febrile illness

  1. febrile illness is the most common medical problem in childhood.True or false
  2. what does febrile illness suggest? and what are most from?
    • underlying infection
    • self limiting viral infections
  3. what temperature in a child is likely to be significant?
    >38 degrees
  4. <6 months of age fever is much more likely to be significant. True or false
  5. 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
  6. 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)
  7. when should antipyretics be given?
    if symptomatic
  8. paracetamol and ibuprofen can be given together.T or F
    • False 
    • can be alternated if distress occurs before next dose is due
  9. 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
  10. what should be child wear for management?
    light clothing only
  11. 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
  12. 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
Card Set
febrile illness
febrile illness