Febrile Neutropenia: Antiviral Prophy & Tx

24 terms by oogrlychkoo 

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What is the main viral pathogen that we want to prophylax against?

Which drug to use for HSV prophylaxis?

Acyclovir (A-1)

WHat do we do to patients with upper respiratory symptoms and/or cough?

Perform a respiratory virus testing + CXR

When do you Treat VZV or HSV

Active infxn only- if not, do not tx

How would you prophylax a pt receiving cancer tx?

A yearly influenza vaccine w/ inactivated vaccine

What prophylaxis drug to give a pt with Influenza virus infection?

A neuraminidase Inhibitor

What are examples of Neuraminidase inhibitors?

Should routine tx of RSV be given to neutropenic pts w/ upper respiratory disease?

NOOOO

What are the drugs used for RSV?

Ribavirin

Palomizumab

What are other considerations

WHen to consider Hematopoietic growth factors?

When are CSFs not recommended?

T/F: consider CSF for ESTABLISHED fever + neutropenia?

False

T/F: consider CSF for ANTICIPATED fever + neutropenia?

True

T/F: consider CSF clinically for septic patients?

True

What are the different organisms that are involved in CLABSI (central line‐associated BSI)

S. Aureus

P. Aeruginosa

fungi

mycobacteria

How long do you treaT CLASBI associated infection?

Systemic abx for at least 4 days

WHat to do with an CLASBI?

When can you retain a catheter with CLABSI?

For CLABSi caused by coagulase (-) staph w/ or w/o abx lock therapy

How long to tx complicated CLABSI?

Tx: 4-6 weeks

What is considered a complicated CLABSI?

WHat is very important during CVC insertion

WHat are considered Environmental Precautions?

How is performance measured?

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