Feverish Child Flashcards
What are the behavioural high-risk criteria for a child <5 years with suspected sepsis?
No response to social cues; appears ill; does not wake or stay awake; weak high-pitched/continuous cry
What are the behavioural moderate-risk criteria for a child <5 years with suspected sepsis?
Not responding normally to social cues; no smile; wakes only with prolonged stimulation; decreased activity; parent concerned child is behaving differently to usual
What are the respiratory high-risk criteria for a child <5 years with suspected sepsis?
Grunting; apnoea; O2 sats <90% in air
<1 yr: resp rate 60 or more
1-2 yrs: 50 or more
3-4 yrs: 40 or more
What are the respiratory moderate-risk criteria for a child <5 years with suspected sepsis?
O2 sats <92% on air, nasal flaring
<1 year: 50-59 breathspm
1-2 yrs: 40-49 bpm
3-4 yrs: 35-39 bpm
What are the circulation/hydration high-risk criteria for a child <5 years with suspected sepsis?
Bradycardia (<60 bpm) Tachycardia: <1yr: >160bpm 1-2 yrs: >150bpm 3-4 yrs: >140bpm
What are the circulation/hydration medium-risk criteria for a child <5 years with suspected sepsis?
Cap refill 3 or more seconds Reduced urine output <1yr:150-159bpm 1-2yrs: 140-149bpm 3-4yrs: 130-139bpm
What are the skin high- and medium-risk criteria for a child <5 years with suspected sepsis?
High: Mottled/ashen appearance, cyanosis of skin/lips/tongue, non-blanching rash
Medium: Pallor of skin, lips, or tongue
What are the temperature high-risk criteria for a child <5 years with suspected sepsis?
Less than 36degrees or >38degrees for those under 3 months.
A temperature of 39 or more is moderate risk for 3-6 month year olds
What are the behavioural high-risk criteria for children aged 5-11 years with suspected sepsis?
Altered behaviour/mental state, appears ill to a healthcare professional, does not wake or if roused does not stay awake
What are the respiratory high-risk criteria for children aged 5-11 years with suspected sepsis?
O2 sats <90%
5 yrs: 29+ breaths
6-7 yrs: 27+ breaths
8-11 yrs: 25+ breaths
What are the circulation and hydration high-risk criteria for children aged 5-11 years with suspected sepsis?
Heart rate <60 bpm
5 yrs: 130+ bpm
6-7 yrs: 120+ bpm
8-11 yrs: 115+ bpm
What are the skin high-risk criteria for children aged 5-11 years with suspected sepsis?
Mottled/ashen, cyanosis of skin, lips or tongue, non-blanching rash
What are the behavioural high-risk criteria for people aged 12+ with suspected sepsis?
Objective evidence of new altered mental state
What are the respiratory high-risk criteria for people aged 12+ with suspected sepsis?
Raised RR 25+ breathspm
New need for O2 to maintain sats >92%
What are the BP high-risk criteria for people aged 12+ with suspected sepsis?
Systolic BP 90 or less
What are the circulation and hydration high-risk criteria for people aged 12+ with suspected sepsis?
HR 130+
Not passed urine in previous 18 hours
What are the skin high-risk criteria for people aged 12+ with suspected sepsis?
Mottled/ashen, cyanosis of skin, lips or tongue, non-blanching rash
What are the symptoms/signs of meningococcal disease in conjunction with fever?
Non-blanching rash, particularly with 1+ of: ill-looking, lesions larger than 2mm diameter (purpura), cap refill >/= 3secs, neck stiffness
What are the symptoms/signs of bacterial meningitis in conjunction with fever?
Neck stiffness, bulging fontanelle, decreased level of consciousness, convulsive status epilepticus
What are the symptoms/signs of herpes simplex encephalitis in conjunction with fever?
Focal neurological signs, focal seizures, decreased level of consciousness
What are the symptoms/signs of penumonia in conjunction with fever?
Tachypnoea (>60 breathspm age 0-5 months, >50 breathspm age 6-12 months, >40 breathspm age >12 months), chest crackles, nasal flaring, chest indrawing, cyanosis, O2 sats <96%
What are the symptoms/signs of UTI in conjunction with fever?
Vomiting, poor feeding, lethargy, irritability, abdo pain/tenderness, urinary frequency or dysuria
What are the symptoms/signs of septic arthritis in conjunction with fever?
Swelling of a limb/joint, not using an extremity, non-weight bearing
What are the symptoms/signs of Kawasaki disease in conjunction with fever?
Fever >5 days and 4+ of: bilateral conjunctival injection, change in mucus membranes, change in the extremities, polymorphous rash, cervical lymphadenopathy