Sepsis for CRH ped resident

Which of the following is not in the SIRS Criteria?

• Bradycardia

• Temperature dysregulation

• Abnormal lymphocyte count

• Respiratory rate dysregulation

Which of the following is wrong for initial resuscitation algorithm of septic shock in children?

• Give fluid in ml/kg as actual weight

• Start empirical antibiotics within 1 hour

• Start vasoactive agents if shock persists

• Collect blood culture before antibiotics administration

Which of the following is true for fluid resuscitation of sepsis/septic shock in children?

• Colloid fluid is first line fluid resuscitation

• Stop fluid boluses if signs of volume overload develops

• Albumin is more preferable than unbalanced salt crystalloid

• Bolus fluid that is given in the first hour should not exceed 60 ml/kg in the situation without PICU

A 13 years old age boy with septic shock received 60 cc/kg of fluid in the PICU and still presents with hypotension, along with a capillary refill of 3 seconds. What is the most appropriate management next?

• Access central venous catheter

• Give hydrocortisone 50 mg/mm3

• Administer epinephrine continuous drip

• Assess volume status by bedside ultrasonography

A 17-year-old girl patient with acute myeloid leukemia who received chemotherapy one week ago and presents with high graded fever, hypotension and severe mucositis upon arrival at the hospital, which antibiotic would you prescribe?

• Cefipime

• Ceftazidime + amikacin

• Meropenem + amikacin + vancomycin

• Meropenem + vancomycin + amphotericin B