Interventions

Question 1

What interventions would you implement for a child with sepsis?

Answer 1

• Fluids for low blood pressure
• Paracetamol for fever
• Antibiotics to help aid the body to fight infection
• Blood cultures to identify the cause of septic response
• Oxygen can be given if child’s oxygen requirement increases

Question 2

What interventions would you implement for a child with hypovolaemic shock?

Answer 2

• Fluids to increase blood volume, and therefore increase blood pressure
• Give the patient blood to stabilise blood volume
• Apply pressure to wound to stop/control blood loss
• Identify any electrolyte imbalances to determine choice of replacement fluids

Question 3

What interventions would you implement for a child with asthma?

Answer 3

• 15 litres high flow oxygen via non-rebreathe face mask with reservoir bag to prevent hypoxia
• Repositioning to aid chest expansion
• Inhaled beta 2 agonists, salbutamol, via inhaler or nebuliser, to aid bronchodilation and consider adding ipratropium bromide and magnesium sulphate
• Consider steroids, eg oral prednisolone if tolerated or IV hydrocortisone