Meningitis Septicimia CPG

Question 1

How is meningococcal transmitted?

How is this managed?

Answer 1

close personal exposure to airway secretions and droplets.

Ensure adequate PPE- face mask and ensure medical follow up for staff

Question 2

How is ceftriaxone prepared?

Answer 2

IV- 1g powder and 9.5ml water for injection

IM 1g powder and 3.5 ml 1% Lidnocane

Question 3

What are the three things used to confirm meningococcal septicaemia?

Answer 3

Typical Purpuric rash
septicaemia sings: fever, chills, rigour, joint/muscle pain, cold hands/feet, tachyponea, tachycardia and hypotension
Meningococcal sings: neck stiffness, photophobia, nausea/vomiting, altered consciousness

Question 4

If you gain IV access what is the treatment of Meningococcal septicaemia?

Answer 4

Ig ceftriaxone IV administered slowly over two minutes and RX perfusions per inadequate perfusion

Question 4

If you cannot gain IV access what is the treatment of Meningococcal septicaemia?

Answer 4

Ig ceftriaxone IM administered in lateral thigh

50mg/kg for pead max 1g