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Fever Management

OTC managemetn of fever lecture for PCI

QuestionAnswer
Define Fever Regulated rise in body temperature maintained by the hypothalamus in response to a pyrogen; increased thermoreulatory set point
A regulated rise in body temperature maintained by the hypothalamus in response to a pyrogen; increased thermoreulatory set point defines a ______. Fever
Core temperature is the temperature of the blood surrounding the _________. Hypothalamus
A substance that induces fever is a _______. Pyrogen
A malfunctioning fo the normal thermoregulatory process is __________. Hyperthermia
Body temperature exceeding 106F (41.1C) is __________. Hyperpyrexia
Name 6 complications of fever. 1. Dehydration; 2. Delirium/altered sensorium; 3. Coma; 4. neurological damage; 5. Muscle damage; 6. Seizures (2-4% of all children from 6 mo to 5yo)
True or false: Prostaglandin E1 is associated with fever. False
True or false: Prostaglandin E2 is associated with fever. True
True or false: Prostaglandin E3 is associated with fever. False
Advantages of glass thermometer Cheap, compact
Disadvantages of glass thermometer Difficult to find, break easily, sites of use not interchangeable, disinfection required, damaged by excessive heat, hard to read, long wait for accurate reading
Advantages of digital thermometers Easy and relatively quick to read
The goal of treatment for fever is_____ Alleviate discomfort by reducing core temperature to normal range
Infant less than 3 months with an elevated temperature - refer or treat? Refer
Infant between 3 and 6 months - refer or treat? Treat
Elderly with low-grade termperature (above 100F)- refer or treat? Refer
Anyone with temperature between 102F to 104F - refer or treat? Treat
Anyone with temperature above 104F to 106F - refer or treat? Refer
Patients with ongoing (2 days) or worsening fever - refer or treat? Treat
Patients with ongoing (>3 days) or worsening fever - refer or treat? Refer
Fever accompanied by a stiff neck - refer or treat? Refer
Patients w/ fever and CNS Disease or history of seizure disorder - refer or treat? Refer
Patients w/ fever and a cold - refer or treat? Treat
Patients w/ fever and an implanted prosthetic device - refer or treat? Refer
Patient w/ fever and taking medications that may induce fever - refer or treat? Refer
Patient w/ fever and taking immunosuppresant medications - refer or treat? Refer
Patient w/ fever and recent surgical or dental procedures - refer or treat? Refer
Patient w/ fever and documented infections - refer or treat? Refer
Patient w/ fever and suspected infections - refer or treat? Refer
List five nonpharmacologic approaches for treatment of fever. 1. Dress very lightly; 2. Give lots of cool clear liquids (unless contraindicated); 3. Limit play or activities; 4. Cool environment; 5. Spoinging w/ moderately cool water
Pharmacological treatment for fever is limited to ____ days from onset of symptoms (not from start of treatment). Three days
Created by: P1StudyStack
 

 



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