1 - Paeds - Resp - The Febrile Child Flashcards Preview

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Flashcards in 1 - Paeds - Resp - The Febrile Child Deck (11):
1

Most have...

brief, self limiting viral infection

2

how to identify fever? axillary temps different how?

<4 weeks = electronic thermometer in axilla
<5y = electronic/chemical dot thermometer in axilla or infrared tympanic thermometer

they underestimate by 0.5 C

3

if <3m with non specific clinical features ... likely to be

likely to be bact infection unidentifiable by clinical examination (unlikely viral infection of older infants due to passive immunity from mother)

4

if <3m with non specific clinical features... mgmt

need urgent Ix - septic screen, and immiediate IV ABx to prevent decline/spread

5

febrile child - risk factors for it to be serious

illness in family/community, unimmunised, recent travel abroad, contact with animals (brucellosis), immunodeficiency

6

Red flags for urgent Ix/serious illness - 10 things

dehydration/shock
pale/blue/mottled colour
reduced GCS
neck stiff
bulging fontanelle
status epilepticus
focal neuro signs/seizures
resp distress
bile stained vomit
>38 if <3m and >39 if 3-6m

7

mgmt if not seriously ill

manage at home with regular parental review, warns of signs to look for

8

if seriously unwell/no focus of infection

require Ix/obs/Tx - in PAU/PED, septic screen needed

9

what is given immediately if seriously unwell
when give aciclovir?

parenteral ABx given immediately
aciclovir if HerpeS Encephalitis suspected

10

3 other things to do/not do/give

supportive care
do not undress
use anti-pyretic if distressed/unwell

11

what is in a septic screen

blood culture
FBC
CRP
Urine dip
(Lactate)

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