meningococcal

Question 1

task

Answer 1

584

Question 2

d/d

Question 3

hx

Answer 3

-he is very ill
-he is having a severe bacterial infection>marked deterioration>very serious outcomes w/o urgent tx
-meningococcemia is a possibility
-immediate treatment with antibiotics

Question 4

mx plan

Answer 4

-take blood for : culture, fbc. crp
-give IV antibiotic(cephal prefer or IV benzylpenicillin)
-if iv not possible>IM antibiotic
-arrange immediate hospital management, inform paeditrician, ed)
-explain most likely mx: blood culture, LP, urine microscopy, Intensive antibiotic therapy