Heme/Onc ID Flashcards
1
Q
Is Fever in a neutropenic patient a big deal?
A
Yes! medical emergency!
2
Q
Definition of neutropenic fever?
A
Single temp > 101.3 or sustained temp > 100.4 for 1 hr. ANC
3
Q
What should you never do w/ a neutropenic patient?
A
DRE
4
Q
What is a common etiology of neutropenic fever?
A
mucositis (usually from gut) 2/2 chemo causes bacteremia.
5
Q
MC bugs in neutropenic fever?
A
pseudomonas or MRSA (if port present).
6
Q
Work up for neutropenic fever?
A
Blood cx, then started 3rd or 4th gen ceph (ceftazidime or cefipime).
7
Q
When to add vanc?
A
Line infection or septic shock
8
Q
When to add amphoB
A
if no improvement and no source found in 5 days
