Fever - Assessment and Traffic Light System Flashcards
Who do these guidelines apply to
-what are we recording
U5 presenting with fever - until a clinical diagnosis has been made
Temp
-with electric thermometer in axilla if U4wks
-electric/chemical dot thermometer in axilla or infrared tympanic thermometer
HR
RR
CRT
Assessing colour
-green
-amber
-red
Green - normal colour
Amber - pallor reported by parent
Red - pale/mottled/ashen/blue
Assessing activity
-green
-amber
-red
Green
-responds normally to social cues
-content/smiles
-stays awake/awakens quickly
-strong normal cry/not crying
Amber
-not responding normally to social cues
-no smile
-wakes only on prolonged stimulation
-decreased activity
Red
-NO RESPONSE to social cues
-appears ill to a healthcare professional
-does not wake/if roused, does not stay awake
-weak, high pitched or continuous cry
Respiratory
-green
-amber
-red
Green
Amber
-nasal flaring
-RR -
50+ in 6-12months
40+ in 12months+
-SaO2 - U95% RA
-chest crackles
Red
-grunting
-RR 60+
-moderate/severe chest indrawing
Circulation and hydration
-green
-amber
-red
Green
-normal skin and eyes
-moist mucous membranes
Amber
-tachycardia
160+ U12months
150+ 12-24months
140+ 2-5years
-CRT 3+
-dry mucous membranes
-poor feeding in infants
-reduced UOP
Red
-reduced skin tugor
Other features
-green
-amber
-red
Green
-no amber or red signs
Amber
-39C+ 3-6months
-fever for 5+ days
-rigors
-limb/joint swelling
-non weight bearing limb/not using an extremity
Red
-38C+ U3months
-non blanching rash
-bulging fontanelle
-neck stiffness
-status epilepticus
-focal neuro signs
-focal seizures
Management of
-green children
-amber children
-red children
Care at home
Appropriate care advice with safety netting
Safety net parents
-warning symptoms
-how further healthcare can be accessed
Refer to paediatrics for further assessment
Urgent referral to paediatrics
DO NOT ROUTINELY PRESCRIBE PO ABX WITHOUT APPARENT SOURCE
CXR does not need to be routinely done if pneumonia managed in community
Managing of
