Hyperthermia, hypothermia and fever 8.9

Question 1

risk factors for mortality

Answer 1

temp elevation, increased time to initiate cooling, high number of organ systems affected, presence of anuria, presence of coma, presence of CV failure

Question 2

risk factors for mortality

Answer 2

temp elevation, increased time to initiate cooling, high number of organ systems affected, presence of anuria, presence of coma, presence of CV failure

Question 3

Heat Stroke management

Answer 3

establish airway, rapid cooling, endotrach intubation, ventilation, IV bolus of normal saline

Question 4

Mild hypothermia

Answer 4

32-35 C

Question 5

Moderate

Answer 5

28-32 C

Question 6

Severe hypothermia

Question 7

Mild hypothermia presentation

Answer 7

tachypnea, tachycardia, hyperventilation, ataxia, dysarthria, impaired judgement, shivering, cold diuresis

Question 8

Moderate hypothermia presentation

Answer 8

reductions in pulse rate and cardiac output, hypoventilation, CNS depression, hyporeflexia, decreased renal blood flow, loss of shivering

Question 9

Severe hypothermia presentation

Answer 9

pulmonary edema, oliguria, areflexia, coma, hypotension, bradycardia, arrythmia, asystole

Question 10

Fever work-up in non-toxic child

Answer 10

Look for easily checked sources of fever, rapid testing for viruses, perform UA by bladder cath

Question 11

Fever work-up in non-toxic child

Answer 11

Look for easily checked sources of fever, rapid testing for viruses, perform UA by bladder cath

Question 12

Heat Stroke management

Answer 12

establish airway, rapid cooling, endotrach intubation, ventilation, IV bolus of normal saline

Question 13

Mild hypothermia

Answer 13

32-35 C

Question 14

Moderate

Answer 14

28-32 C

Question 15

Severe hypothermia

Question 16

Mild hypothermia presentation

Answer 16

tachypnea, tachycardia, hyperventilation, ataxia, dysarthria, impaired judgement, shivering, cold diuresis

Question 17

Moderate hypothermia presentation

Answer 17

reductions in pulse rate and cardiac output, hypoventilation, CNS depression, hyporeflexia, decreased renal blood flow, loss of shivering

Question 18

Severe hypothermia presentation

Answer 18

pulmonary edema, oliguria, areflexia, coma, hypotension, bradycardia, arrythmia, asystole

Question 19

Hypothermia management

Answer 19

resuscitative efforts indef, 2 large IV with warmed normal saline to prevent hypotension

Question 20

Fever work-up in non-toxic child

Answer 20

Look for easily checked sources of fever, rapid testing for viruses, perform UA by bladder cath

Question 21

Fever work-up for toxic child

Answer 21

rapid testing for viruses, CBC, manual Diff for bandemia, blood culture, chest radiography, stool for WBC and guaiac if they have diarrhea, UA, obtain CSF

Question 22

RAPID

Answer 22

Resuscitation, Analgesia and assessment (SAMPLE), Patient needs, Interventions, Disposition