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Fever in neonates, Fever in children, Febrile seizures, Parent teaching…
Fever in neonates
Manifestations
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poor feeding, vomiting, loose or bloody stools, hepatomegly
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VITALS: high or low breathing/heart rate, low BP
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Petechiae, ecchymosis, hepatosplenomegaly
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Nursing
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Watch for comps: meningitis, septic shock
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Timing
Early (<7 days old)
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Gonorrhea, chlamydia, herpes, candida, cong neg staph
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Fever in children
Etiology
Bacterial (less common with vaccines, usually UTI)
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Nursing
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Comfort (tepid baths, dress in light cloths)
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Evaluate effectiveness of interventions (recheck temp, no sponge bath with shivering, monitor vitals, ensure hydration)
3 months treat discomfort and dehydration
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Assessment
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Skin, cap refill, turgor, hydration
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Workup
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Well appearing kids with clear focus of fever and unremarkable history/physical discharged without labs or abx
LP if they are irritable, lethargic, inconsolable, or toxic appearing
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Blood culture if children ill enough to warren LP, signs of shock, or petechial rash
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