CTAS 1: A 4-year-old has fever, lethargy and mottled extremities. Vitals are T 39.7°C, HR 168, BP 72/38, RR 34, capillary refill 5 seconds. Glucose

Question

CTAS 1: A 4-year-old has fever, lethargy and mottled extremities. Vitals are T 39.7°C, HR 168, BP 72/38, RR 34, capillary refill 5 seconds. Glucose is 3.4 mmol/L and lactate is 5.9 mmol/L. Lung exam is clear and no rash is present. What is the most appropriate initial management?

Accepted Answer

Give broad-spectrum antibiotics, fluid boluses and early vasoactive support if shock persists

Answer

Give oral rehydration as definitive therapy

Answer

Discharge after antipyretics if fever falls

Answer

Wait for lumbar puncture before antibiotics

Answer

Use beta-blocker therapy for tachycardia

Septic shock in a child — RCPSC EM MCQ

CTAS 1: A 4-year-old has fever, lethargy and mottled extremities. Vitals are T 39.7°C, HR 168, BP 72/38, RR 34, capillary refill 5 seconds. Glucose is 3.4 mmol/L and lactate is 5.9 mmol/L. Lung exam is clear and no rash is present. What is the most appropriate initial management?