CMN 568 Final Exam Study Guide with Complete Solutions
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Course
2024/2025
Institution
2024/2025
CMN 568 Final Exam Study Guide with
Complete Solutions
Incidence of Fever - Answer-One of most common reasons for parents to seek medical care.
Preschoolers have an average 6-8 febrile illnesses a year.
Definition of fever - Answer-Rectal temperature ≥ 100.4°F
Tympanic temperature - Answer-...
Empiric antibiotics after cultures: Rocephin 50mg/kg/day (up to 1 gm max)
Must have reliable caregiver with phone and transportation
Close followup in 24 hours
Management of fever in 3Mo to Preschool - Answer✔✔-Toxic appearance:
Septic work up
Consider hospitalization and IV antibiotics, especially if no focal source of fever can be identified
Non-Toxic appearance:
Lab work up guided by H&P
CBC with Diff
CXR if cough or dyspnea
Stool C&S if diarrhea
UA: all girls under 2yo, all males under 6Mo, uncircumcised males under 12Mo
Non-Toxic appearance:
Fever <39 (102) no obvious source: Antipyretics, close followup by visit or phone
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