CDW 02

Question 1

What is Fever?

Answer 1

• Your body temperature is above normal.
• Fever in children, mild 38–38.9°C, high 39–39.9°C, very high 40°C or higher.
Fever in Adults, mild 38–38.9°C, high 39–39.9°C, very high 40°C or higher fever.

Question 2

Describe the signs and symptoms of pyrexia in adults and children ?

Answer 2

For Adults:
Mild fever-Little lethargic, flushed cheeks, and warm to touch. You will generally be able to carry out. normal daily activities.
High fever- May not feel well enough to go to work, you may have aches and pains, and you’ll feel hot to touch.
Very high fever-You will usually want to stay in bed or be inactive, won’t feel well enough to carry out normal activities. loss of appetite. You’ll feel hot to touch.

For Children:
Mild fever- flushed cheeks,less active and feel warm.
high fever- flushed cheeks,less active, be fussy, might not want to eat or drink, and feel hot to touch.
very high fever- have flushed cheeks and feel very hot to touch. Kids will be fussy, refusing food and drink, and will be very listless (lacking in energy).

Question 3

Triage(referring) signs and symptoms of pyrexia in a presenting patient?

Answer 3

Green:Response normally,stays awake, Normal skin and eyes,
Amber:Not responding normally, No smell, decreased activity,fever for 5 days,reduced urine outputs.
Red: Pale,weak,lethargic,No response sometime, very high fever.

Question 4

Have a brief discussion about some thermometers commonly used for measuring fever in adults and children?

Answer 4

Digital thermometers are the best choice but Need to turn on and keep in the body for 2 min for reading.

Ear thermometers are not good for small babies and expensive.

Temporal artery thermometers are good for newborns or child. A better option than rectal digital thermometers.

Mercury thermometers old fashioned but danger if broken.

Question 5

Use the Traffic light triage system in pyrexia in adults and children?

Answer 5

For Adults referral:
○ Hallucinations
○ Vomiting
○ A skin rash
○ A rapid heart rate
A stiff neck (they’re unable to put their chin on their chest or have pain when moving their neck forward)

For Children referral :
○ Very high fever (over 40ºC)
○ Are still feverish after three days of home treatment, or getting sicker
○ Are shivering or shaking uncontrollably or have chattering teeth
○ Have a severe headache that does not get better after taking painkillers
○ Are breathing differently or having trouble breathing
○ Are getting confused, drowsy or you can’t wake them up properly
○ Seems floppy or complains of leg pain.

Question 6

Neonate

Answer 6

An infant less than 4 weeks of age

Question 7

Baby

Answer 7

A very young child

Question 8

Pyrexia

Answer 8

A raised body temperature; fever

Question 9

Precaution

Answer 9

The medicine can be used, but careful monitoring is required.

Question 10

Caution

Answer 10

The medicine can be used, but specificmonitoring is required.

Question 11

Triage mean ?

Answer 11

The process of sorting patients according to urgency of their need for care.