COmedic17
Forum Asst. Chief
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It does indicate an addisonian crisis, though.WPW is a definite possibility and if that's the case adenosine is definitely not what they need however the fever isn't high enough to indicate sepsis let alone severe sepsis with a compensatory HR that high.
Low BP, fever, chills, tachy, vomiting, onset can happen at anytime. And it can be perpetuated by illness and trauma.
If I were thinking cardiac, I would go with WPW. But with his age and no cardiac history, an endocrine problem is a big possibility as well.
But there's no way in hell I'm giving that kid adenosine. Not with the risk of WPW.