Pediatric Fever Flashcards
Fever is defined as an elevation of body temperature equal to or above ______
38.0°C or 100.4°F.
_________ is the gold standard in determining fever in children
Rectal temperature
contraindicated in neutropenia, bleeding diathesis, necrotizing enterocolitis, cytotoxic chemotherapy
Pediatric assessment of circulation
Skin exam
pallor, mottling, cyanosis is a quick indicator that circulation needs assessment
as ↓ CO –> body compensates by shunting blood from non-essential organs -skin
Fever / antipyretic relationship
Whether or not ↓ fever after antipyretics has no predictive value to determine severity of the infection
Risk stratification by age vs fever for SBI or
0 days – 3 months: > 38.0 ºC (100.4 ºF)
3 months – 3 years: > 39.0 ºC (102.2 ºF)
3 years and older: ≥ 39.5 ºC (103.1ºF)
empiric antibiotics for 0-28 day old with temperature above 38°C
ampicillin plus gentamicin (aminoglycoside)
cefotaxime (cephalosporin)
*specifically targeting Group B Strept, E. coli, lysteria
criteria that would indicate HSV testing in infant
- seizure
- bloody tap
- afebrile septic-appearing infant
- ↑ serum transaminases
- maternal herpes
- HSV rash
29-90 day old empiric antibiotic
ceftriaxone
*If the patient is placed on empiric antibiotics, a lumbar puncture should be performed.
1 – 3 month old child an abnormal WBC count is considered to be ______
over 15,000
less than 5,000
Azithromycin is a?
macrolide
A child > 3 with fever of unknown etiology and new onset neutropenia should be considered for _____________
cancers, especially leukemia
_________ is the most common cause of bacterial infection in pediatrics
UTI
Bronchiolitis is caused by
RSV
-leading cause of hospitalization in infants and young children
Otitis Media is usually at what age?
common at 6 – 18 months
Environmental cause of infant fever
Excessive clothing and ambient hyperthermia (bundling): seen in young infants
