Podcast
Questions and Answers
Which of the following best describes the characteristics of dehydration in newborns compared to adults?
Which of the following best describes the characteristics of dehydration in newborns compared to adults?
- Adults can tolerate dehydration better than newborns.
- Newborns are less prone to sodium and potassium loss during illness.
- Newborns and young children have a higher water content than adolescents and adults. (correct)
- Newborns and young children have less water content.
What is a goal of therapy for treating dehydration in children?
What is a goal of therapy for treating dehydration in children?
- Provide education to family members to help prevent recurrence. (correct)
- Limit fluid intake until symptoms resolve.
- Increase dietary sodium intake immediately.
- Monitor only heart rate for signs of dehydration.
Which one of the following tests is NOT typically indicated for assessing dehydration?
Which one of the following tests is NOT typically indicated for assessing dehydration?
- Serum creatinine.
- Abdominal ultrasound. (correct)
- Blood gas analysis.
- Urinalysis.
During the physical examination of a dehydrated child, which of the following would NOT be a relevant indicator?
During the physical examination of a dehydrated child, which of the following would NOT be a relevant indicator?
What factor makes the assessment of dehydration particularly challenging in infants and children?
What factor makes the assessment of dehydration particularly challenging in infants and children?
Which of the following symptoms indicates underlying causes of dehydration mainly due to fluid loss?
Which of the following symptoms indicates underlying causes of dehydration mainly due to fluid loss?
In managing electrolyte imbalances during dehydration therapy, which of the following electrolytes is typically monitored?
In managing electrolyte imbalances during dehydration therapy, which of the following electrolytes is typically monitored?
Which of the following precautions helps prevent complications in dehydrated children?
Which of the following precautions helps prevent complications in dehydrated children?
Which of the following medications could potentially cause significant drug interactions that might lead to diarrhea?
Which of the following medications could potentially cause significant drug interactions that might lead to diarrhea?
What can be a potential complication of chronic hepatitis C if left untreated?
What can be a potential complication of chronic hepatitis C if left untreated?
What is the primary use of Epclusa in the treatment of hepatitis?
What is the primary use of Epclusa in the treatment of hepatitis?
Which of the following medications is an antacid that may cause significant drug interactions?
Which of the following medications is an antacid that may cause significant drug interactions?
In older adults taking proton pump inhibitors, what is a significant consideration due to potential drug interactions?
In older adults taking proton pump inhibitors, what is a significant consideration due to potential drug interactions?
What should a person taking Harvoni do if they miss a dose and it is within 18 hours of when it should have been taken?
What should a person taking Harvoni do if they miss a dose and it is within 18 hours of when it should have been taken?
Which condition is not listed as contraindicated for patients taking Harvoni?
Which condition is not listed as contraindicated for patients taking Harvoni?
If more than 18 hours have passed since a dose of Harvoni was supposed to be taken, what is the recommended course of action?
If more than 18 hours have passed since a dose of Harvoni was supposed to be taken, what is the recommended course of action?
Which side effect is identified as a potential side effect of taking Harvoni?
Which side effect is identified as a potential side effect of taking Harvoni?
Which medication is indicated to cause a drug interaction with Harvoni?
Which medication is indicated to cause a drug interaction with Harvoni?
What is a recommendation for patients on Harvoni who are pregnant or planning pregnancy?
What is a recommendation for patients on Harvoni who are pregnant or planning pregnancy?
Which of the following medications is contraindicated with Harvoni due to potential drug interaction?
Which of the following medications is contraindicated with Harvoni due to potential drug interaction?
What should a patient with co-infection with HIV consider before starting Harvoni?
What should a patient with co-infection with HIV consider before starting Harvoni?
Which potential condition complicates the management of treatment involving Harvoni?
Which potential condition complicates the management of treatment involving Harvoni?
What common misconception might one have regarding the timing of a missed Harvoni dose?
What common misconception might one have regarding the timing of a missed Harvoni dose?
What is the recommended duration for taking Epclusa for hepatitis C treatment?
What is the recommended duration for taking Epclusa for hepatitis C treatment?
Which condition must be addressed before prescribing Epclusa to a patient?
Which condition must be addressed before prescribing Epclusa to a patient?
What is a common side effect of Epclusa?
What is a common side effect of Epclusa?
Which of the following medications should NOT be taken with Epclusa?
Which of the following medications should NOT be taken with Epclusa?
Which cirrhosis classification indicates that a patient may need ribavirin along with Epclusa?
Which cirrhosis classification indicates that a patient may need ribavirin along with Epclusa?
Which of the following factors is NOT a reason to consult with a healthcare provider before prescribing Epclusa?
Which of the following factors is NOT a reason to consult with a healthcare provider before prescribing Epclusa?
What is a crucial drug interaction precaution for patients on Epclusa?
What is a crucial drug interaction precaution for patients on Epclusa?
Which of the following is an undetermined safety concern for Epclusa in patients?
Which of the following is an undetermined safety concern for Epclusa in patients?
Which co-infection is a potential concern for patients considering treatment with Epclusa?
Which co-infection is a potential concern for patients considering treatment with Epclusa?
What is a key feature of the fixed-combination tablet of Epclusa?
What is a key feature of the fixed-combination tablet of Epclusa?
What is an absolute indication for admitting a child to the hospital?
What is an absolute indication for admitting a child to the hospital?
Which of the following statements about infants under 6 months is true?
Which of the following statements about infants under 6 months is true?
Which lab finding is associated with the need for hospital admission?
Which lab finding is associated with the need for hospital admission?
What does a negative hepatitis B e-Antigen (HBeAg) test indicate?
What does a negative hepatitis B e-Antigen (HBeAg) test indicate?
Which option represents a possible indication for hospitalization?
Which option represents a possible indication for hospitalization?
What does achieving a functional cure from hepatitis B require?
What does achieving a functional cure from hepatitis B require?
Which of the following symptoms would NOT typically suggest an absolute indication for admission?
Which of the following symptoms would NOT typically suggest an absolute indication for admission?
Children with which condition may still be contagious despite having a negative HBeAg test?
Children with which condition may still be contagious despite having a negative HBeAg test?
What is a common therapy for managing acute dehydration in young children?
What is a common therapy for managing acute dehydration in young children?
Which of the following scenarios would likely not require immediate hospitalization?
Which of the following scenarios would likely not require immediate hospitalization?
Flashcards
Dehydration in infants/children
Dehydration in infants/children
Infants and children have a higher water content and are more susceptible to losing water, sodium, and potassium during illness (compared to adults).
Dehydration Therapy Goals
Dehydration Therapy Goals
To treat shock/impending shock, administer appropriate fluids & routes, address electrolyte imbalances, prevent complications (seizures/edema), and educate families to prevent recurrence.
Dehydration History
Dehydration History
Understanding underlying causes (vomiting/diarrhea, excessive fluid loss), frequency/amount of loss, and urination frequency/amount is crucial in diagnosing Dehydration.
Dehydration Physical Exam
Dehydration Physical Exam
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Dehydration Investigations Lab Test
Dehydration Investigations Lab Test
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Underlying causes of Dehydration
Underlying causes of Dehydration
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Challenging Dehydration Assessment
Challenging Dehydration Assessment
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Dehydration Treatment
Dehydration Treatment
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Missed Harvoni dose within 18 hours?
Missed Harvoni dose within 18 hours?
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Missed Harvoni dose after 18 hours?
Missed Harvoni dose after 18 hours?
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Harvoni contraindicated for?
Harvoni contraindicated for?
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When to consult for Harvoni?
When to consult for Harvoni?
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Harvoni side effect?
Harvoni side effect?
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Harvoni drug interactions?
Harvoni drug interactions?
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Drug interaction example (Harvoni)?
Drug interaction example (Harvoni)?
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When are missed doses problematic?
When are missed doses problematic?
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Harvoni and Pregnancy?
Harvoni and Pregnancy?
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Harvoni and Coinfections?
Harvoni and Coinfections?
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Epclusa Dosage
Epclusa Dosage
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Epclusa Side Effects
Epclusa Side Effects
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Epclusa Contraindications
Epclusa Contraindications
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Epclusa and Decompensated Cirrhosis
Epclusa and Decompensated Cirrhosis
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Epclusa and Kidney Injury
Epclusa and Kidney Injury
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Epclusa and Hepatitis B co-infection
Epclusa and Hepatitis B co-infection
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Drug interactions with Epclusa
Drug interactions with Epclusa
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Epclusa and liver problems besides hepatitis C
Epclusa and liver problems besides hepatitis C
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Epclusa and previous NS5A inhibitor treatment
Epclusa and previous NS5A inhibitor treatment
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Epclusa and HIV co-infection
Epclusa and HIV co-infection
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What medications can cause drug interactions with Epclusa?
What medications can cause drug interactions with Epclusa?
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What is Epclusa used for?
What is Epclusa used for?
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How often is Epclusa taken?
How often is Epclusa taken?
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Antacids and Epclusa
Antacids and Epclusa
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Drug interactions with Epclusa: Heart Medications
Drug interactions with Epclusa: Heart Medications
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Infant Dehydration Treatment
Infant Dehydration Treatment
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Hospital Admission: Absolute Indications
Hospital Admission: Absolute Indications
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Hospital Admission: Possible Indications
Hospital Admission: Possible Indications
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Hepatitis B Immune Control
Hepatitis B Immune Control
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Hepatitis B e-Antigen Negative
Hepatitis B e-Antigen Negative
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Hepatitis B Contagious?
Hepatitis B Contagious?
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Hepatitis B: Functional Cure
Hepatitis B: Functional Cure
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Study Notes
Introduction
- Dehydration is a serious concern for newborns and young children due to their higher water content compared to adults.
- Infants and children are more vulnerable to fluid loss during illness.
Goals of Therapy
- Treat shock and impending shock
- Treat dehydration using appropriate fluids and routes
- Treat electrolyte imbalances
- Prevent complications (seizures, edema)
- Educate family members to prevent recurrence
Investigations
- Thorough history, focusing on the underlying cause(s) (vomiting, diarrhea, etc.) and the frequency and amount of fluid loss
- Frequency and amount of urinary output
- Physical examination: heart rate, respiratory rate, blood pressure, temperature, oxygen saturation, and capillary refill
- Laboratory tests: serum sodium (Na+), potassium (K+), chloride (Cl-), urea, creatinine, glucose and bicarbonate (HCO3-), blood gases, and urinalysis as needed
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Description
This quiz examines the characteristics of dehydration in newborns compared to adults, focusing on assessment, symptoms, and therapy goals. It also covers relevant indicators during physical examinations and challenges faced in pediatric dehydration management.
