G calamine carefully unroof larger blisters

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Unformatted text preview: tment of Pediatrics Walter Reed Army Medical Center 23 Skin (cont.) Topical antibiotics, e.g. Silvedene Systemic antipruritics Systemic analgesics Fluids and electrolytes Clifton Yu, MD Department of Pediatrics Walter Reed Army Medical Center 24 Eyes Thorough irrigation Cycloplegics (e.g. homatropine) Topical antibiotics Vaseline to edges of eyelids Systemic analgesics (e.g. NSAID's) Clifton Yu, MD Department of Pediatrics Walter Reed Army Medical Center 25 Pulmonary Upper airway symptoms--steam inhalation, cough suppressants Avoid using antibiotics early on Intubation if lower resp. sx's progress -attempt before laryngospasm or significant edema develop -direct laryngoscopy with suctioning if evidence of pseudomembrane formation Clifton Yu, MD Department of Pediatrics Walter Reed Army Medical Center 26 Pulmonary (cont.) No evidence steroids beneficial routinely Prolonged assisted or controlled ventilation--bad prognosis Clifton Yu, MD Department of Pediatrics Walter Reed Army Medical Center 27 Bone Marrow If neutropenic, some advocate gut sterilization with non-absorbable antibiotics Bone marrow transplant or transfusion--may be life-saving in selected cases Clifton Yu, MD Department of Pediatrics Walter Reed Army Medical Center 28 GI Atropine (0.4 to 0.6 mg IM or IV for adults) or another anti-cholinergic may be helpful IV fluids Clifton Yu, MD Department of Pediatrics Walter Reed Army Medic...
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