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CASE HISTORY
2.5 year old boy admitted with purpura and fever.
Paediatric assessment:
Temp 39.3, Pulse 134, RR 40, CRT 6 seconds, BP unrecordable, femoral pulses present but weak.
Cyanosed, Saturation 75% in air. Widespread creps.
GCS 9/15, Neck stiffness+
Purpuric rash on chest.
Bloods sent for FBC, clotting, U&E, and culture
Diagnosis:Meningococcal meningitis.
Treatment:Antibiotics intravenously.
Fluids 40 ml/kg colloid in 2 boluses and 10 ml/kg crystalloid over 1 hour, then maintenance fluids.
Some improvement of CRT so left on the ward.
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QUESTIONS ON CASE 3
 
Q 6 of 14: Was initial treatment appropriate?
Yes  No
CORRECT
: Started appropriate treatment: antibiotics and fluid resuscitation as outlined at the top of Early Management Algorithm.
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Further Information
 click image for Protocol Document
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