And with that came a new fervor for learning.
Posted to paediatrics from yesterday, Feb 6, a day after I turned 20. Though we missed all the days of OBG posting, I’ve attended both the days of paediatrics.
Day 1:
When you take a case, why is it important to know the age? 😛
Hemolysis at day 1 is different from that at day 6.
And how is child case history different from adults?
There’s an entirely new spectrum of diseases that can occur.
Day 2:
Immunization.
The nurses welcome us (just me and Fadnis) warmly and give us a box of used vials to play with. We arranged them in the order they should be administered.
Age 0- BCG (0.05 mL for kids born in hospital, and 0.1 mL for kids coming from outside, is what the nurse told. And the vial said “0.05 mL for kids upto 1 month, 0.1 mL for kids above 1 month”. You can guess why the rule of thumb works) Live attenuated freeze dried Bacillus Chalmette Guerin IP (IP? Dad replied via sms. Indian Pharmacopoeia. BP would be British. USP would be US) For subdermal use.
OPV – Oral Polio Vaccine (20 doses bottle. 1 dose = 2 drops = 0.1 mL)
Hepatitis B Vaccine. Live attenuated. For Intramuscular use.
Age 1.5 month:
OPV
Hep B
DPT (Diptheria, Pertussis, Tetanus) Intramuscular.
Age 2.5 months: OPV, Hep B, DPT
Age 3.5 months: OPV, Hep B, DPT
Age 9 months: Measles (Right shoulder. Should see whether intramuscular or subdermal)
And I forgot the rest.
The intramuscular DPT and Hep B are given in the anterolateral of those small thighs as deep as that small needle (23 or 26 something) goes. The quadriceps was becoming very prominent while administration.
BCG very superficially in the left deltoid area. The kids would be too small that they don’t even cry for more than 2 seconds.
And a pregnant mother was being given Tetanus in the deltoid.
No OPV was given today because the Pulse Polio Programme is happening next week and it would be overdose.
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