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1. ]’V Petex MD, D1"•íB (Med), FRACP,
Medical YCU

3. ror/oxoćo o
o
c
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Îzoz6 »to r›xrnta
s• Ofÿ Nivzù torna
”C€P

4. acute-please responsetoimmumstimulus ortissue injuy
ü- !ffumoratcuesfrom inflammation or iaJ#f II

6. .- T#wperafur# > J8 °C iriproveØsurvivaŁinpatents with5Be

7. <
- Jacrs‹oeHcar‹€uroutp«t

11. •!• Yeñpherak temperature measurements
•‘• Xeaniredin the outer 1.6 mm ofsfin or mucus membranes
-“
• ConsideredunreLia6k as infLH0ftC0db environmentaLtemperatures,
mouth breathing etC.
•
“
• Campus —oraltemperatures kkary, skin temperature
•I• Core temperature measurements
• Not iaJfurarrH6J eternalfactors
• XOre accurately rejects temperature in the internakorgam
• amptés —pukmonay, rectal esophagea urinary, tympanic

12. ••Wympanic —eat but can be of by even 20
• urinal —goodakternative
•Qectef— oflcom one6k
• Oesophageal

14. •ì• Norinattemperature
ë•Oiflmofraúariom of temperature with evening rise up to

15. investigations in the I(!l1if temperature is a6ove

17. •í• Xow do I act when I art see a temperaturespi§e?

18. with a fe6ñte itíness

19. pcute un-differentiated

20. •í•9cute CXS infection

21. • Urattfetoy support —
respirator failure —
pneumonia
•f•hemodynamic support - shock
•t• renal repocement thera —renalfailure, severe
”
fi•Monitoring, Neurofogifuf Sys nction, KemntoLogic

23. •ì• Loob;for șper¡Țir ctues to guide in the diagnosis

24. •í• Yever with thrombocytopenia
ever with puírionay renaísyndroine

25. 'ever with thrombocytopenia

26. •í• Yever with hepato-renatdysfìinctìon

27. •í• Yever włih putWonaiy-renatdysfunctíon
•i•Severe PegionekÕ / pneumofocćak pneumonia

28. •!• Yever with atteredsensoñum
• Wofaño —
rrr6rafwa/âñu
fi•Encephaâtis
fi•Meningitis
•
°
•typhoidfever
•i•septic encephalopathy
•.• firuia e6sren

31. ••- CatheterreÖíeY 6ÉooØsíream infections

32. ï• Yungakinfections iorfxÁing rooÁiÁetnio
•í• 5urgicakwoundinfections

33. Brairi
Heart
Pulmonary
Abdomen
: Vascular
C iitaneoos
Miscellaneoi is
Cerebral infarctionZhemorrhage. sub-
aracliiioid hemorrhage.
Acute myocardial infarction, pericarditis
Aspiration, atelectasis, pulmonary enibolism,
ARDS
Ischemic bowel. gastrointestinal bleeding.
pancreatitis. hepatitis, cirrhosis, adrenal
Nstifficiency
Deep vein thrombosis. thrombophlebitis
Deciibitiis ulcers
Drug fever, reaction to radiological contrast.
fat embolisni, neoplasnis, blood transfusions,
transplant rejection, gout.

35. •í• Xow do I act when I art see a temperaturespi§e?

37. O
<-;f£oa/i£/ 6eworrii:di• ^*'<>
‹t• In an iminunocompromised yalieiit
fi• ff hemodynamic instabiâty
•‘• !Eecreaslng RCrP
•
•
’
• Increasing tâctate
fi• Worsening conscious state
• »
4- forfeiting coagukopathy
• Smalltime
••’• t
o hemodynamic instabiti'ty
•‘• Carefully famine cânlcaLty for an
ob'vious focus o/inJerttoa
O

39. •i• dkoods —counts, procakcitonin
•!• Cultures as appropñate d9L, Gñne, dkood
cultures (peñpherakandthrough ânesj cultures from
pus, woundetc, f''itookfor ckostñdiuW

40. •;•pssess If nes are ”ot and If there iS any
evidence of fine sepsis - re-site fine if indicated
•i• Change uñnay catheter

41. ‹-AcuteLung injur;t/A'it'i9S,Apiration
• keep venous thrombosis, thrombopbkebitis
• drug fever
Eecubitus ulceration

45. •••Yes- inpatients with “Heurokogicakdisorders”
ä•door canto- respiratory r#serrr

46. O
-4
•’fV£eiito adminUter or r£oiige anti6iotics?
•f• eneraNy in an unsta6Le patient —choose to treat with
6ro spectmri antibiotics at puLL6ac§O#pen$ing on
cultures @ chnicaLresponse
O