Oncological Emergencies - Neutropenic Sepsis Flashcards
1
Q
Presentation
A
Neutropenia U0.5
Temp - 38C+ for 1 hour/38.5C spike
-can be apyrexic, hypotension may be the only sign
2
Q
Management
A
Sepsis 6 within 1st hour of recognition
- O2 => 94% via NR
- ABG, culture, FBC, CRP, U&E, LFT, clotting screen
- Urine dip and culture
- ABx - piperacillin tazobactam for broad spec pseudomonas cover
- IV fluid - restore tissue perfusion
- Monitor urine output
