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The guidelines for the recognition of a sick baby and child in the emergency department are to provide appropriate and well set channels to the clinicians and to the paediatric staff. They can be defined as a set of systematically developed statements that are aimed at assisting the decisions related to the patients and practitioners so that these help in providing the best possible directions for specifically determined clinical situations (McGillis, 2010). Here, a case study about a seven month old infant Lucas is given. He was admitted in the hospital by his parents at 0200 hours and his condition was well analysed by the medical staff to locate that he has been irritable and crying since many hours. He was pale and warm at the peripheries. He was observed to have profuse nasal secretions and dry mucous membranes. Also, he had not passed urine since 6 hours and his chest is clear. Other statistical measures of Lucas include heart rate of 172/minute, weighing 6.1 kilograms and temperature of 39.7 degree C per axilla. The condition of Lucas as analysed by the medical staff was indicative of him suffering from acute otitis media, moderate dehydration and upper respiratory tract infection. The plan framed by the medical staff includes paracetamol for analgesia, IV fluids until he is fed, observation of fluid intake and output and then finally admitting Lucas to the children’s ward. His condition has to be assessed after intervals of 4 hours. The relevant practices, top priority steps, role of nurses and other medical staff are further discussed. Also, it is strongly recommended that the documentation that is accurate, consistent and correct be maintained by the paediatric staff throughout the process of the management of the patient (Blom, 2006).
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