm yourself with knowledge. ...Read more
If you're asking: About the nursing manuals for pediatric NANDAS, here are two sites: http://faculty. Mu.edu. Sa/public/uploads/1380604673.6151NANDA%202012.pdf & http://kb. Nanda. Org/article/AA-00574/0/Development-of-nursing-diagnoses-for-pediatric-nursing-practice. Html. The books of Delmar's Med-Surg, Maternal-Child & Pediatric Nursing Care Plans are on Amazon. Com ...Read more
Isolated VSD: Review of literature revealed that management of isolated VSD (ventricular septal defect) in infant depends on 1) size of the defect. 2) Chance of spontaneous closure or decrease in size over time 3) Involvement of one or more cardiac valves 4) Difficulty and effectiveness of surgical closure. This is absolutely the field of pediatric cardiologist and heart surgeon. ...Read more
Peds or FP: Either a pediatrician or a family practitioner would be good choices. ...Read more
Sevoflurane and more: For inhalation Sevo is most common quickly followed by Isoflurane and Desflurane. Alternatively, the use of many IV anesthetics are commonly used in pediatrics to include: propofol, ketamine, fentanyl, morphine, hydromorphone, Midazolam. Somewhat less commonly: dexmedetomidine, sufentanil, alfentanil, and diazepam. There are more but these are the ones you are most likely to encounter in the U.S. ...Read more
What team?: What team are you referring to? As far as I know, there isn't any specific teams in medicine...We do have various specialties and depending what that specialty is, various level of personels may be involved--doctors, physician assistants, nurses, medical assistants, secretaries/receptionists are the usual suspects, and they all have different roles. Repost question if this is not what you meant.. ...Read more
Questions for doctor:
1. Is my child developing appropriately for age?
2. What are should the diet consist of, how much and how often?
3. When are the next vaccines due?
4. How much sleep should my child be getting?
5. Is it normal for my child to (insert behavior here)?
6. Is my child growing appropriately?
7. What other screenings should we be having done (i.e. dental, vision, hearing, psychological, etc.) ...Read more
Good question: I don't see a way to file a complaint with abp. However, if you really feel that your pediatrician has done something wrong, please start a conversation with him/her. Pediatricians are extremely interested in helping your child and can even suggest second opinions. The abp maintains specialty certification, the worst they could do was revoke certificaiton, but not a medical license to practice. ...Read more
Podiatrist: See a podiatrist. They can have one made, but it would be unusual to need at age 31. ...Read more
Why do pediatric tracheostomies need up-sizing? I know kids of very diff sizes with same trach size.
Why does the american academy of pediatrics say not to exceed a maximum of 32oz of formula in 24hrs?
Overheard resident say "flk" and attending say my child needs to see pediatric geneticist. What was that about?
Medical slang: Flk stands for “funny-looking kid, ” and was a general term for infants affected with various malformation syndromes, particularly those involving multiple facial abnormalities. Considered demeaning and insensitive, it is no longer in use. ...Read more
More specifics?: "hormone imbalances" in pediatrics has an entire subspecialty dedicated to it known as pediatric endocrinology. Your question is really far too general to be answered adequately for you. Can you be more specific about the problem? Also, I believe the best way to address these questions is to speak with your physician about them, and if they can't asnswer your questions, request a referral. ...Read more
Generally over 105: I have always been taught that any temperature over 105 requires being examined, no matter what. Under 6-8 weeks of age anything over 100.5 is considered emergent. But this is the fever only. You need to look at the whole package. That incudes pain, irritability, lethargy, breathing trouble, dehydration and other symptoms. So if concerned, call the pediatrician. ...Read more
Brain tumors vary...: There are many different types of brain tumors, each with it's own risks and survival rates. Some are benign and require no intervention and others are serious and could involve surgical intervention, radiation therapy or/and chemotherapy. Best thing to do is to talk with your own doctor to find out the specifics. Also ask what institution has the best success rate with treatment. ...Read more
Eye disorder: It is inflammation of the uvea, the middle layer of the eye. Uvea consists of the iris, choroid and ciliary body. The choroid is sandwiched between the retina and the white of the eye (sclera), and provides blood flow to the deep layers of the retina. The most common type of uveitis is an inflammation of the iris called iritis. Infections, injury and autoimmune disorders may be serious causes. ...Read more