Pyrexia
Lernkarten zu PACT
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Lernkarten
Wie kann Katheter-Infekt ohne Katheterentfernung diskriminiert werden? 2
- Differential time to positivity: a relatively rapid (by at least 2h) onset of a positive culture in blood drawn via the CVC as compared to a paired sample from peripheral blood.
- Quantitative blood cultures: a quantitative organism ratio of at least 5:1 colony forming units (CFU) per ml between paired samples drawn from the catheter hub and peripheral blood cultures respectively.
Pathogenese einer acalculären Cholecytitis?
Radiologische Zeichen? 5
After multiple trauma, burns, severe sepsis and major surgery, the gallbladder may become inflamed in the absence of gall stones. This inflammation, called acalculous cholecystitis, has an estimated incidence of around 1.5%.
- A wall thickness >3 mm
- intramural lucencies
- gallbladder distension
- pericholecystic fluid
- and intramural sludge
Welche Medis machen Drug fever?
Welche besonders? 6
Eigentlich alle.
Drug fever ist eine Ausschlussdiagnose!
- all antibiotics (especially β-lactams)
- anti-epileptic drugs (especially phenytoin)
- antiarrhythmics (mainly quinidine and procainamide)
- antihypertensives (α-methyldopa)
- diuretics
- and stool softeners
Ursachen für Fieber auf herzchirurgischen IPSen?
myocardial infarction, Dressler's syndrome with pericarditis, thromboembolism, thrombolytic therapy with haemorrhagic complications and antiarrhythmic medication (e.g. procainamide, quinidine), and deep venous thrombosis
Risikofaktoren bei Traumapatienten für einen Infekt?
- advanced age
- underlying co-morbidity and the extent of trauma and surgery as well as
- prolonged hypotension
- haematoma
- foreign bodies and
- blood transfusion
Welche Erreger erzeugen ein toxic shock syndrom?
Wird wie bahndelt?
Staphylokokken und Streptokokken
Reinigen der Wunde, Fremdkörperentferung,Drainage, und Sepsis-Therapie
Warum ist Fieber bei neurologischen Patienten besonders beachtenswert?
After stroke or neurotrauma, fever may be associated with more severe brain damage and a worse neurological outcome->rapid assessment
Symptome des Lethal Catatonia syndroms?
s a neuropsychiatric disorder that may overlap the neuroleptic malignant syndrome. Fever, stupor, mutism, coma, muscle rigidity and autonomic instability are amongst the most prominent features.
Behandlung von MH, Mal.Neur.Syndrom und lethale Katatonie?
Spezielle Therapie mit MNS?
Therapie bei Leth. Katatonie?
- eliminating the underlying causes
- cooling (initially by infusion of cold intravenous fluids – see below)
- rehydration and benzodiazepines
- Intravenous dantrolene sodium to treat muscle contraction (1 mg/kg bolus) which may be repeated during the course of the illness is followed by 4–8 mg/kg per day in 3–4 doses, orally, for 3–4 days as ongoing prophylaxis
- Bromocriptine, other dopamine agonists (levodopa) and amantadine may also be used for neuroleptic malignant syndrome
- Electroconvulsive therapy may be necessary for catatonia if refractory to drug treatment.
