Fever in the ICU
ฝัง
- เผยแพร่เมื่อ 25 ก.ค. 2024
- A detailed discussion of fever in ICU patients. 📝 Free Quiz: adv.icu/3QJb1Vc
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In this lesson we take a look at to concept of fever in our patient in the ICU. Fever is a non-specific response to some infectious, inflammatory, or neurologic issue going on. I talk about what exactly it is as well as the limits at which we consider a temperature a fever as well as a quick review of the pathophysiology of it. From there we go down the rabbit hole of discussing whether it has any benefit for our patient as well as some of the studies talking about the efficacy of treating a fever. Finally we quickly review over our ways of evaluating and managing the patient with a fever.
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0:00 Intro
1:44 What is Fever?
4:21 Pathophysiology
7:07 Causes
10:08 Impact of Fever
17:00 Evaluation and Management
21:18 Wrap up
#ICUAdvantage #Fever #Pyrexia
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Great as always man. Hope you keep doing these lessons for a long time! Thank you
Thanks Lucas. I'll def keep making more!
Thank you so much for diving into this!!! I was so excited to see this lesson, thanks again for all your hard work!!
Awesome to hear this Tammy. Always great to hear a particular topic is well received!
I literally watch all of your videos. You have helped me SO much!!! I am a new grad, and on month 4 of my first job - which I went straight into ICU. I did my preceptorship in the ICU, before preceptorship Covid barely let me go to clinical. ICU is all I really know- but you help bring in the basics and connect it to the critical so well and in a way that is easy to understand. It would be awesome if you could do a video on different diagnostic tests we see and do, and the significant findings we are looking at on them. (Such as EF on an Echo just for example). Also PD and hemodialysis
Thank you so much for taking the time to leave this comment Kenley! I tell everyone all the time I don't know how you guys did it going through school in the mess of COVID and them coming out into all this now. Hats off to you. Really glad to know the videos have been such a help for you. 😊Also thank you for the suggestions. I do have some on the todo list but will add some of the others as well.
Not an ICU nurse, not a nurse at all (Clinical Lab Scientist) but I like to learn and understand things so that while I'm testing I can keep all the possibilities in mind. Excellent presentation
Glad you liked it!
Thank you Eddie. I was very excited when I saw this lesson. I work in a burn center and one of the greatest conundrums we face is whether or not to treat that fever given that the etiology is most likely SIRS due to the burn injury( early stages in particular).
Yeah it definitely seems to be a mixed science and hopefully in the years to come they can study more specific etiologies and presentations of the patient at a given time to try and determine if theres any harm/benefit in doing so.
Excellent as always
Thank you! Appreciate that.
thank you as usual! your videos are just a 14/10!
Thanks so much Josh. Glad you liked it!
Great lecture, Eddie.
Thank you Gabriel!
Very informative! Nursing student trying to absorb as much as possible. Thanks.
Awesome. Glad you enjoyed it!
I just wanna say thank you for your work on these videos. I watched your videos throughout nursing school because I knew that the ICU was exactly where I wanted to land after graduation. Passed my NCLEX on 6/16/2022 and this week has been my orientation week as an RN. I start working on my unit (ICU) next week.
Again, thank you sir.
So cool! Congrats! Its such a great feeling when you finish school AND pass the NCLEX. NOW the real learning begins 😉 Wishing you the best in your new role in the ICU!
You are simply the best... Grazie maestro 🙏🙏❤️
Thank you so much! Too kind.
Extremely helpful
Glad to hear it!
This is a fantastic lesson. I know that in my career so far fevers have really been vilified regardless of origin. It really makes you think about if we are doing things without critically thinking about it.
I also just wanted to say thank you so much for your videos. I was brought to the ICU during COVID and ended up staying because I loved it. Your videos really helped me survive being a brand new ICU nurse during the middle of a pandemic. I recommend this channel to everyone. Thank you so much for what you do.
It is interesting when you come across things or changes in info that we learn about things. Medicine and healthcare is really fascinating.
And thanks for the great comment. Really happy to know that I was able to help in some way as you made the transition to ICU. Thanks so much for helping to spread the word!
Thanks , wishing this video from long time.
Glad you liked it
I find SO many fevers at work because no-one puts the probe deep enough under the tongue.
Had a peds pt come with a temp of 99.2, but she was tachy in the 140s.
I rechecked after the tech left the room... 103.2
BOOM!
I recently questioned an order for Tylenol for a dialysis patient who was highlighter yellow with an elevated ast. The temp was trending down. I documented several temps trending down and documented my concern. I held off on the Tylenol until the temp began to go back up. It just seemed more dangerous to treat the temp and risk more damage to the liver.
Thanks. I've always wondered about this. For us nurses though it ties our hands bc we have to follow orders, even if it harms them (as seen in the data$
Yeah, but it also gives us an opportunity to ask questions that can sometimes spark ideas in those who order. That said, at the end of the day, we can only do so much.
great video as always :) curious, whats the highest temp you've seen? and what was the situation? the highest ive seen in the ED was a 108 rectal temp🤯source of infection was a terrible pressure ulcer->osteomyelitis. Even heat stress patients ive had havent gotten that high :(
Wow 108?! From infection? Holy cow. I can't think of what the highest temp I've seen, but nothing near that. I don't think I've seen higher than 104 or 105something. I def know ED usually would see those high temps, but in Phoenix it often was from people passed out outside.
Really liked the way u explain things 👏✨, but i was wondering is giving a wide spectrum antibiotic before withdrawing blood culture in infection caused fever is good or bad
Cultures should be draw before abx are given
😘
😊
Blood cultures on all new fevers? Youre gonna have my mangers and infection prevention sweating
😂 lmaoooo
😂
Note to self: Throw max settings BearHugger on my afebrile pts
hmmm.... maybe not the takeaway I was hoping for