59-year-old male with prostate cancer status post laser therapy (POD 14) presents with hematuria (bright red blood and clots) and difficulty urinating. Post void residual volume is 400cc. Urinary catheter is placed. Hemoglobin is stable and patient would like to be discharged with follow up with urology in 2 days. Should patients be placed on prophylaxis systemic antibiotics?
Stacy Marshall, MD
You are caring for a 2 yo with multifocal pneumonia who is hypoxic on standard nasal canula. You decide to institute high flow nasal canula (HFNC) in an effort to stave off orotracheal intubation. Your repspiratory therapist requests parameters including flow rate (typically 0-40 LPM). What is the optimal flow rate to decrease work of breathing in this pediatric patient?
Neutropenic Enterocolitis aka typhlitis, necrotizing enterocolitis, ileocecal syndrome
- intestinal mucosal wall edema and disruption of wall integrity in a neutropenic patient
- Weakened immune system --> intestinal overgrowth --> invasion of opportunistic bacteria.
- May lead to sepsis and bowel perforation.
- Mortality 22%-50%.