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Paediatric septic shock — RACP Paediatrics MCQ

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HardEmergency paediatricsPaediatric septic shockRACP Paediatrics

A 3-year-old with pneumonia is mottled and drowsy. Temperature is 39.5°C, heart rate 180/min, capillary refill 6 seconds and blood pressure is below the 5th centile. Oxygen has been applied and IV access obtained. What is the most appropriate management?

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Correct answer: D — Give broad-spectrum intravenous antibiotics and cautious isotonic fluid boluses

This child has septic shock, requiring immediate antibiotics and carefully reassessed isotonic fluid resuscitation. Imaging should not delay treatment when shock is present. Fluid response, hepatomegaly and respiratory work must be reviewed after each bolus to avoid overload.

Reference: Paediatric Sepsis Pathway; Therapeutic Guidelines (eTG)