NURP-532-Exam 1 with correct |||\\\ |||\\\ |||\\\ |||\\\
answers
Select the options below that describe the pathophysiology of fever: - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Cytokines release prostaglandin E |||\\\ |||\\\ |||\\\
There is an alteration in the thermoregulatory center of the hypothalamus
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
When a pathogen or a virus, bacteria, invade the body, an inflammatory process occurs. And
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
this is because of a release of prostaglandin. So that's going to raise the thermoregulatory set
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
point. And then we see heat being produced by shivering, vasoconstriction, patients covering
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
them up, and that will just raise the body temperature.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which of the following statements is correct? - correct answer✔✔Temperature reduction lasts
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
longer with ibuprofen vs. acetaminophen |||\\\ |||\\\ |||\\\ |||\\\
True or False - correct answer✔✔All neonates with fever should receive a full sepsis work up.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
TRUE
Signs and symptoms of sepsis in the neonate include progressive jaundice, poor feeding, and a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
temperature less than 35.5 degrees C. TRUE |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Early onset group B strep infection in a baby occurs in the first 24 hours to 2 weeks, and late
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
onset occurs at 2 weeks up to 4 weeks of age. FALSE
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
All neonates with fever should receive empiric treatment with IV antibiotics. TRUE
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,E.coli is a common organism that causes early onset sepsis in the neonate. TRUE
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which of the following is appropriate to prescribe to reduce fever in a 4-month-old? - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Acetaminophen 10-15 mg/kg orally every 4-6 hours |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Fever - correct answer✔✔Pyrogens travel to the hypothalamus to signal for the body to retain
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
more heat. |||\\\ |||\\\
Temperature greater than 100.4 F. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Only needs to be treated if the child is uncomfortable.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Pyrogens - correct answer✔✔Released by the immune system in response to a bacterial or
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
viral infection.
|||\\\ |||\\\
Signals the body to generate heat to make it an unfavorable habitat for infection.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What is the most accurate method of checking for a fever? - correct answer✔✔Rectally for
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
those under 3 years of age (especially under 12 months of age)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Fever without Focus/Source - correct answer✔✔Acute fever without a known source in
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
children less than 24 months of age. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Infants or children who appear ill or "toxic" require a sepsis workup.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Sepsis Workup - correct answer✔✔- CBC with diff
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Serous glucose
|||\\\ |||\\\
- CSF testing
|||\\\ |||\\\ |||\\\
,- Inflammatory markers
|||\\\ |||\\\
- Urinalysis and urine cultures
|||\\\ |||\\\ |||\\\ |||\\\
- Blood cultures
|||\\\ |||\\\
- CXR |||\\\
- Stool culturesterm-10
|||\\\ |||\\\
Evaluation of Infants < 29 Days - correct answer✔✔Full workup and hospitalization |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Evaluation of Infants 29-60 Days - correct answer✔✔- CBC with diff |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- BC |||\\\
- UA and UC
|||\\\ |||\\\ |||\\\
- PCT and CRP
|||\\\ |||\\\ |||\\\
- CXR |||\\\
- Possibly an LP
|||\\\ |||\\\ |||\\\
Evaluation of Infants 61-90 Days - correct answer✔✔- Infants who are well appearing and have|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
no focal or viral infection: UA and UC
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Infants who received an immunization within the past 24-hours and temperature is less than
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
38.6 C/101.5 F may be closely monitored and if fever lasts longer than 48 hours, workup is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
required
- If RSV positive, no further workup is required
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- If positive for the flu, UA and UC recommended
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, Urinalysis - correct answer✔✔- UA and UC required for all children less than 90 days with a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
fever
- UA and UC recommended for children 3-24 months of age that are at risk (temp > 102.2 F,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
females < 12 months of age, uncircumsized males, and fever > 24 hours)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Management of FWS 29-90 Days - correct answer✔✔- Low Risk: close follow-up within 12-24 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
hours |||\\\
- Moderate-to-High Risk: hospitalization, CSF studies, and empirical antibiotics
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Fever of Unknown Origin (FUO) - correct answer✔✔- Fever for greater than 2-3 weeks with no
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
known origin after testing and work-up
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Evaluation of FUO - correct answer✔✔- CBC with diff |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- BMP with liver function test
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Blood cultures
|||\\\ |||\\\
- Inflammatory markers
|||\\\ |||\\\
- UA/UC |||\\\
- CXR |||\\\
- ID consult
|||\\\ |||\\\
- Empirical antibiotics not recommended
|||\\\ |||\\\ |||\\\ |||\\\
Acetaminophen (Tylenol) - correct answer✔✔- Drug of choice in reducing fever |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Dose 10-15mg/kg q4-6hrs to not exceed 5 doses in 24 hours
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
Select the options below that describe the pathophysiology of fever: - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Cytokines release prostaglandin E |||\\\ |||\\\ |||\\\
There is an alteration in the thermoregulatory center of the hypothalamus
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
When a pathogen or a virus, bacteria, invade the body, an inflammatory process occurs. And
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
this is because of a release of prostaglandin. So that's going to raise the thermoregulatory set
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
point. And then we see heat being produced by shivering, vasoconstriction, patients covering
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
them up, and that will just raise the body temperature.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which of the following statements is correct? - correct answer✔✔Temperature reduction lasts
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
longer with ibuprofen vs. acetaminophen |||\\\ |||\\\ |||\\\ |||\\\
True or False - correct answer✔✔All neonates with fever should receive a full sepsis work up.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
TRUE
Signs and symptoms of sepsis in the neonate include progressive jaundice, poor feeding, and a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
temperature less than 35.5 degrees C. TRUE |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Early onset group B strep infection in a baby occurs in the first 24 hours to 2 weeks, and late
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
onset occurs at 2 weeks up to 4 weeks of age. FALSE
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
All neonates with fever should receive empiric treatment with IV antibiotics. TRUE
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,E.coli is a common organism that causes early onset sepsis in the neonate. TRUE
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Which of the following is appropriate to prescribe to reduce fever in a 4-month-old? - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Acetaminophen 10-15 mg/kg orally every 4-6 hours |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Fever - correct answer✔✔Pyrogens travel to the hypothalamus to signal for the body to retain
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
more heat. |||\\\ |||\\\
Temperature greater than 100.4 F. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Only needs to be treated if the child is uncomfortable.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Pyrogens - correct answer✔✔Released by the immune system in response to a bacterial or
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
viral infection.
|||\\\ |||\\\
Signals the body to generate heat to make it an unfavorable habitat for infection.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What is the most accurate method of checking for a fever? - correct answer✔✔Rectally for
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
those under 3 years of age (especially under 12 months of age)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Fever without Focus/Source - correct answer✔✔Acute fever without a known source in
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
children less than 24 months of age. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Infants or children who appear ill or "toxic" require a sepsis workup.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Sepsis Workup - correct answer✔✔- CBC with diff
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Serous glucose
|||\\\ |||\\\
- CSF testing
|||\\\ |||\\\ |||\\\
,- Inflammatory markers
|||\\\ |||\\\
- Urinalysis and urine cultures
|||\\\ |||\\\ |||\\\ |||\\\
- Blood cultures
|||\\\ |||\\\
- CXR |||\\\
- Stool culturesterm-10
|||\\\ |||\\\
Evaluation of Infants < 29 Days - correct answer✔✔Full workup and hospitalization |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Evaluation of Infants 29-60 Days - correct answer✔✔- CBC with diff |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- BC |||\\\
- UA and UC
|||\\\ |||\\\ |||\\\
- PCT and CRP
|||\\\ |||\\\ |||\\\
- CXR |||\\\
- Possibly an LP
|||\\\ |||\\\ |||\\\
Evaluation of Infants 61-90 Days - correct answer✔✔- Infants who are well appearing and have|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
no focal or viral infection: UA and UC
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Infants who received an immunization within the past 24-hours and temperature is less than
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
38.6 C/101.5 F may be closely monitored and if fever lasts longer than 48 hours, workup is
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
required
- If RSV positive, no further workup is required
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- If positive for the flu, UA and UC recommended
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
, Urinalysis - correct answer✔✔- UA and UC required for all children less than 90 days with a
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
fever
- UA and UC recommended for children 3-24 months of age that are at risk (temp > 102.2 F,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
females < 12 months of age, uncircumsized males, and fever > 24 hours)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Management of FWS 29-90 Days - correct answer✔✔- Low Risk: close follow-up within 12-24 |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
hours |||\\\
- Moderate-to-High Risk: hospitalization, CSF studies, and empirical antibiotics
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Fever of Unknown Origin (FUO) - correct answer✔✔- Fever for greater than 2-3 weeks with no
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
known origin after testing and work-up
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Evaluation of FUO - correct answer✔✔- CBC with diff |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- BMP with liver function test
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Blood cultures
|||\\\ |||\\\
- Inflammatory markers
|||\\\ |||\\\
- UA/UC |||\\\
- CXR |||\\\
- ID consult
|||\\\ |||\\\
- Empirical antibiotics not recommended
|||\\\ |||\\\ |||\\\ |||\\\
Acetaminophen (Tylenol) - correct answer✔✔- Drug of choice in reducing fever |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
- Dose 10-15mg/kg q4-6hrs to not exceed 5 doses in 24 hours
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
