hyperthermia, hypothermia and fever Flashcards
heat stroke def
core temp is higher than 40 c or 104 f
CNS dysfunction
2 kids nonexertional and exertional
nonexertional heat stroke is caused by
underlying conditions - obesity, CVD, neurlogic disorder etc
cant leave hot environment - no access to hydration / cooling
exertional heat stroke
exercise in heavily hot humid weather
t/f heat stroke will have…
widened pulse pressures
t/f immersion therapy can increase mortality?
true - for elderly pts with classic heat stroke
hypothermia when core temp is …
below 35 c
stages of hypothermia
mild 32-35 or 90-95
moderate 28-32 or 82-90
severe below 28 or 82
resuscitative efforts should be..
continued indefinitely until body reaches 32-35 or 90-95 F
for hypothermic pts.. with PEA
do NOT do chest compressions
FUO
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
acute fever with no obvious source
this is commonly worked up in ER
fever defined as rectal temp that is over
38 c or 100.4 F
nontoxic child with fever workup
URI, AOM, strep
Rapid test for virus
UA/ urine culture
cath criteria for males and females
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
another thing to think when have nontoxic kid with fever and strep test comes back negative
look for occipital nodes ..mono!
toxic fever workup for kids
rapid test for virus CBC blood culture CXR stool for WBC/ guaiac if D is also present UA/ urine culture CSF - LP (abx before)
when admit kids with fever?
if toxic and…
pending culture results, give IV parenteral abx
Ceftraixone, cefotaxime or ampicillin / sulbactam
