MedBugs: SAQ #475

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Case: Paediatric tachycardia

An 18-month-old girl presents to your urban district ED with lethargy and poor feeding over the last 24 hours. She weighs 10kg. Vitals on assessment :

HR 220
BP 70/40
Central CR 4 s
RR 55
Sats 94% RA
Temp 36.5°C

1. What beside test would you order besides an ECG? (1 mark) 1 mark

2. Give (3) pertinent findings on the ECG and a diagnosis. (4 marks) 4 marks

3. Complete the table with (3) treatment options that you would perform for this condition, how you would perform them, including drugs and doses and their indications. (12 marks) 12 marks

Your treatment is successful and the child now has normal vital signs

4. List (2) investigations you would now perform and provide justification. (2 marks) 2 marks

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Case: Paediatric tachycardia

1. What beside test would you order besides an ECG? (1 mark) 1 mark

2. Give (3) pertinent findings on the ECG and a diagnosis. (4 marks) 4 marks

3. Complete the table with (3) treatment options that you would perform for this condition, how you would perform them, including drugs and doses and their indications. (12 marks) 12 marks

4. List (2) investigations you would now perform and provide justification. (2 marks) 2 marks

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