Doctor insights on:
Fluids: My most common reason for admitting an infant/toddler/child is their need for fluids. Many of their issues could be handled by oral medications but many just shut down when they feel bad and quit taking fluids. The other is oxygen for those who give up eating &drinking to concentrae on getting oxygen. Once they can beathe nl & take fluids well, most can go home on oral meds. ...Read more
Any good resources for paediatric nutrition - am not able to find anything here or on AAP. Org as some doctors on HealthTap have recommended.?
Choosemyplate. Gov: Choosemyplate. Gov is a good resource with broad guidance for diet at different age groups. It doesn't seek to delve into controversial or loaded topics like specific nutrient choices, supplements or "superfoods, " but rather focuses on overall calorie intake, balanced nutrition and avoidance of over-processed foods which is what we know promotes healthy development. It doesn't address infants. ...Read more
Personally I love: Visiting kids and helping parents to cope. Some of the brightest and saddest moments ocur there. Visitors need to decide if they can be there for the kids and their folks, and be respectful of them and their feelings. You are visitors, not health pros, and need empathetic enerrgy not problem solving intution. Humilty and compassion help. ...Read more
I am doing junior clerkship in the paediatric ward, n am wondering which is the best approach for management of a bleeding child?
Do your homework: You need to pull out your reference books & investigate the problem on your own. You must learn how to pursue knowledge without looking for shortcuts like this site. Read, study, read again & gain knowledge within the jargon of your written guides & you will both learn the material & impress your supervisors. ...Read more
Was the medication prescribed specifically for your baby? This is a very strong medication which is rarely used for young infants. It contains a narcotic. Be sure to talk with your doctor before giving any medication to a child younger than 4 years old.
Cough suppressants are not recommended for children- they don't work very well and many children have increased side effects from them. ...Read more
Going to start shadowing paediatric occupational and speech therapist. What should I wear? Wjat should I expect? Thanks
Cheerful clothes: You may consider dressing cheerfully but professionally. Many kids will see you and their impressions of their visit will be based partially on your appearance, demeanor and interest in their health and well-being. Most children enjoy cartoon or animal prints on ties or shirts, stuffed animals around stethoscopes, etc. The most important thing is a positive attitude and a smile. ...Read more
Sir I am suffering from ''medicine for elongeted uvula and obstructive adenoid in paediatric'' from last six months, plz help me to get well...!!!
Not clear: Not sure if I clearly understand your story but it sounds like you need to see a local Ear/Nose/Throat (ENT) specialist to address these problem. ...Read more
Pediatric cardiologi: If you don't enjoy your job, you chose the wrong job or the wrong venue to practice. ...Read more
See doctor: In order to wean you off of nasal decongestant spray, a course of nasal steroid and even oral steroid may be needed. See your doctor. ...Read more
What do you recommend. I have experience with midazolam but can't get it anymore. Have to choose Xanax (alprazolam) or chloral hydrate for paediatric dentistry?
8 year old with daily head aches, an e.E.G. Showing absence seizures; past head injury and concussion. What to request from paediatric neurologist?
If there is a focal lesion which can be followed or removed. You need the highest quality imaging... Sedation. 32 channel 3t head coil is needed. If your hospital does not have this - ask your surgeon if they know of a place that has this. This gives you the best chance to find a seizure focus.
Just for instance I found a seizure focus in a patient missed by two prior scans. So ask for it. ...Read more
Everyone: We handle everyone here at Healthtap. Choose your physician and order a text consult, inbox consult, or virtual consult. You can also choose a subscription, or ask a free question. Welcome to virtual medical care. ...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