I am a new grad in a CCU and we deal with post surgical as well as transplant patients. Needless to say I'm always trying to learn more thing in my position!
So my patient has Clebsiella pneumonia following an ECMO de-canulation and continues to have a fever of 103. I've already given Tylenol and want an order for something else so my patients fever doesn't get even higher.
Call doc on infectious disease following them and the doc says that they are not going to treat a fever. That its the bodies reaction and needs to be that high. They'd actually rather me not even give the Tylenol because the Tylenol should just be used for analgesic use and not for fever when the patient is incubated and on IV meds for pain.
My preceptor and I were very surprised by this little lesson and I want to know if anyone else has had experience with this?? Or any other experience with docs like this?
Dec 16, '12
This is why I love coming here for info... All of these different perspectives are a great resource! I've never even heard of a rubbing alcohol bath! In my unit, we have pretty strict parameters for everything so we're rarely left trying to figure this sort of thing out. Anything over 101 gets Tylenol where I'm at. This seems like a good place to start a policy/procedure discussion with your unit manager if there's nothing on the books already so if a similar case appears in the future, there won't be any question about it maybe.
Last edit by danmarin_99 on Dec 16, '12