Whats that Acronym?
Name that infection
What's the C. diff?
Whats the Lab Value?
Feeling Feverish
100

MRSA

methicillin-resistant staphylococcus aureus 

100

Can be caused by: bacteria such as streptococcus pneumoniae or haemophilus influenza (But can also be caused by fungi, parasite, virus)

S/s: high fever, severe neck stiffness, HA, N/v, photosensitivity, AMS 

Meningitis 

100

Name 3 symptoms of c. diff?

Watery diarrhea 

Nausea

Fever

ABD pain

Hypovolemia 

100

Normal Range of Na

135-145 


100

What medication should NEVER be given to children for fevers? *BONUS* What can it cause?

Aspirin

*BONUS* Reye's syndrome 

200

VRE

Vancomycin-resistant enterococcus

200

Caused by: gram positive, acid-fast bacillus 

Transmitted via airborne route usually (85%) pulmonary instance but can be in other locations (meninges, GU, bone/joint, GI)

S/s: low grade fever, night sweats, anorexia/weight loss, fatigue 

TB (tuberculosis)

200

What is a primary cause of C.diff?

Antibiotic use= normal flora is destroyed and overgrowth of C.diff in the intestine occurs 

200

Normal Cl

95-105

200

What should you do during a febrile seizure

1) Prevent self-injury (don't leave alone- call for help!)

2) maintain airway- monitor O2 sats  

300

C. diff

clostridium difficile

300

Cause by: group A B-hemolytic streptococcus 

S/s: sore throat, fever, fatigue, flu-like symptoms

Can lead to: glomerulonephritis or rheumatic fever if not treated 

Pharyngitis 

300

What precautions do you implement for concerns for C.diff?

*BONUS* when can you discontinue the precautions?

Contact & Special precautions 

*Bonus* can discontinue if stool culture comes back negative AND if patient no longer has sypmtoms (i.e. excessive/watery diarrhea)

300

Normal range for K

3.5-5.0 


300

What bodily reaction do you want to avoid when attempting to cool the body down when someone has a fever

Shivering- increased metabolism= temp goes up 

400

PMC

Pseudomembranous Colitis (aka c. diff colitis)

400
Typically caused by: bacteria following perforation of abdomen, colon, appendix (can also be caused with those who have peritoneal dialysis ports)


S/s: abd distention, bloating, fever, N/V, loss of appetite 

Peritonitis 

400

From increased GI loss what are three nursing concerns/diagnoses? 

*hint* think abnormalities/out of range values                          

Hyponatermia and Hypokalemia = cardiac arrhythmias

metabolic acidosis

hypotension

renal failure 

400

What is considered a critically low K and critically high K

Critical low <3.0

Critical high >6.0

400

What are possible adverse outcomes in young patient populations who experience fevers 

Seizures and dehydration 

500

HAIs

Healthcare associated infections 

500

Typically caused by: Escherichia coli

S/s: dysuria, hematuria, suprapubic discomfort, if infection ascends to upper organs of the system will have N/V, fever, chills, flank pain, CVA tenderness 

UTI

500

what are two primary interventions should you implement promptly to prevent complications?

1) fluid resuscitation (IV Fluids NaCl)

2) electrolyte replacement (KCl)

500

Normal BUN

5-20 

500

What organs are affected with Reye's syndrome?*Bonus* What happens to those organs?

Liver and Brain 

*Bonus* swelling 

600

*BONUS* CRAB

carbapenem-resistant Acinetobacter baumannii

600
Caused by: streptococcus, also from being on a ventilator 


S/S: fever, chills, fatigue, crackles, sputum production

PNA

600

What ABX is used to treat C.diff? 

*BONUS* What should the route be (typically)?

Vancomycin

*BONUS* PO (typically)

600

Normal Creatine

<1.3


600

What is a low grade fever range 

*BONUS* what is considered a true fever in ADULTS

100-101F

*BONUS* >102F

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