A 10-year-old boy with known HbSS disease presented to the Paediatric Emergency Department with a oneweek history of fever and severe pain in his right leg, severity 9/10 for the last two days. On examination: Pulse – 100 beats/min, BP – 110/70 mmHg, Capillary refill < 2sec and Respiratory rate – 20 breaths/ min. He has point tenderness anteriorly on proximal tibia. There is no joint swelling. X-ray of the affected limb shows marked periosteal elevation. His complete blood count is: Hb – 6.5 g/dL WBC 30 x 10 /L Plt – 120 x 10 /L with a reticulocyte count of 1%. Of the following the MOST appropriate management in this patient would be a. Ibuprofen, Cefotaxime and top-up transfusion b. Morphine, Ampicillin and hydration therapy c. Morphine, Cefotaxime and hydration therapy d. Morphine, Cefotaxime and top-up transfusion

A 10-year-old boy with known HbSS disease presented to the Paediatric Emergency Department with a oneweek history of fever and severe pain in his right leg, severity 9/10 for the last two days. On examination: Pulse – 100 beats/min, BP – 110/70 mmHg, Capillary refill < 2sec and Respiratory rate – 20 breaths/ min. He has point tenderness anteriorly on proximal tibia. There is no joint swelling. X-ray of the affected limb shows marked periosteal elevation. His complete blood count is: Hb – 6.5 g/dL WBC 30 x 10 /L Plt – 120 x 10 /L with a reticulocyte count of 1%. Of the following the MOST appropriate management in this patient would be a. Ibuprofen, Cefotaxime and top-up transfusion b. Morphine, Ampicillin and hydration therapy c. Morphine, Cefotaxime and hydration therapy d. Morphine, Cefotaxime and top-up transfusion

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter22: Chest Tubes

Section: Chapter Questions

Problem 1SEPT

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