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Sepsis Quiz
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Which demeanour would indicate most indicate that a child is severely unwell?A. Silent B. Crying C. Screaming D. Smiling
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Which of these factors would lower the threshold required to treat a child for an infection? (1 mark)A. The patient is on Chemotherapy B. The patient is on steroids C. all answers are correct D. The patient has a visable break in the skin
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What route should a child be given antibiotics through if intravenous access is proving difficult to attain?A. Per rectum (PR) B. Per oral (PO) C. Intraosseous (IO) D. Sub cutaneous (SC)
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What are the 6c's of sepsis?
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Which of these statements is not a myth regarding sepsis?A. The higher the temperature, the more severe the illness B. There is currently no point of care test (POCT) which helps to distinguish early sepsis from a simple viral infection in the acute setting C. A fever that comes down with antipyretics is reassuring D. Blood tests such as FBC and CRP have a good sensitivity and specificity for sepsis E. Current available decision rules such as the NICE febrile child traffic light system have a good sensitivity and specificity for sepsis
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What dose and which antibiotics would you give a 21kg patient with suspected sepsis?
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Which of these statements is false?A. Temperature: may be high or low in sepsis. The presence of a temperature in a previously well child is usually just telling you that there is an infective process. The height of the temperature is a poor marker of severity. Simple viral infections can have temperatures up to 40°C in children, and infections such as meningococcal septicaemia can present with a normal temperature. A fever that comes down with antipyretics simply tells you that the antipyretics have worked and should not be considered a reassuring factor. What antipyretics do allow is an assessment of the child without the presence of a temperature, and most importantly the presence of variation. B. Behaviour: variation is key in the assessment of a child with an infection. Most children with a temperature will look lethargic, tachycardic, mottled and miserable. When the temperature is not there, the child can be running around and eating as normal. The key thing to observe, and to ask parents about, is play and behaviour. Most self-limiting illness will have natural variation in the day. Be aware of the child who has been lethargic and unwell throughout the whole day with no variation. C. Tachycardia: children with a temperature will be tachycardic regardless of the cause. The key is again found the presence of variation. Persistent tachycardia may be normal and is not a cause for concern D. Parental concern: one common theme in cases of missed sepsis has been the presence of the parental concern that this illness was in some way different to any other illness that the child has had before. One key question to consider asking is: “does this seem like an infection they’ve had before?
Sepsis Quiz (Answer Key)
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Which demeanour would indicate most indicate that a child is severely unwell?A. Silent B. Crying C. Screaming D. Smiling
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Which of these factors would lower the threshold required to treat a child for an infection? (1 mark)A. The patient is on Chemotherapy B. The patient is on steroids C. all answers are correct D. The patient has a visable break in the skin
-
What route should a child be given antibiotics through if intravenous access is proving difficult to attain?A. Per rectum (PR) B. Per oral (PO) C. Intraosseous (IO) D. Sub cutaneous (SC)
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What are the 6c's of sepsis?Blood Cultures, FBC & Lactate, IV fluids, IV antibiotics, monitor urine output, give oxygen
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Which of these statements is not a myth regarding sepsis?A. The higher the temperature, the more severe the illness B. There is currently no point of care test (POCT) which helps to distinguish early sepsis from a simple viral infection in the acute setting C. A fever that comes down with antipyretics is reassuring D. Blood tests such as FBC and CRP have a good sensitivity and specificity for sepsis E. Current available decision rules such as the NICE febrile child traffic light system have a good sensitivity and specificity for sepsis
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What dose and which antibiotics would you give a 21kg patient with suspected sepsis?Ceftriaxone 80mg/kg = 1680mg
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Which of these statements is false?A. Temperature: may be high or low in sepsis. The presence of a temperature in a previously well child is usually just telling you that there is an infective process. The height of the temperature is a poor marker of severity. Simple viral infections can have temperatures up to 40°C in children, and infections such as meningococcal septicaemia can present with a normal temperature. A fever that comes down with antipyretics simply tells you that the antipyretics have worked and should not be considered a reassuring factor. What antipyretics do allow is an assessment of the child without the presence of a temperature, and most importantly the presence of variation. B. Behaviour: variation is key in the assessment of a child with an infection. Most children with a temperature will look lethargic, tachycardic, mottled and miserable. When the temperature is not there, the child can be running around and eating as normal. The key thing to observe, and to ask parents about, is play and behaviour. Most self-limiting illness will have natural variation in the day. Be aware of the child who has been lethargic and unwell throughout the whole day with no variation. C. Tachycardia: children with a temperature will be tachycardic regardless of the cause. The key is again found the presence of variation. Persistent tachycardia may be normal and is not a cause for concern D. Parental concern: one common theme in cases of missed sepsis has been the presence of the parental concern that this illness was in some way different to any other illness that the child has had before. One key question to consider asking is: “does this seem like an infection they’ve had before?
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