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Flashcards in Fever Deck (15):
1

What is postoperative fever?

Temperature > 38.5 (or 101.5)

2

What are the 5 classic Ws of postoperative fever?

Wind (atelectasis)
Water (UTI)
Wound (wound infection)
Walking (DVT/thrombophlebitis)
Wonder drugs (drug fever)

3

What is the classic timing of postoperative atelectasis?

First 24-48 hours

4

What is the classic timing of postoperative UTI?

Anytime after POD #3

5

What is the classic timing of postoperative wound infection?

Usually after POD #5 (but it can be anytime)

6

What is the classic timing of postoperative DVT/PE/thrombophlebitis?

PODs #7-10

7

What is the classic timing of postoperative drug fever?

Anytime

8

What is the most common cause of fever on PODs #1-2?

Atelectasis

9

What is the complete fever workup?

Physical exam, CXR, U/A, blood cultures, CBC

10

What causes fever before 24 postoperative hours?

Atelectasis, B-hemolytic streptococcal or clostridial wound infections, anastomotic leak

11

What causes fever from POD #3-5?

UTI, pneumonia, IV site infection, wound infection

12

What is an anesthetic cause of fever intraoperatively?

Malignant hyperthermia (treat with dantrolene)

13

What causes fever from POD #5-10?

Wound infection, pneumonia, abscess, infected hematoma, C. difficile colitis, anastomotic leak, DVT, peritoneal abscess, drug fever, PE, parotitis

14

What causes wound infection on POD #1-2?

Streptococcus or Clostridium

15

What can cause fever at any time post-op?

1. IV site infection
2. Central line infection
3. Medications