1Q: What observations should recorded in the febrile child?
Cap refil time
Evidence of dehydration
2Q: What’s the system used to risk-stratify the febrile child? – and what are the strata?
2A: The traffic light system – classifying into green – low risk, amber – intermediate risk and red – high risk.
3Q: What respiratory rate would put a child of 2years into the red category?
3A: over 60resps a min – that puts any child into the red category!
4Q: What counts as tachycardic for a child age under 1year?
4A: Tachycardia under 12months is over 160bpm
5Q: What counts as tachycardia for a child age 2-5years?
5A: You’d say a 2-5year old child was tachycardic if their heart rate was >140
6Q: When would you call a 12-24month old child tachycardic?
6A: A 12-24month old child is tachy when heart rate is over 150bpm
7Q; Describe the respiration of a child less than 5years with a fever of unknown source who you’d categorise as red – immediate risk? (three things)
7A: They are
Resp rate over 60/min
Moderate or severe recession
8Q: Say a child with unknown fever is tachycardic, what other feature in regard in that category would put them into high risk?
8A: They are tachycardic but also have reduced skin turgor.
9Q: A child in the orange – intermediate risk category has what respiratory rate?
9A: if theyre 6-12months resp rate is >50, if they’re > 12 months resp rate over 40 – this puts them in the amber category.
10Q: if a child is hot and has some creps in their left base but otherwise fine what category are they in?
10A: Amber – crackles are one of the things that put them in the amber category/
11Q: Apart from their colour / respiration / ciculation and hydration, what other features might put a child in the amber category rather than the green?
11A: If they are age 3-6months and have a fever of 38 or over
If they have a fever for more than 5 days
if they have rigors
if they have joint swelling
not weight bearing or not using limb
(DURAS : duration – 5days or more, Use – they’re not using a limb, Rigors, Age 3-6months with fever of 38, Swelling)
12Q: Apart from the other resp/circ/colour/hydration what other factors would make you put a child in the high risk group?
12A: Age less than 3 months with temp 38 or over
Focal signs or