aFloridaNurse

Now I am curious too...

In response to an acute infection, trauma, or inflammation, white blood cells release a substance called colony-stimulating factor (CSF). CSF stimulates the bone marrow to increase white blood cell production. In a person with normally functioning bone marrow, the numbers of white blood cells can double within hours if needed. An increase in the number of circulating leukocytes is rarely due to an increase in all five types of leukocytes. When this occurs, it is most often due to dehydration and hemoconcentration. In some diseases, such as measles, pertussis and sepsis, the increase in white blood cells is so dramatic that the picture resembles leukemia. Leukemoid reaction, leukocytosis of a temporary nature, must be differentiated from leukemia, where the leukocytosis is both permanent and progressive. This is from http://www.rnceus.com/cbc/cbcwbc.html. Remember there is hot and cold sepsis--- it is possible that you caught him in transition and early kidney failure-- that is because of continued cell break down (highter K) and acidosis from lack of bicarb. Also the severe acidosis would account for needing the higher and higher O2.. Just an idea-- but I have seen patients go from sepsis to MODS (multi organ dysfunction syndrome). Have you found out any more? PS if he was immunocompromized he would not have been able to increase wbcs so rapidly in my opinion.

You need to make new memories with your cousin-- happy ones. I had to perform mouth to mouth on my child when he was 18 months old-- It was the scariest moment in my life. However, I think about it less and less (he is now 13). I thank God I was in the right place at the right time. As you create new memories, it becomes easier to "forget that scarry moment". Best of luck!

There are many subject areas, it depends on what you are trying to do for the project here are some ideas. Does male circumsion reduces the risks of HIV infection in men. (yes) Drug A versus Drug B in a certain type of patients-- I have done the superiority of 2 drugs in treating CHF.(there was no differece) Is closing a wound with glue (sterile) as effective as using sutures? (no difference in quality of scar, glue much quicker) Which is better tap water or normal saline as a wound cleanser? (no difference) Does cooling a body during an MI prevent neuro defecits? (yes) Do nebulizers versus MDIs decrease asthma exacerbations? (no difference) Cochrane Database is a great search site. Good Luck