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Oncology Emergencies > Neutropenic sepsis > Flashcards

Neutropenic sepsis Flashcards

1
Q

Definition

A

Common complication of chemotherapy

Patient with neutrophi count of <0.5x10(9)
AND EITHER
1. Temp >38oC
2. Clinical signs of sepsis

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2
Q

Aetiology

A

Typically 10-14 days after chemotherapy

ORGANISMS
Gram +Ve/-ve bacteria
Atypical bacteria (pneumocystis carinii pneumonia PCP)
Fungal

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3
Q

Clinical Features

A 
Pyrexia (>38oC)
Rigors
Rash
Inflammation
Infective symptoms
Hypotension
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4
Q

Investigations

A

BLOODS
WBC
Lactate
Hb

CULTURES
Blood
Swabs from IV line

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5
Q

Management

A
  1. Empirical antibiotics e.g. Tazocin IMMEDIATELY
  2. Narrow-spectrum antibiotics when culture through from microbiologists

Fluids if hypotensive

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Oncology Emergencies (5 decks)

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