Case Scenario 3 Part C
The patient reports a low grade fever and general malaise for 2 days prior to attending for dialysis. They have no obvious focal symptoms but report previous recurrent line infections (she has a tunnelled line through which she 15 dialyses).
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Question 1 of 1
1. Question
Categorise the following treatment options into things you should and shouldn't do:
Sort elements
- Probably shouldn’t do
- Definitely do
- Probably shouldn’t do
- Definitely do
- Probably shouldn’t do
- Probably shouldn’t do
- Definitely do
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give the patient a stat one litre fluid bolus
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administer broad spectrum antibiotics as soon as possible (aiming for <1 hour as per national sepsis guidelines)
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Immediately remove the tunnelled line
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culture the patient
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catheterise the patient
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Insert a central line
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Search for a source of infection (e.g. CXR)
CorrectIncorrect
I have learned how to be able to take a comprehensive history from patients with ESRD
•understand the different types of access used in dialysis and the potential problems associated with them
•be aware of the most common complications of peritoneal and haemodialysis and how to approach them
very useful