Fever Flashcards
Define “fever”
Rectal temperature of 100.4 F
What is a “neonate”?
a baby from birth to 28 days old
If a neonate is febrile and there is a suspicion for meningitis based on the CSF results, what tx should you give? If there was strictly a CONCERN for meningitis, what tx would you then give?
- Cefotaxime 100 mg/kg IV
- Ampicillin 100mg/kg IV
What is recommended as the empiric tx for neonates?
-Ampicillin 50mg/kg IV
There is a febrile neonate in the ER, what tx should you give?
- Cefotaxime 50mg/kg IV
- Ampicillin 50mg/kg IV
- Gentamycin 2.5mg/kg IV
What tx do you give for HSV suspected neonates?
-Acyclovir 20mg/kg IV
What is considered a young infant?
1-2 months
What medication is given to a young infant patient if a lumbar puncture was performed and the infant is still febrile?
-Ceftriaxone 50mg/kg IV or IM
If there is a young infant with an abnormal lab result who appears very ill–what should you do?
- hospitalize the infant
- put on antibiotics (Ceftriaxone 50mg/kg)
What is the gold standard for Occult bacteremia in a 3-36 month old infant?
blood culture
A 15 month old infant has a WBC greater than 15,000/mm3 and a fever of 102.4F. Her blood culture has come back with growth. What tx should you give her?
-Cefriaxone 50mg/kg IM
A 15 month old girl has a UTI, how should you target her tx?
-should be directed towards E. coli
A 15 month old girl is diagnosed with pneumonia, what should you tx with?
Nothing, most are viral
A 15 month old girl is diagnosed with pneumonia, but there is a high suspicion it is bacterial because she is not up to date on her immunizations. What should you tx with?
-Amoxicillin 90mg/kd divided into 2 daily doses (it is effective against S. Pneumo)
For 3-36 month old infants, what do you tx a MRSA infection with?
- vancomycin
- clindamycin
For 3-36 month old infants, what do you give as empiric tx?
- Amoxicillin
- Ceftriaxone
How does the bacteria get passed the BBB?
surface proteins allow it entry into the subarachnoid space
Petechiae and purpura are more common in which type of meningitis?
meningococcal
What is the tx for neonatal meningitis?
Ampicillin with aminoglycoside
OR
cefotaxime
What is the tx for late onset meningitis?
Nefcillin OR
vancomycin plus cefotaxime OR
ceftrazidime with or without an amino glycoside
What is the tx for a basilar skull fx?
Vancomycin plus ceftriaxone OR
cefotaxime
What is the treatment for meningitis if the infant is older than 1 month?
Vancomycin plus 3rd generation cephalosporin (ceftriaxone)
What tx is most effective against HiB but not Strep. Pneumo?
Dexamethasone
-give after 1st dose of antibiotics
