and your first job is looking after a poor girl with a super high fever.
What happens next?
I liked this manga.
I just wish it hadn't been closed so suddenly.
>>124940146
>poor
Get the fuck out. It ain't commie land.
I try to kiss her and grope her a little, but somebody walks in and stops me, calls the police
I'm arrested and tried as a sex offender
My life is over at the tender age of 23
RIP, I had a good run
>>124942064
Spoken like a truegentleman
>>124940146
Fart on her head.
Check vitals (BP, HR, RR, O2 Sat, temp)
Physical exam (pneumonia, inflammation, lymph nodes)
Check volume status (replenish if necessary)
Lab tests (blood culture since high fevers are likely bacterial)
Determine and treat underlying cause if possible
Supportive therapy
>>124943243
- BP is normal, has tachycardia 110x, tachypnea of 24x and a temp of 39.5°C. Sat is 98%.
- She finds hard to be alert, mildly impaired level of consciouness. Speaks in short sentences. Use of accessory muscles.
Auscultation shows complete abolition of right pulmonary field.
Capillary refill is 3s.
- Your blood cultures won't be ready on time.
- You start replenishing volume with good, but not great, response
What now faggot
>>124943888
>What now faggot
It can't be helped.
It's time to use THIS: >>124942064
>>124940146
>mangareader
Way to fuck up, Op.
>>124940146
>tfw someone actually walked in on you molesting 3dpd while they were drunk and passed out
>mfw they join in and end up technically raping someone
I stick my thermometer in.
My rectal thermometer.
>>124943888
Hmm... SIRS criteria 3/4, with one un-measured parameter. Plausible source of infection (Pneumonia).
Stat lactate, or pro-calcitoninhey it's true love, she's getting all the expensive stuff.
30mL/kg IV fluid bolus.
>>124943888
>>124945508
>Go to 4chan to kill time because it's basically a reflex when I open my browser
>Get reminded that I'm slacking off at uni
Thanks assholes, guess I'll go study.
[x] Genuflect
>>124943888
Empiric antibiotics. Do we have a history on her that gives any reason to suspect HCAP?
>>124940146
You call the medical student and dump the problem on him. At least that is what I would do.
>>124943243
You got wind, and ?water.
But you forgot walk, wound, and wonder drugs.
>>124946457
>You call the medical student and dump the problem on him. At least that is what I would do.
TFW I am the intern getting dumped on.
>>124943888
Just hit her with Piptazo
My bugs love piptazo.
Ceftriaxone + Clinda? Clarithro? + Vanco if I really think it is PNA.
>>124945508
Why calcitonin? Just trop her anon if you are really worried.
Also start empirical abx already. Time is ticking. Every 10 min without abx means a mortality hit.
>>124946538
My face when I was the nurse dumping it on the intern but now I am the intern getting dumped on.
>>124946622
Ok, Vanco + Piptazo. Bitches love Piptazo.
We can de-escalate if anything comes back on cultures in a few days.
Don't fap to it
>>124946740
You think it is MRSA?
Well, it is HAP. So good choice.
>>124946622
Also, no CVP monitoring for now. Process Trial Rules, Surviving Sepsis Trial Drools.
>>124946791
Ok, good. I was afraid you'd be a dick and tell me it was atypical pneumonia.
>>124946826
She is 18. The chance she aspirated or has HIV is low.
>>124946856
>She is 18. The chance she aspirated or has HIV is low.
This is /a/, so I have to be prepared for the dreaded Atypical Japanese Cold.
>>124946888
There is no defense against the Japanese Flu. Tamiflu has no evidence for effect.
The only thing you can do in that case is symptom management and palliative consult. Discuss Code status.
>>124946740
Ok, trick question - how long after pt improves do you step down Abx for HAP?
Apply lotion to her breasts. By lotion I mean semen. My semen. I would jack off onto her breasts, is what I am implying.
I'm so fucked up
