and your first job is looking after a poor girl with a super high fever.
What happens next?
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
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
- 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
>What now faggot
It can't be helped.
It's time to use THIS: >>124942064
Hmm... SIRS criteria 3/4, with one un-measured parameter. Plausible source of infection (Pneumonia).
Stat lactate, or pro-calcitonin
hey it's true love, she's getting all the expensive stuff.
30mL/kg IV fluid bolus.
>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.
>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.
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.