A 3-week-old term infant presents with poor feeding, lethargy and temperature of 35.5 °C. Capillary refill is 4 seconds and the infant is mottled. Wha...

Question

A 3-week-old term infant presents with poor feeding, lethargy and temperature of 35.5 °C. Capillary refill is 4 seconds and the infant is mottled. What is the most appropriate immediate management in the emergency department?

Accepted Answer

Establish IV access, give fluid bolus and broad-spectrum IV antibiotics

Answer

Reassure and arrange review by the GP the next day

Answer

Give oral Paracetamol and observe

Answer

Order a viral PCR panel and await results before treating

Answer

Give intramuscular vitamin K and discharge

au-amc MCQ (SBA): Neonatal sepsis

A 3-week-old term infant presents with poor feeding, lethargy and temperature of 35.5 °C. Capillary refill is 4 seconds and the infant is mottled. What is the most appropriate immediate management in the emergency department?