| Physical exam at the outlying hospital was remarkable for tachypnea and absent breath sounds in her left lung field. |
| On her second hospital day she developed fever, tachycardia and tachypnea, progressive respiratory distress, and hypotension. |
| The manifestations of SIRS include fever, hypothermia, leukocytosis or leukopenia, tachycardia, and tachypnea. |
| On examination, she was noted to be sitting upright and breathing without tachypnea, retractions or stridor. |
| The syndrome includes nonspecific features such as muscle rigidity, tachycardia, tachypnea, cyanosis, arrhythmias, and unstable blood pressure. |
| Oxygen saturation should be assessed by pulse oximetry in children with respiratory distress, significant tachypnea, or pallor. |
