- Reference Values for Hypertension in Children – Hypertension in children is clearly abnormal
Grade 1-3 130/80
Grade 4-6 135/80
Grade 7-9 (male) 140/85
Grade 7-9 (female) 135/80
Grade 10-12 140/85
If above, there is hypertension
If hematuria or proteinuria is indicated as (+) in your school urinalysis, blood pressure should be measured, and if hypertension is also found,further examination is needed immediately.
- Alcohol disinfection alone is not sufficient for adenovirus
Adenovirus is a virus that mainly causes pharyngitis, pharyngoconjunctival fever (pool fever), and gastroenteritis. It is a viral infection that is originally found throughout the year. In the current epidemic, all of these patterns are seen. (Although very rare, it can also cause infectious symptoms in the urinary tract, liver, central nervous system, and heart.)
There are more than 70 different types of the virus, and it can be contracted many times. The incubation period is 2-14 days when it comes to the throat and 3-10 days when it comes to the gastrointestinal tract.
It is transmitted through the eyes, nose, and mouth via the hands that touch them. Adenovirus is a double-stranded RNA virus without an envelope, so alcohol, synthetic detergents, and chlorhexidine cannot be used to remove it from hands or utensils. Careful hand washing is essential, but if every inch of the hand is not carefully washed, the virus can remain on the fingers even after 10 seconds of hand washing.
- 80% of urticaria in children is caused by common cold
Urticaria is an itchy, swollen rash that disappears within 24 hours but appears as if it has moved to another location.
There is also “stimulus-induced urticaria” with a definite cause, but most cases in children are “idiopathic urticaria” with no identifiable cause.
The cause of “acute idiopathic urticaria,” which resolves within one to four weeks, can be stress or fatigue, but most cases are caused by a cold virus that entered the body before or after the onset of urticaria. Therefore, once the cold is cured spontaneously, the urticaria will also heal on its own.
- Timing of EpiPen use – there is no case where it would have been better not to shot
What happens if you accidentally shot someone with an EpiPen when they are not anaphylactic?
(Answer) If you inject a normal person, they will feel hot flashes and heart will pound, but it is only a temporary phenomenon and will return to normal in about 15 minutes. The adrenaline is a type of hormone originally produced in an organ in the human body called the adrenal medulla.
It is impossible to predict the course of anaphylaxis. Injecting adrenaline intramuscularly within 30 minutes reduces the risk of multiple doses of adrenaline, decreases the rate of hospitalization, and reduces biphasic reactions that occur over time. Conversely, delayed administration increases the risk of biphasic reactions. Adrenaline (EpiPen) is a drug that prevents severe reactions, and it is crucial that it be injected intramuscularly before anaphylaxis peaks.
Voice is hoarse, throat and chest tightness, dog-barking cough, persistent strong cough, wheezing cough, difficulty breathing
Repeated vomiting, unbearable abdominal pain
Swelling of the face, skin rash all over the body, unbearable itching, pale lips or fingernails, difficult to feel the pulse, tachycardia, drowsiness, fear, headache, limping, leaking urine or stool
If any one of these is present, EpiPen must be used.
There is no “don’t inject or shouldn’t have injected” situation for EpiPen prescribed.
(Obvious tachycardia per minute: 6 months of age 180, 1-2 years 170, 3-5 years 160, 7-9 years 155, 10-11 years 145, 12-14 years 140, 15-17 years 135, 18 years and older 130)