HLT51015 Diploma Of Paramedical Science


Read the Book: Emergency & Trauma Care for Paramedics and Nurses (2nd Edition).

Your task is to visit a 14-month old child who has been suffering from fever, vomiting and diarrhoea.

The mother explains that her child isn’t eating well, has been crying all night and has not been sleeping well in the last 24 hours.

Why is antipyretic therapy not recommended in children with fever?

What should paediatricians do to manage fever?

Name at least five elements that are important in the history of paediatric presentation.

What is the most important parameter for determining fluid and electrolyte imbalances?

How could the hospital get this information accurately?


Antipyretics are not recommended for children whose temperature falls below 38.3 Celsius.

It is not known if antipyretics can lower body temperature, particularly if the child is suffering from an illness.

As high temperatures of more than 40.0 Celsius can lead to brain damage and seizures, the main goal in managing fever in paediatrics should be to prevent complications.

Fever is a common symptom of many childhood infections.

A pediatric history is very different from an adult history due to certain components.

A pediatric history should include birth and pregnancy history.

Some childhood illnesses can be linked to pregnancy and birth.

A few congenital anomalies may be related to poor maternal health, such as rubella infections.

The outcome of the unborn baby is affected by the maternal nutrition.

If aseptic technique and nutrition are not used, babies can get infections.

Oral thrush, which can result from untreated vaginal candidiasis in the mothers during pregnancy, can be transmitted to the baby.

Another aspect is the development history.

This is where milestones like walking, talking, running were achieved.

The current school grades are important, especially for diagnosing mental disorders.

The third component is the feeding history.

This includes the duration of breastfeeding, introduction of solids and reasons for introducing food.

The risk of frequent infections is lower for children who are breastfed exclusively for over six months. This is because their immunity to the flu is stronger than that of formula-fed babies.

Families and their social history are also important.

Certain illnesses, such as diabetes and heart disease, can be passed down from generation to generation.

Asthma can be caused by environmental factors, such as dust mites and pollen grains.

It is also important to record a child’s vaccination history when taking a pediatric history.

Children who do not have full Kepi schedule immunization are more susceptible to disease such as tuberculosis or measles.

For determining fluid or electrolyte imbalance, the most important parameter is urine output.

Monitor the fluid intake of the patient, as well as the amount of fluid lost through urine and vomiting to identify any signs of fluid and electrolyte imbalance.

Fluid overload can occur when the patient drinks too much fluid and doesn’t excrete enough.

Patients who take too much fluid but lose too much can be at risk for fluid deficiency.

The hospital can obtain accurate data by measuring fluid intake and output.

Cathodic catheterization to determine the output of urine. Also, estimation of diarrhoea and vomiting fluids.