Paed Meningococcal Septicaemia

Question 1

Doses of Ceftriaxone

Answer 1

1g in 9.5mL water for injection (IV)
1g in 3.5mL lignocaine 1% (IM)
Paeds - 50mg/kg (up to 6yrs then full dose)

Question 2

Ceft Indications

Answer 2

1. Suspected meningococcal septicaemia
2. Severe sepsis (consult only)

Question 3

Ceft Contras

Answer 3

Allergy to Cephalosporin antibiotics

Question 4

Ceft Precautions

Answer 4

1. Allergy to Penicillin antibiotics

Question 5

Ceft Side Effects

Answer 5

N/V, Skin Rash

Question 6

IM Injection Indications

Answer 6

Any pt requiring IM injection as per appropriate CPGs

Question 7

IM Contras

Answer 7

Nil

Question 8

IM Precautions

Answer 8

Safety - Safety of pt/paramedic. Correct site, correct technique, correct disposal of sharps
Larger doses can be painful - dilution should be avoided