Post Op Fever

Question 1

What are the causes and days of post op fever? What is the pneumonic?

Answer 1

Malignant hyperthermia - during surgery (wonder drugs)
Bacteremia- post op day 0 (wound)
Atelectasis - post op day 1 (wind)
PNA -post op day 2 (wind)
UTI - post op day 3 (Water)
DVT - post op day 5 (walking)
Wound - post op day 7 (wound) 
Abscess - post op day 10 

Wonder drugs, wound, wind, wind, water, walking, wound

Question 2

What is the time, treatment and PPX for malignant hyperthermia?

Answer 2

Time: During Surgery
Tx: Dantrolene
PPX: Family history

Question 3

What is the time, treatment and PPX for Bacteremia?

Answer 3

Time: Right after Sx, (post op day )
Tx: Blood culture, ABX
PPX: Don’t poke Bowel

Question 4

What is the time, treatment and PPX for Atelectasis?

Answer 4

Time: post op day 1
Tx: CXR, incentive spirometer
PPX: Spirometer

Question 5

What is the time, treatment and PPX for PNA?

Answer 5

Time: Day 2
Tx: ABX,(Vancouver + pip/tazo for HAP)
PPX:spirometer

Question 6

What is the time, treatment and PPX for UTI?

Answer 6

Time: day 3
Tx: urinalysis
PPX: remove catheter early

Question 7

What is the time, treatment and PPX for DVT?

Answer 7

Time: day 5
Tx: ultrasound, heparin -> Warfarin
PPX: ambulation, Heparin

Question 8

What is the time, treatment and PPX for wound?

Answer 8

Time: day 7
Tx: cellulitis is visible, (ultrasound to rule out abscess), ABX
PPX: don’t mess up your surgeries

Question 9

What is the time, treatment and PPX for abscess?

Answer 9

Time: day 10
Tx: CT scan, drain, ABX
PPX: Don’t mess up your surgeries