Neutropaenic sepsis Flashcards
1
Q
someone with sepsis with a line in - where cultures from?
A
line and peripheral
2
Q
what investigations to always do in sepsis of unknown cause?
A
CXR
throat swab
sputum culture
culture the line if in
3
Q
what does tazocin cover?
A
broad spec gram positive and negative
4
Q
often taz + gent used for sepsis - what can be a problem with this?
A
gent is nephrotoxic
avoid if on platinum-based chemo
5
Q
what is common source of infection for neutropaenic patients?
A
commensal gut - chemo can give mouth ulcers which can travel down gut, via which commensal bacteria enter blood - in this case no site found
often multiple sources
may not be anything on culture as told to present early so bacteria haven’t grown much yet
