Pediatric patients commonly are brought to the Emergency Department for a fever without a source. Management of these patients depends on the patient's age. Today's PV card focuses on the youngest age group: Birth-to-28 days.
QUESTION to everyone:
- Do you correct your age calculation for prematurity? Premature neonates are more at risk for SBI, but I've seen varying practices.
Keep a lookout for future PV cards which will address fevers without a source in pediatric patients aged 29 days-3 months and 3 months-3 years old.
Thanks to Dr. Hemal Kanzaria (UCSF-SFGH resident) for helping design this PV card and Dr. Christine Cho, Dr. Andi Marmor, and Dr. Ellen Laves (UCSF Pediatrics) for the content.
Just a FYI, if IM must be given we lean towards Amp+cefotax due to the variable absorption of IM gent. Love the blog by the way and it has been a big hit with the rest of our pharmacists.
ReplyDeleteHi Ryan: Thanks so much for mentioning this. This is too good of a point to leave off the card. Just fixed to include this tip. By the way, any of your pharmacists (or anyone else, for that matter) interested in writing a Paucis Verbis card on opiates and their equivalents? For instance, how much hydromorphone IV is equivalent to 10 mg of morphine IV? How do you convert IV opiates to po opiates? I've had questions about this...
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