Meningococcal Septicaemia

Question 1

What note is made about rash in meningococcal septicaemia?

Answer 1

A typical purpuric rash may be subtle in some cases and may present as a single spot only.

Question 2

What presentation combination may be indicative of meningococcal septicaemia?

Answer 2

Rapid onset symptoms of sepsis +/- rash.

Question 3

How is meningococcal transmitted and what precautions should be used?

Answer 3

Close personal exposure to airway secretions/droplets.

Ensure PPE and face mask used.

Question 4

How is Ceftriaxone prepared and administered?

Answer 4

IV - Dilute 1g Ceftriaxone with 9.5mL of water for injection and administer full amount over 2 mins.

IM - Dilute 1g Ceftriaxone with 3.5mL of 1% Lignocaine and admin into upper lateral thigh.

Question 5

In conjunction with purpuric rash, list the 5 Septicaemia signs.

Answer 5

1. Fever, rigor and joint/muscle pain
2. Cold hands and feet
3. Tachycardia
4. Hypotension
5. Tachypnoea

Question 6

In conjunction with purpuric rash, list the 5 Meningeal signs.

Answer 6

1. Headache
2. Photophobia
3. Neck stiffness
4. Nausea and vomiting
5. Altered conscious state

Question 7

If meningococcal septicaemia confirmed, what is the management?

Answer 7

Ceftriaxone 1g IV or IM
- If IV admin over 2 minutes

If inadequate perfusion, Rx as per Sepsis guidelines.

Question 8

Ceftriaxone must be diluted with…?

Answer 8

3.5mL of Lignocaine 1% (IM)
OR
9.5mL of Water for Injection