Acutely unwell child Flashcards
1
Q
Wha tool can be used to identify risk of serious illness in a child
A
NICE traffic light system:
Green is low risk
Amber is intermediate risk
Red is high risk
2
Q
What are the categories for assessing an acutely unwell child
A
Colour - skin, lips and tongue Activity Respiratory Hydration and circulation Other
3
Q
What criteria is under activity
A
Response to social cues
Awake/easy to wake
Smile?
Crying - is it strong/weak/continuous
4
Q
What criteria is under hydration and circulation
A
Skin turgor Heart rate Capillary refill time Mucous membranes Urine output Poor feeding
5
Q
What criteria is under other
A
Age Temperature Rash Rigor Bulging fontanelle Neck stiffness Focal neurological signs Not using a limb or extremity
6
Q
A to E approach for children
A
Airway Breathing Circulation Disability Exposure ENT Tummy \+ Don't Ever Forget Glucose
7
Q
Features of high risk
A
Pale/mottled/ashen blue colour No response to social cues Doesn't wake/doesn't stay awake Weak/high pitched/continuous cry Grunting RR >60 Chest indrawing Reduced skin turgor <3 months old Non blanching rash, bulging fontanelle, neck stiffness Seizures Focal neurological signs
8
Q
Features of intermediate risk
A
Pallor Not responding normally to social cues No smile Wakes with prolonged stimulation only Lower activity Nasal flaring Dry mucous membranes Poor feeding in infants Low urine output Rigors Joint or limb swelling Not using a limb or extremity
