Paediatrics - Queensland Health - Queensland Government

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Gastrointestinal problems Treatments for common worms [5] Drug Worm Pyrantel (Combantrin®) Mebendazole (Vermox®) Albendazole 614 Threadworm (pinworm) Hookworm Roundworm Threadworm (pinworm) Hookworm Roundworm Whipworm Threadworm (pinworm) Hookworm Roundworm Strongyloidiasis Whipworm Praziquantel Beef tapeworm and pork tapeworm Dwarf tapeworm Ivermectin Strongyloidiasis Schedule 2 Pyrantel embonate (Combantrin®) DTP IHW / IPAP Authorised Indigenous Health Workers and Isolated Practice Area Paramedic may proceed Form Strength Route of administration Recommended dosage Duration Tablet Suspension 125 mg 250 mg 50 mg / mL Oral 10 mg / kg / dose to a max. of 1 g Stat Repeat after 7 days if heavy infestation Provide Consumer Medicine Information: for use in children < 6 months of age and pregnant women Management of associated emergency: consult MO • Reassurance, education and advice regarding hand-washing and personal hygiene • If treating worms without laboratory confirmation use albendazole or mebendazole • If treating after laboratory confirmation of the worm, see table for the preferred treatment: pyrantel (Combantrin®), albendazole or mebendazole (Vermox®) • If part of a worm eradication program, use albendazole as a single dose every 4 to 6 months • Only pyrantel (Combantrin®) can be used in children < 6 months and in pregnant women [5] • Albendazole and mebendazole should not be used in children < 6 months or in pregnant women [5] Controlled copy V1.0 [5] Primary Clinical Care Manual 2011
Gastrointestinal problems Schedule 4 Albendazole DTP IHW / SM R&IP / IPAP Authorised Indigenous Health Workers and Isolated Practice Area Paramedic must consult MO / NP Scheduled Medicines Rural & Isolated Practice Registered Nurses may proceed Form Strength Tablet 200 mg 400 mg Route of administration Oral Recommended dosage Threadworm (pinworm), hookworm, roundworm Adult 400 mg Child ≤10 kg give 200 mg Strongyloidiasis, whipworm Adult 400 mg daily Child ≤10 kg give 200 mg daily Duration Primary Clinical Care Manual 2011 Controlled copy V 1.0 615 Stat 3 days Provide Consumer Medicine Information: women should use effective contraception during and one month after treatment. To increase absorption for systemic indications i.e. strongyloides, take medication with fatty meal. For other indications take on an empty stomach Management of associated emergency: consult MO [5] • or Schedule 2 Mebendazole (Vermox®) DTP IHW / IPAP Authorised Indigenous Health Workers and Isolated Practice Area Paramedic may proceed Form Strength Route of administration Recommended dosage Theadworm (pinworm) Adult Duration Tablet 100 mg 100 mg Child Stat Oral ≤10 kg give 50 mg Whipworm, hookworm, roundworm Suspension 100 mg / 5 mL Adult 100 mg bd Child ≤10 kg give 50 mg bd 3 days Provide Consumer Medicine Information Management of associated emergency: consult MO 5. Follow up See at next MO clinic if anaemia or weight loss / failure to thrive 6. Referral / consultation Consult MO as above [5]
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Section 6 Paediatrics
Page 3 and 4:
Paediatric presentation History and
Page 5 and 6:
Paediatric presentation Presentatio
Page 7 and 8:
Paediatric presentation Standard cl
Page 9 and 10:
Paediatric presentation Physical ex
Page 11 and 12:
Child with fever Fever is usually a
Page 13 and 14:
Child with stridor Stridor is a har
Page 15 and 16:
Any history of significant trauma?
Page 17 and 18:
Meningitis Meningitis Recommend Co
Page 19 and 20:
6. Referral / consultation Consult
Page 21 and 22: Respiratory problems • For the ch
Page 23 and 24: Respiratory problems 1. May present
Page 25 and 26: Respiratory problems 4. Management
Page 27 and 28: Child < 3 months Contact MO immedia
Page 29 and 30: Immune complications Acute post st
Page 31 and 32: Immune complications Schedule 4 Ben
Page 33 and 34: Immune complications Acute rheumat
Page 35 and 36: Immune complications Australian gui
Page 37 and 38: presence of RHD Place person on Re
Page 39 and 40: Ear problems • Clean the ear usin
Page 41 and 42: Ear problems Acute otitis media (A
Page 43 and 44: Ear problems Schedule 4 Roxithromyc
Page 45 and 46: Ear problems 4. Management • Give
Page 47 and 48: See Simple analgesia back cover Ear
Page 49 and 50: Ear problems 6. Referral / consulta
Page 51 and 52: Ear problems 5. Follow up Children
Page 53 and 54: Ear problems Ear discharge in the p
Page 55 and 56: Ear problems 4. Management • Cons
Page 57 and 58: Ear problems Schedule 4 Flumethason
Page 59 and 60: Ear problems Foreign body / insect
Page 61 and 62: Gastrointestinal problems Acute gas
Page 63 and 64: Gastrointestinal problems 4. Manage
Page 65 and 66: Gastrointestinal problems • Bottl
Page 67 and 68: Gastrointestinal problems Nutrition
Page 69 and 70: 5. Follow up Review 1 - 2 days aft
Page 71: Gastrointestinal problems Intestin
Page 75 and 76: Gastrointestinal problems 4. Manage
Page 77 and 78: Gastrointestinal problems Intussusc
Page 79 and 80: Gastrointestinal problems • Perfo
Page 81 and 82: Gastrointestinal problems Backgroun
Page 83 and 84: Schedule 2 Folic Acid Gastrointesti
Page 85 and 86: Urinary tract problems References 1
Page 87 and 88: Urinary tract problems ○ where no
Page 89 and 90: Bone and joint problems 3. Clinical
Page 91 and 92: Abuse and neglect 2. Immediate mana
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Paediatrics - Queensland Health - Queensland Government

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