febrile illness is the most common medical problem in childhood.True or false
what does febrile illness suggest? and what are most from?
self limiting viral infections
what temperature in a child is likely to be significant?
<6 months of age fever is much more likely to be significant. True or false
what do you do for a febrile illness assessment?
duration of illness
fluid intake/ dehydration status
underlying (chronic) conditions
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?
tachycardia (>10 bpm per 1 degree rise= consider sepsis and meningitis)
when should antipyretics be given?
paracetamol and ibuprofen can be given together.T or F
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