Which findings do you expect to find for a patient with acute loss of blood?
A. Weakness, lethargy, and warm, dry skin
B. Restlessness, hyperthermia, and bradycardia
C. Tachycardia, hypotension, and cool, clammy skin
D. Widened pulse pressure, anxiety, and hypoventilation
ALL answers are correct.
Early identification of an infective organism is a priority, and samples for cultures should be obtained from various sites. In the febrile, neutropenic patient, antibiotics should be started immediately (within 1 hour). Cultures of the nose, throat, sputum, urine, stool, obvious lesions, and the blood may be indicated. Ongoing febrile episodes or a change in the patient's assessment (or vital signs) requires a call to the physician to order additional cultures, diagnostic tests, and antimicrobial therapies.