NURS 640 EXAM PREP QUESTIONS AND
ANSWERS
hyperthermia
uncontrolled increase in temperature not associated with "hypothalamic set point".
Not medicated by cytokines
>41.1 or 105.9
fever
response to pyrogenic cytokines
> 37.7 or >99.8
Antipyrogenic medications
cause vasodilation and sweating to release heat
Common Fever Causes
URI
Tonsillitis
UTI
Viral syndrome
Drug-reaction
Fever of Uknown Origin
Fever > 3 weeks
No clear diagnosis after 3 PCP visits or 3 hospital days
Common: infection, neoplasm, auto immune, misc. or undiagnosed.
, Iatrogenic
transmission of infection by medical device.
Malignant Hyperthermia
severe reaction that occurs in response to particular medications used during general anesthesia
Empiric Antibiotics immediately for
clinically unstable
neutropenic
asplenic pt
immunosuppressed
HIV
non-hyperthermia
HIV acute phase
0-3 months after HIV acquisition (esp. 2-4 weeks)
Test can be (-) up to 3 months. Retest
Generalized illness; mucutaneous ulcers
HIV testing may be NEG
Early misdiagnosis
HIV specific findings
Hairy leukoplakia of tongue
Kaposi sarcoma
ANSWERS
hyperthermia
uncontrolled increase in temperature not associated with "hypothalamic set point".
Not medicated by cytokines
>41.1 or 105.9
fever
response to pyrogenic cytokines
> 37.7 or >99.8
Antipyrogenic medications
cause vasodilation and sweating to release heat
Common Fever Causes
URI
Tonsillitis
UTI
Viral syndrome
Drug-reaction
Fever of Uknown Origin
Fever > 3 weeks
No clear diagnosis after 3 PCP visits or 3 hospital days
Common: infection, neoplasm, auto immune, misc. or undiagnosed.
, Iatrogenic
transmission of infection by medical device.
Malignant Hyperthermia
severe reaction that occurs in response to particular medications used during general anesthesia
Empiric Antibiotics immediately for
clinically unstable
neutropenic
asplenic pt
immunosuppressed
HIV
non-hyperthermia
HIV acute phase
0-3 months after HIV acquisition (esp. 2-4 weeks)
Test can be (-) up to 3 months. Retest
Generalized illness; mucutaneous ulcers
HIV testing may be NEG
Early misdiagnosis
HIV specific findings
Hairy leukoplakia of tongue
Kaposi sarcoma
