1st September 2020

A 4-year-old girl has presented to your GP clinic complaining of aches and pains for 3 days

A 4-year-old girl with sickle cell disease has presented to your GP clinic complaining of aches and pains for 3 days, which are not settled with paracetamol and ibuprofen. Observations are as follows: heart rate of 114bpm, a respiratory rate of 39/min, a temperature of 38.2 degrees centigrade and a blood pressure of 94/62 mmHg. There is no obvious source of infection. What is the best management for this child?

Select the SINGLE most appropriate option from the list below. Select ONE option only.