1
Q
Fever
A
38.3 C
2
Q
Causes of Non infectious Post-Op fever
A
increased basal metabolic rate
dehydration
post-op atelectasis
drug reactions
3
Q
Common drugs that cause fever
A
amphotericin B TMP-SMZ beta-lactam AB procainamide (anti-arrhythmic) isoniazid alpha-methyldopa quinidine
4
Q
Infectious causes of Post Op fever
A
bandemia surgical incisions IV sites point of entry for any catheter UTI lungs sinusitis (NG tubes) Abcess WBC >30000 usu. not d/t infection (leukemia?)
5
Q
normal WBC
A
5000-10000
6
Q
Initial treatment of postop fever
A
hydration & expand lung inflation
7
Q
Tx infectious postop fever
A
supportive fluid therapy
acetaminophen
gram stain and C&S all invasive lines/catheters, as indicated
