febrile illness

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febrile illness is the most common medical problem in childhood.True or false

True
what does febrile illness suggest? and what are most from?
- underlying infection
- self limiting viral infections
what temperature in a child is likely to be significant?

>38 degrees
<6 months of age fever is much more likely to be significant. True or false

true
what do you do for a febrile illness assessment?
- temperature
- duration of illness
- other symptoms
- fluid intake/ dehydration status
- underlying (chronic) conditions
- medication history
- contact with acute illnesses
- family history and foreign travel
what should you consider with a child with febrile illness and what symptoms may there be?
- sepsis
- tachypnoea
- tachycardia (>10 bpm per 1 degree rise= consider sepsis and meningitis)
when should antipyretics be given?

if symptomatic
paracetamol and ibuprofen can be given together.T or F
- False
- can be alternated if distress occurs before next dose is due
what must you not do to cool the baby down?
- do not strip the child down to its nappy
- may cause shivering and be counter productive by raising the core temp
what should be child wear for management?

light clothing only
what patient require hospital?
- any red flag
- any febrile child <3 years without obvious cause
- any signs of serious illness
- if received antibiotics within last 48 hours with significant fever
- potentially immuno supressed
- social/ psychological concerns for welfare
- any amber criteria-seriously consider taking them in
what should you do from amber patients you leave at home?
- make urgent follow up appointment with GP
- provide pt with written documentation of warning symptoms and advice

Author

davidgoddard93

346998

Card Set

febrile illness

Description

febrile illness

Updated

2019-05-15T18:21:10Z

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