blanch on pressure. What must be done immediately?
a. IV benzylpenicillin
b. Isolate pt
c. Gown and mask
d. Blood culture
answer A
from nice
if there is any clinical suspicion of bacterial meningitis with non-blanching rash or meningococcal septicaemia
- Admit the person as an emergency by telephoning 999.
- Administer a single dose of parenteral benzylpenicillin at the earliest opportunity, provided that treatment does not delay urgent transfer to hospital.
- Ideally, benzylpenicillin should be given intravenously, or intramuscularly if a vein is not available.
- If given intramuscularly, it should be given as proximally as possible — preferably into a part of the limb that is still warm (as cold areas will be less well perfused).
- Dosage:
- Adults and children 10 years of age or older — 1200 mg.
- Children 1–9 years of age — 600 mg.
- Children younger than 1 year of age — 300 mg.
- Benzylpenicillin should be carried in GP emergency bags, and checked regularly to ensure that it is within its expiry date.
- Withhold benzylpenicillin if the person has a clear history of penicillin anaphylaxis (a history of a rash following penicillin is not a contraindication).
No comments:
Post a Comment