What causes fever? - *ABCDEFGHIMN*
*Auto-immune* - SLE, GCA
*Blood* - Heme/Onc - Leukemia/Lymphoma
*Cancer*
*Drugs* - Amphotericin B, Beta-lactam abx, procainamide
*Endo* - hyperthyroidism, pheochromocytoma
*Familial mediterranean fever*
*GI* - intra-abdominal abscess, IBD
*Heart*- MI, endocarditis
*Infection* - bacterial, viral, fungal, parasites, etc.
*Misc* - Hematoma
*Neuro* - tumor, ICH, MS - interfere w/ thermoregulatory process
What is malignant hyperthermia? - *high fever d/t succinylcholine*
usu given in OR to relax laryngeal muscle
contraindicated to succs? hyperkalemia
*Tx: dantrolene - reversal for succs*
What is the treatment for fever? - 1. antimicrobials only when a microbe is present
2. antipyretics
3. tx underlying condition
What are the causes of non-infectious post-op fever? - 1. post-op atelectasis
2. increased basic metabolic rate
3. dehydration
4. drug reactions: Amphotericin B, trimethoprim-sulfamethazole, beta-lactam (abx), procainamide, isoniazid, alpha-methyldopa, quinidine, etc.
What would prompt you to think that a post-op fever is infectious? - 1. usu accompanied by subjective complaints & a WBC elevation with *left shift* (i.e., bandemia)
2. WBC >30k is usu not d/t infection
3. *surgical incisions*
4. *point of entry for any catheter, culture it*
5. UTI
6. lungs
7. sinusitis
8. abscess (e.g., intra-abd)
normal WBC - 5-10k
sinusitis - 12k
cellulitis - 17k
septic shock - 20-22k
leukemia - 30k
what is the initial tx for post-op fever in the absence of information of infection? - Hydration + measures to expand lungs
what is the treatment for infectious post-op fever? - -IVF + APAP
-tx underlying source
-gram stain, C&S, all invasive lines or catheters, as indicated
**before cultures, do not give APAP or IVF. Do not suppress anti-inflammatory response bec you want to culture at maximum inflammation response, then broad spectrum abx, IVF, & APAP, then narrow once culture comes back.
what are the components of headache evaluation? - 1. chronology - most impt hx item
2. location, duration, quality
3. associated activity - i.e. exertion, sleep, tension, relaxation
4. timing of menstrual cycle
5. presence of assoc symptoms
6. presence of "triggers"
Download alle 68 pagina's voor € 13,85
Document in winkelwagenI am a student like you, I create notes to help my fellow students excel amidst tight deadlines and never ending responsibilities. Hope the study materials that you will find here will help reduce your college workload.
ati ati comprehensive predictor ati pharmacology ati pharmacology proctored community health comprehensive fundamentals health care health care / nursing health care/ nursing healthcare hesi hesi rn exit leadership maternal newborn med surg medical surgical mental health nurs nursing nursing & health pediatrics pharmacology test bank tncc
Knoowy is the place to be! Steeds de moeite om eens na te gaan naar verslagen over uw opleiding.
Jullie website is top! Het heeft me al veel geholpen. Zeker omdat ik thuis studeer!
Deze site is een uitkomst als samenvatten niet je sterkste punt is. Zeker als je moet leren voor toetsen kun je hier alle nodige info vinden. Win-win.
Bij Knoowy vind ik notities van vakken die mij helpen bij het leren.
Je spaart enorm veel tijd uit door gebruik te maken van deze samenvattingen!
Knoowy is voor ons een extra verkoopkanaal en biedt de mogelijkheid samenvattingen online te verkopen.
Als student voor de examencommissie besparen samenvattingen mij een heleboel opzoekwerk!
Prima samenvattingen van veel verschillende vakken die je goed kunt gebruiken.