covid

Question 1

key points- COVID

Answer 1

Children are less severely affected by COVID-19 than adults, including those infected with newer variants such as the Delta strain
Appropriate respiratory support should be provided for any child with suspected or confirmed COVID-19
For children requiring high-flow oxygen or nebulised therapy, airborne precautions must be maintained and management must occur in the highest level of isolation available
COVID-19 may be an incidental finding in a child who presents with a different illness. Assessment and treatment should prioritise the child’s presenting clinical syndrome

Question 2

Hx and examination COVID- Peads

Answer 2

Place child in the highest level of isolation possible, ideally in a single room, with negative pressure if available

History
The full clinical spectrum of disease remains broad. Typical symptoms include:

General features
Fever
Headache
Lethargy
Respiratory symptoms
Cough
Sore throat
Coryza
Gastrointestinal features
Vomiting
Diarrhoea
Abdominal pain
Risk factors for more severe disease

Immunosuppression
Children with severe or complex chronic disease
Obesity
Pregnancy
Age
Less than 3 months corrected age
Adolescents
Examination

Examination should focus on the child’s presenting problem, for example:

Respiratory
Increased work of breathing/respiratory distress
Tachypnoea
Cyanosis

Question 3

Mng COVID peads

Answer 3

https://www.rch.org.au/clinicalguide/guideline_index/COVID-19/