hyperthermia, hypothermia and fever Flashcards

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1
Q

heat stroke def

A

core temp is higher than 40 c or 104 f

CNS dysfunction

2 kids nonexertional and exertional

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2
Q

nonexertional heat stroke is caused by

A

underlying conditions - obesity, CVD, neurlogic disorder etc

cant leave hot environment - no access to hydration / cooling

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3
Q

exertional heat stroke

A

exercise in heavily hot humid weather

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4
Q

t/f heat stroke will have…

A

widened pulse pressures

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5
Q

t/f immersion therapy can increase mortality?

A

true - for elderly pts with classic heat stroke

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6
Q

hypothermia when core temp is …

A

below 35 c

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7
Q

stages of hypothermia

A

mild 32-35 or 90-95
moderate 28-32 or 82-90
severe below 28 or 82

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8
Q

resuscitative efforts should be..

A

continued indefinitely until body reaches 32-35 or 90-95 F

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9
Q

for hypothermic pts.. with PEA

A

do NOT do chest compressions

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10
Q

FUO

A

fever of unknown origin
temp greater than 38.3 (101) multiple times
more than 3 wks of illness
failure to reach dx after 1 wk inpatient

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11
Q

acute fever with no obvious source

A

this is commonly worked up in ER

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12
Q

fever defined as rectal temp that is over

A

38 c or 100.4 F

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13
Q

nontoxic child with fever workup

A

URI, AOM, strep
Rapid test for virus
UA/ urine culture

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14
Q

cath criteria for males and females

A

all males less than 6 mo
all uncircumcised males less than 12 mo
all females under 2 yrs
if older female but think uti do cath

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15
Q

another thing to think when have nontoxic kid with fever and strep test comes back negative

A

look for occipital nodes ..mono!

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16
Q

toxic fever workup for kids

A
rapid test for virus 
CBC 
blood culture 
CXR 
stool for WBC/ guaiac if D is also present  
UA/ urine culture 
CSF - LP (abx before)
17
Q

when admit kids with fever?

A

if toxic and…
pending culture results, give IV parenteral abx

Ceftraixone, cefotaxime or ampicillin / sulbactam