Whilst in the waiting room he has become very sleepy although still rousable and they have noticed a rash on his legs.
A – self maintaining
B – RR 40, SpO2 96% in air
C – HR 158, CRT 3 secs, cool peripheries
D – V on AVPU
E – Petechial rash on torso, Temp 39.2°C.
Answer one question before attending the face-to-face teaching session. Add comments to answers already given if you think it's appropriate. The first part of teaching will be spent discussing this case:
What is the diagnosis?
What is your approach to treatment?
Which antibiotic(s) will you administer and at what dose?
Following a 40ml/kg fluid bolus and IV antibiotics, the heart rate is 146 and CRT 2-3 secs, what are the next management steps?
Give 3 serious complications of this disease?
Who should receive chemoprohylaxis in this case?
What regimens for chemoprohylaxis are suitable for this disease?