Evaluation of Fever in the ICU Patient
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First Things First (assess & treat for the following)
- Definition: A body temperature >38.3C (101F) represents a fever and an infectious source should be evaluated. However, 50% of episodes of fever are noninfectious.
- Does pt have hypotension?
- Consider sepsis (see Sepsis).
- Proceed with fluid resuscitation.
- Early antibiotic therapy
- Consider need for pressors/inotropes.
- Consider adrenal insufficiency.
- Consider sepsis (see Sepsis).
- Is pt hemodynamically stable?
- Is the pt neutropenic?
- Neutropenia + fever = immediate antibiotics following cultures
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First Things First (assess & treat for the following)
- Definition: A body temperature >38.3C (101F) represents a fever and an infectious source should be evaluated. However, 50% of episodes of fever are noninfectious.
- Does pt have hypotension?
- Consider sepsis (see Sepsis).
- Proceed with fluid resuscitation.
- Early antibiotic therapy
- Consider need for pressors/inotropes.
- Consider adrenal insufficiency.
- Consider sepsis (see Sepsis).
- Is pt hemodynamically stable?
- Is the pt neutropenic?
- Neutropenia + fever = immediate antibiotics following cultures
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