Sepsis (pediatrics) Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 7-year-old girl presents, along with her parents, to the emergency department for evaluation of one-day of fever, cough, increased work of breathing, and lethargy. Parents report the patient was recently ill with a “virus” last week. They state the patient was being watched by her elderly grandmother today and was difficult to arouse when they arrived to pick her up. The patient has a history of asthma, controlled with Albuterol as needed, and is otherwise healthy. Vaccinations are up-to-date. Weight is 67th percentile and height is 56th percentile. Temperature is 38.4°C (101.1°F), blood pressure is 77/40mmHg, pulse is 142/min, respiratory rate is 26/min, and oxygen saturation is 92% on room air. The patient is ill-appearing, with a pale complexion, and moans in response to voice. She has dry mucous membranes and increased breathing work. Rales are appreciated over the right lung base. The patient is attached to the monitor and receives supplemental oxygen. In the first 5 minutes, multiple attempts are made at obtaining intravenous access without success. Which of the following is the best next step in management? 

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