Neutropenic Fever

Words: 566
Pages: 3
Open Document
Introduction:
Neutropenic fever is one of the hematological emergencies responsible for significant morbidity and mortality. Without early antibiotics, it has a mortality rate of 70%. Risk stratification tools are available to triage severity of illness and appropriately manage these patients. MASCC scoring system is a well-validated risk stratifying tool used to treat patients in the appropriate medical setting. Well-established clinical guidelines are available from IDSA to guide clinicians to manage Neutropenic Fever appropriately. Our study aim was to recognize deficiencies in management and assessing adherence to standard guidelines set by IDSA to manage patients with Neutropenic Fever.

Methodology:
This retrospective observational …show more content…
The study population was comprised of 52% male and 48% female patients with age range from 32 to 90 years. Hematological malignancies (36.5%), lung cancer (15%), breast cancer (10.5%) and colorectal malignancies (10.5%) were the top four oncological diagnoses. Subjective or objective record of fever was recorded in 54.6% (87/141) of the study population. MASCC score was calculated using QxMD online calculator for each patient. We saw

• After MASCC score calculation 82% (116/141) patients were identified as high risk with the score < 21 and 18% (25/141) were identified as low risk with score ≥21. Antipseudomonal coverage was appropriately given in 81% (114/141) of the patients. Sub-optimal coverage with non-pseudomonal agents was seen in 19% (27/141) of the patients while 5% of the patients did not have blood cultures drawn at the time of admission. MRSA coverage with vancomycin was given to 50% (71/141) of the patients without clear indications. A colony-stimulating agent was given to 72% (102/141) of the patients. Environmental precautions were ordered in 54% of the patients. Sixty-three percent of the patients were discharged home after full recovery while 23 percent patients were discharged to a secondary medical facility for further
Show More

Related Documents: Neutropenic Fever

Gram Negative Bacteria

the same multidrug resistant organism or patients with intact skin and patients with no invasive or drainage devices (DHSS, 2015, p. 10). In the contrary, healthcare providers should never cohort patients with multidrug resistant bacteria with neutropenic patients or patients with different multidrug resistant bacteria (DHSS, 2015, p.10). Finally, it is important to implementing contact precautions (gloves and gown) when working with patients with multidrug resistant organisms to avoid contamination…

Words 807 - Pages 4

Oncology Personal Statement

“Choose a job you love, and you will never have to work a day in your life.”-Chinese Proverb Through my continuing education (RN to BSN program), I had an opportunity to gain the knowledge and skills that brought added meaning to my work. My passion to take care of hematology/oncology patients led me to focus on research and evidence based practice that is crucial for these patients and their families. As I have shared all my knowledge with other coworkers, including all patients’ care providers…

Words 928 - Pages 4

Nursing: Sepsis and Therapeutic Effects Essay

amino acid peptides increase absorption & assimilation by the body to promote tissue healing|N/A| Acetaminophen (Tylenol)|650 mg Q4H PRN PO|Therapeutic: antipyretic, nonopioid analgesic|Treatment of: mild pain, fever|Inhibits synthesis of prostaglandins that serve as mediators of pain & fever, primarily in CNS; Therapeutic Effects: analgesia, antipyresis|GI: hepatotoxicity, increased liver enzymes; GU: renal failure (w/ high doses/chronic use); Hemat: neutropenia, pancytopenia; Derm: rash, uticaria|…

Words 2820 - Pages 12

HESI Study Guide 1 Essay

physician of any concurrent Lasix use because of that drug's nephrotoxic potential as well Sulfonamides & Trimethoprim (e.g. Sulfamethoxazole/Trimethoprim [Bactrim, Septra, Cotrim]) Antifungals (e.g. Amphotericin B – protect with bag, flush with d5w, fever will go up and down, infuse over 2-6 hrs Itraconazole, Flucytosine) Antivirals (e.g. Acyclovir, Gancyclovir) Respiratory Medications Antivirals (e.g. Amantadine, Rimantadine) Flu vaccine (Seasonal flu, HINI) Decongestant Drugs (Sympathomimetics) (e…

Words 8165 - Pages 33