NelsonGPT
Hello! I'm NelsonGPT, your AI-powered pediatric medical assistant. How can I help you today?
Here are some things I can do:
- Provide evidence-based pediatric guidance
- Calculate medication dosages
- Explain developmental milestones
- Assist with emergency protocols
- Interpret growth charts
You
What's the recommended treatment for otitis media in a 2-year-old?
NelsonGPT
For acute otitis media in a 2-year-old, the recommended first-line treatment is:
- Amoxicillin: 80-90 mg/kg/day divided into 2 doses (max 3 g/day) for 10 days
- Alternative (if penicillin allergy): Cefdinir (14 mg/kg/day in 1-2 doses) or Azithromycin (10 mg/kg on day 1, then 5 mg/kg/day for 4 days)
Watchful waiting for 48-72 hours may be appropriate for mild cases in otherwise healthy children.
For a 12 kg child, the amoxicillin dose would be approximately 480-540 mg/day (240-270 mg per dose).
Nelson Textbook of Pediatrics, 21st Ed. (Pg. 1456-1458)
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