A 10-year-old girl presents to your ED with headache and vomiting. She has a history of hydrocephalus and has a VP-shunt in situ.

1. Other than infection, list (4) complications associated with VP shunts. 4 marks

You suspect she has a VP shunt infection.

2. List (2) organisms commonly associated with VP shunt infection. 2 marks

3. List the appropriate antimicrobial treatments including dose and route 2 marks

She has worsening headache and vomiting and you are suspecting raised intracranial pressure.

4. List (4) management options to reduce her raised ICP. 4 marks