Fever Flashcards
Immediate post-op fever
Malignant hyperthermia
Response to halogenated inhalational anesthetics
Presentation of malignant hyperthermia
Immediately post-op
Muscle rigidity
Hyperpyrexia (fever)
Rhabdo
Fever within 6 hours of transfusion
Febrile non-hemolytic reaction
Result of recipient antileukocyte antibodies
Drug-associated fever (most common drugs)
Cephalosporins Penicillins Quinidine Amphotericin Procainamide Phenytoin
Presentation of drug fever
Fever
Rigors
Hypotension
Hypersensitivity reaction (rash, eosinophilia)
Most common sources of infection in surgical patients
Pneumonia
UTI
Bloodstream (central line)
Surgical site
Surgical site infections
5-7 days postop
Superficial - debridement
Deep - IR drainage, abx
Necrotizing wound infections
1-2 days postop
Clostridium species
IV Penicillin + extensive debridement
Non-infectious causes of ICU-aquired fever
Post-op fever (early) PE Platelet transfusion Adrenal failure Acalculous cholecystitis Drugs SIRS
Antipyretics
Acetaminophen
NSAIDs
Cooling blankets
Acetaminophen dose as antipyretic
PO or RS 650 mg q4-6hr
IV 650 mg q4 or 1 g q6
Maximum daily dose of 4 grams
Ibuprofen dose as antipyretic
IV 400-800 mg q6hr
Work up for nosocomial pneumonia
CXR Mini-BAL Quantitative sputum cx Blood cultures Arterial O2 saturation
Work up for catheter-related UTI
Urine cx with > 105 cfu/ml
Fever 24-48hrs post-op
Pneumonia
Aspiration
PE
