+- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com)
+-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1)
+--- Forum: Step 3 (https://www.usmleforum.com/forumdisplay.php?fid=6)
+--- Thread: *** CCS- Febrile neutropenia *** - harry206 (/showthread.php?tid=430107)
*** CCS- Febrile neutropenia *** - harry206 - ArchivalUser - 07-21-2009
ER
****
p/e
****
iv access
iv ns
pulse ox q 6 hr
cardiac monitor
bp monitoring
cbc q 24 hr
bmp
lft
ua
blood culture
iv ceftazidime
sputum c& s (if respi symp)
chest xray
urine c& s, gm stain
*****
shift to ward
vitals q 2hr
history & physical q 6hr
I& O
bed rest
omez
compression stocking
diet- regular
nuepogen (??)
*****
start antibiotics based on culture
*****
3rd day
d/c iv meds, start oral
d/d 24 hr cbc
cousel ratedsex
0 - ArchivalUser - 07-21-2009
add:
in counselling: see me as and whe needed
0 - ArchivalUser - 07-21-2009
other investign based on symptoms, like:
- LP
- Stool gm stain, ova & parasite, clostridium difficle toxin
0 - ArchivalUser - 07-21-2009
harry
shouldn't you start giving ceftazidime/cefepime when you move them to ward especially since the type of patient?
0 - ArchivalUser - 07-21-2009
i think u r right
But as said: "Febrile Neutropenia should be taken seriously"
So i ordered that earlier
Plz add more.
0 - ArchivalUser - 07-21-2009
role of neupogen is also considered in specific case....anc