Temperature measurement in paediatrics Flashcards Preview

CPS Statements > Temperature measurement in paediatrics > Flashcards

Flashcards in Temperature measurement in paediatrics Deck (16):
1

When is a thorough investigation required as to the source of the infection in the context of a fever?

Children <3mo

2

What is the definition of a fever of unknown origin?

Fever x 14d with no etiology found on routine testing

3

What is a potential complication of rectal thermometer?

Rectal perforation

4

What are the recommendations regarding axillary temperature?

Use as a screening test for fever in a neonate despite low sensitivity and specificity

5

When can oral thermometers not be used?

In young children
In unconscious or uncooperative patients

6

What is the recommendations regarding digital vs mercury thermometers?

Do not recommend the use of mercury thermometers

7

What is the recommendation regarding tympanic thermometers?

Infrared tympanic thermometery lacks sufficient agreement with their defined gold standard—rectal thermometry—to be used with confidence in situations where body temperature needs to be measured with precision

8

What is the normal rectal temperature range?

36.6-38

9

What is the normal tympanic temperature range?

35.8-38

10

What is the normal oral temperature range?

35.5-37.5

11

What is the normal axillary temperature range?

36.5-37.5

12

What are the recommendations regarding temporal artery temperature devices?

Sensitivity 80% but low specificity

13

When is rectal thermometers contraindicated?

1. Surgical operation on rectum or perineum

2. Inflammatory disorder of rectum

3. Congenital ano-rectal malformation

4. Fistula

5. Fever/neutropenia

14

What are the recommended temperature measurement techniques in birth to 2yo?

1. Rectal (definitive)
2. Axillary (screening low risk children)

15

What are the recommended temperature measurement techniques in 2-5yo?

1. Rectal (definitive)
2. Axillary, Tympanic (or Temporal Artery if in hospital) (screening)

16

What are the recommended temperature measurement techniques in >5yo?

1. Oral (definitive)
2. Axillary, Tympanic (or Temporal Artery if in hospital) (screening)

Decks in CPS Statements Class (223):