-Inhaled corticosteroids: anti-inflammatory, decrease hyper-responsiveness, inhibit inflammatory cell migration and activation, block late reactions to allergen, decrease exacerbations (ex: beclomethasone, budesonide)
-Long acting beta agonists: relaxes smooth muscles in airway, duration of action at least 12 hours, used in combination with ICS(ex: salmeterol, famoterol)
-Leukotriene modifiers: decrease inflammation cascade, alternate choice for mild persistent asthma, used with ICS for moderate-to-severe asthma (ex: Montelukast, Zafirlukast)
-Mast cell inhibitors: interfere with chloride channels, stabilize mast cells, alternative for mild persistent(ex: cromolyn sodium, nedocromil)
-Anti-immunoglobulin E antibody: children ≥12 years old with sensitivity to dust mites, cockroaches, dogs, and cats; used in moderate-to-severe persistent asthma; anaphylaxis may occur
-Methylxanthines: relax smooth muscles in airway, continuous airway dilation (ex: PO theophylline, IV aminophylline, monitor serum levels)
-SABA: relaxes smooth muscles in the airway, increases water into mucus, promoting clearance, effects seen in 5-10 min. Drug of choice acute therapy, nebulizer, or metered dose inhaler (ex: albuterol, terbutaline, levalbuterol)
-Corticosteroids: decrease airway inflammation, enhance bronchodilation effects of SABA,use in moderate-to-severe persistent asthma with SABA(ex: methylprednisone, IV or PO)
-Anticholinergics: inhibit bronchoconstriction, decrease mucous production, used with SABA in acute exacerbation
-Apply an antifungal cream such as miconazole to the lesion twice daily
-If lesions are moist, such as in the groin area or between the toes, apply wet compresses using Burrow's solution twice daily to the dry area
-Do not share hats, combs, brushes, ribbons, scarves, clothing, or bedding
-Cover skin lesions
-For tinea pedis (athlete's foot), air the feet as much as possible.
Sandals are recommended for airing the feet.
Change socks daily and alternate shoes to give them a chance to air out.
-For tinea capitis (ringworm on the scalp), shampoo the hair twice daily for 2 weeks with shampoos such as selenium sulfide 2.5% or ketoconazole 2%.
Shampoos are effective in mild cases and as adjunct therapy to oral medications.
Systemic oral medications also required.
-Flattened, broad head with flat posterior areas
-Undeveloped, flattened middle of the face
-Almond-shaped, up slanting eyes
-Prominent epicanthal folds, with small, downturned mouth
-Small oral opening with protruding tongue
-Small, low-set eats that may be cupped
-Chest may be broad, with heart murmurs related to defects
-Congenital heart defects
-Endocardial cushion effect (atrioventricular canal)- connection between the atria, upper chambers, and ventricle, lower chambers, most common
-Low tone; can be floppy with breathing and feeding at birth
-HIGH PITCH CRY,
-Bilateral scalp veins,
-bradycardia at first that then turns into tachycardia,
-high blood pressure,
-EARLY MORNING HEADACHES,
-PROBLEMS WITH BALANCE,
-bradycardia that turns into tachycardia,
-problems with posture,
Signs of anemia:
Central nervous system signs:
-loss of developmental progress,
Birth: Hep B
2 months: Hep B, RV, DTaP, HIB, PSV13, IPV
4 months: RV, DTaP, HIB, PCV13, IPV
6 months: Hep B, RV, DTaP, HIB, PCV13, IPV
[can start getting Flu shots]
12 months: HIB, PCV13, MMR, DTaP, Varicella, Hep A