Paediatrics - Sepsis and Childhood infection

Question 1

what are 6 key features of sepsis in a child?

Answer 1

• t.pnoea
• fit, convulsion, seizure
• mottled/ bluish / pale
• non-blanching rash
• lethargy, difficult to wake
• feels abnormally cold to touch

Question 2

signs of sepsis for children under 5?

Answer 2

• not feeding
• recurrent vomitting
• not passed urine for > 12 hrs

Question 3

distinct features of sepsis in an adult?

Answer 3

SEPSIS

S-Slurred speech

E-extreme shivering or muscle pain

P-passing no urine in a day

S-severe breathlessness

I-impending doom

S-skin mottled

Question 4

what sign is a very late sign in children in terms of shock?

Answer 4

low blood pressure

persistent poor perfusoin, CRT, and persistent tachycardia take action!

Question 5

management strategy for child with presumed sepsis and shock?

Answer 5

B-blood culture 
U-urine 
F-fluids
A-antibiotics
L-lactate
O-oxygen

Question 6

in children under 2 months what is routinely done for a child with presumed sepsis and shock?

Answer 6

• LP

- difficult to diagnose meningitis and encephalitis as a source in this