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Assessment of

Assessment of. Febrile child Ravi Seyan. F2F encounter. Consider ABC A- airways B- Breathing C- Circulation. F2F. Airway, breathing: signs of respiratory distress include recession, grunting, accessory muscle use, flared nostrils. F2F. Normal Respiration Neonates :

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Assessment of

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  1. Assessment of Febrile child Ravi Seyan

  2. F2F encounter Consider ABC • A- airways • B- Breathing • C- Circulation

  3. F2F • Airway, breathing: signs of respiratory distress include recession, grunting, accessory muscle use, flared nostrils

  4. F2F Normal Respiration • Neonates : • Infant : • 1 to 3 years : • 4 to 10 years: • Over 10 years: 30 to 60 breaths/ min 20 to 40 breaths /min 20 to 30 breaths/ min 15 to 25 breaths/ min 15 to 20 breaths/ min BE CONCERNED IF RR> 70 IN UNDER 1 YEAR OR > 50 IN OLDER CHILDREN PS rates are not reliable in crying infant

  5. F2F • Capillary refill time after five seconds' pressure on a finger or the sternum should be two seconds. Blotchy, cold peripheral skin suggests circulatory failure

  6. Traffic light system for identifying risk of serious illnessChildren with fever and any of the symptoms or signs in the red column should be recognised as being at high risk. Similarly, children with fever and any of the symptoms or signs in the amber column and none in the red column should be recognised as being at intermediate risk. Children with symptoms and signs in the green column and none in the amber or red column are at low risk. The management of children with fever should be directed by the level of risk.

  7. Red Alert signs • High temperature, fever, possibly with cold hands and feet • Vomiting, or refusing feeds • High pitched moaning, whimpering cry • Blank, staring expression • Pale, blotchy complexion • Baby may be floppy, may dislike being handled, be fretful • Difficult to wake or lethargic • The fontanelle (soft spot on babies heads) may be tense or bulging.

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