AGACNP Review questions with correct answers

Tx of infectious Post-op fever - Answer #1 Supportive fluid therapy and APAP #2 Treat underlying source #3 Gram stain and C & S all invasive lines or catheters as indicated. What is the best intervention for fever of unknown origin? - Answer Nothing until the diagnosis is confirmed. Major syndromes causing fever - S/S of each and TX - Answer Serotonin syndrome - SSRI use, clonus, hyperreflexia, ataxia, mental status changes, restlessness, confusion, agitation, coma, seizure, diaphoresis, hyperthermia, mydriasis, labile bp - tx: dantrolene sodium, clonazepam for rigor, cooling blankets Malignant Hyperthermia - happens in the OR; after succinylcholine IV then fry brain to 104 F. IVF, pack them with ice then send to PACU with Dantrolene Neuroleptic Malignant Syndrome - associated with dopamine antagonists - bradykinesia, "lead-pipe" muscle rigidity - on anti psychotic; IVF priority to flush toxins out, and this is true to every toxic Other rando causes of fever to consider - Answer Temporal arteritis - high ESR, normal WBC, fever as high as 104!!! - HA, scalp tenderness, visual complaints. - 15% of all cases of FUO in pts 65 years