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OTC managemetn of fever lecture for PCI

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Question
Answer
Define Fever   Regulated rise in body temperature maintained by the hypothalamus in response to a pyrogen; increased thermoreulatory set point  
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A regulated rise in body temperature maintained by the hypothalamus in response to a pyrogen; increased thermoreulatory set point defines a ______.   Fever  
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Core temperature is the temperature of the blood surrounding the _________.   Hypothalamus  
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A substance that induces fever is a _______.   Pyrogen  
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A malfunctioning fo the normal thermoregulatory process is __________.   Hyperthermia  
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Body temperature exceeding 106F (41.1C) is __________.   Hyperpyrexia  
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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)  
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True or false: Prostaglandin E1 is associated with fever.   False  
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True or false: Prostaglandin E2 is associated with fever.   True  
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True or false: Prostaglandin E3 is associated with fever.   False  
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Advantages of glass thermometer   Cheap, compact  
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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  
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Advantages of digital thermometers   Easy and relatively quick to read  
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The goal of treatment for fever is_____   Alleviate discomfort by reducing core temperature to normal range  
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Infant less than 3 months with an elevated temperature - refer or treat?   Refer  
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Infant between 3 and 6 months - refer or treat?   Treat  
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Elderly with low-grade termperature (above 100F)- refer or treat?   Refer  
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Anyone with temperature between 102F to 104F - refer or treat?   Treat  
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Anyone with temperature above 104F to 106F - refer or treat?   Refer  
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Patients with ongoing (2 days) or worsening fever - refer or treat?   Treat  
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Patients with ongoing (>3 days) or worsening fever - refer or treat?   Refer  
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Fever accompanied by a stiff neck - refer or treat?   Refer  
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Patients w/ fever and CNS Disease or history of seizure disorder - refer or treat?   Refer  
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Patients w/ fever and a cold - refer or treat?   Treat  
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Patients w/ fever and an implanted prosthetic device - refer or treat?   Refer  
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Patient w/ fever and taking medications that may induce fever - refer or treat?   Refer  
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Patient w/ fever and taking immunosuppresant medications - refer or treat?   Refer  
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Patient w/ fever and recent surgical or dental procedures - refer or treat?   Refer  
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Patient w/ fever and documented infections - refer or treat?   Refer  
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Patient w/ fever and suspected infections - refer or treat?   Refer  
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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  
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Pharmacological treatment for fever is limited to ____ days from onset of symptoms (not from start of treatment).   Three days  
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