Sepsis (Paediatric)

Question 1

Signs of Sepsis in a Paediatric?

Answer 1

Temperature >38 or <36
Altered mentation
Tachycardia
Non-blanching rash
Hypotension
AND
1x purple RDR
or
2x red RDR

Question 2

What are hospital identifiers for septic shock in a paediatric?

Answer 2

Requirement for vasporessors to maintain adequate perfusion
Serum Lactate of >2-4mmol/L

Question 3

Management of suspected Meningococcal Septicaemia in a Paediatric?

Answer 3

Benzylpenicillin
-<40kg 60mg/kg to max 2400mg
- >40kg 2400mg

Question 4

Management of a paediatric with suspected sepsis and poor perfusion?

Answer 4

Rapid Saline 10mL/kg aliqouts (max 250mL) up to 20mL/kg
-aim SBP lower end of RDR

Question 5

Management of a paediatric with suspected sepsis and poor perfusion AND unable to achieve adequate perfusion with saline?

Answer 5

Adrenaline infusion:
Syringe driver start at 0.5mcg/kg/min
Manual infusion start at 0.5mcg/kg/min
-consult to adjust by 0.1mcg/kg/min
Cautiously saline up to 30mL/kg