Infection

Question 1

Early interventions for suspected sepsis

Answer 1

1. Aggressive fluids within first 3 hours - watch for MAP 60-70 and urine output >0.5 mL/kg/hr
2. Broad-spectrum antibiotics within 1 hour

Question 2

Cat bite treatment

Answer 2

Always antibiotic prophylaxis - Amoxicillin-clavulanate:
1. Skin flora
2. Pasteurella (gram-negative)
3. Anaerobes

Copious irrigation
Wound left open to heal by secondary intention (decrease risk of infection)

Question 3

Septic shock order of treatments

Answer 3

Fluid resuscitation -> vasopressors -> iv hydrocortisone

Question 4

Snakebite antivenom Crotalidae polyvalent immune Fab - adverse effects

Answer 4

Significant allergic reaction
Recurrent coagulopathy

Question 5

Airborne precautions are needed for which infections?

Answer 5

TB
Varicella - only when uncrusted lesions present; also contact precautions
Herpes zoster - only in disseminated disease or immunocompromised clients; also contact precautions
Rubeola (measles)