Many children carry an ID card which contains their diagnosis, baseline CBC, hematologist's name and telephone number, etc. Culture other sites, as indicated. Prescribe a long acting antibiotic, such as ceftriaxone, if antibiotics are indicated. Start hydration at 1.5X maintenance immediately. Start analgesics promptly to provide effective relief of pain.
Morphine sulfate is the analgesic of choice.
Maximum single IV dose is 15 mg q 2-4 h for unhabituated patients. Maximum single IV dose is 4 mg q 3-4 h for unhabituated patients. Maximum daily dose 90 mg. Most common in infants and young children. High mortality rate.