46) While in the emergency department you see a 3-week-old inf | Paediatrics videos & books

46) While in the emergency department you see a 3-week-old infant. The mother says that the child felt warm earlier in the day and has not been eating very well. The infant has a temperature of 100.9°F and has mildly decreased tone. What is the most appropriate initial management?
(A) Give acetaminophen and reassess in a few hours.
(B) Draw a blood culture, recommend increased fluid intake, and follow-up for re-examination in 24 hours in the primary pediatrician’s office.
(C) Admit to the hospital and perform a full “sepsis workup.”
(D) Draw a blood culture, give a shot of ceftriaxone (Rocephin) to cover for any infections and follow-up in 24–48 hours.
(E) Get a urine culture and begin trimethoprim/sulfamethoxazole (Septra).