Meningococcal Septicaemia (Adult)
 
 
Suspected meningococcal septicaemia
   
PPE
   
Confirm Meningococcal Septicaemia
Typical purpuric rash
Evidence of septicaemia
- Headache, fever, joint pain, altered conscious state, hypotension and/or tachycardia
   
Has IV Access been established?
  Yes
Ceftriaxone 1g IV
- Dilute with water for injection (9.5ml) to make 10ml
- Administer slowly over 2 minutes
 
No  
• Unable to gain
• Not IV accredited
Ceftriaxone 1g IM
- Dilute with Lignocaine 1% HCL (3.5ml) to make 4ml
- Administer into upper lateral thigh or other large muscle mass
 
Special Notes
Meningococcal is transmitted by close personal exposure to airway secretions/droplets.
Ensure face mask protection especially during intubation/suctioning.
Ensure medical follow up for staff post exposure.
 
General Care
Dilute Ceftriaxone 1g with water for injection (9.5ml) to make 10ml and administer 1g IV over approximately 2 minutes.
If unable to obtain IV access, or not accredited in IV cannulation, dilute Ceftriaxone 1g with Lignocaine 1% HCL (3.5ml) to make 4ml and administer 1g IM into the upper lateral thigh or other large muscle mass.