Temperature spike

Question 1

temp spike DDx

complications

Answer 1

infection (e.g. chest, UTI)
SIRS (sepsis most common cause)

post op:
surgical collections
<2d = atelectasis
2-4 = pneumonia
4-6 = anastamotic leak
6-8 = wound infection
8-10 = DVT/PE

complications:
fluid loss
sepsis

Question 2

temp spike during call

Answer 2

background
obs

ask for:
urine dip and MCS

Question 3

temp spike exam

Answer 3

Obs

sepsis Sx: cap refill, skin temp, pulse

infection sources:

• multi system exam
• iatrogenic causes (surgical wounds, drains, lines)
• exposure (skin, joints, peri anal)

Question 4

temp spike Ix

Answer 4

BOXES
bloods: WCC, Hb, plt (DIC)
blood cultures
VBG (lactate)

O: urine dip, culture any other fluids

X: CXR, CT abdo if surg collection

Question 5

temp spike Rx

Answer 5

Rx cause: targeted Abx
if chest: O2/saline nebs/salb nebs/physio

sepsis 6
surgery if joint/abdo/necrosis sepsis

Question 6

antb for surgical abdo

Answer 6

amox met and gent