FEVER delete

FEVER ALGORITHM

By Pamela Rose

Multiple Select

According to the Fever Algorithm:

which of the following oral temperatures constitutes a fever?

(Select all that apply)

• 100.6 degrees Fahrenheit

• 99.8 degrees Fahrenheit

• 102 degrees Fahrenheit

• 98.7 degrees Fahrenheit

• A temperature 2 degrees higher than baseline

fever algorhythm

​Add fever algorhythm here

Activate Fever CPRS Set:

​Veteran Presentation :
Pain
Body aches
Diaphoresis
Clammy
Cold
Rigors
Altered mental status
Hypotension and or tachycardia

Fever : Oral temperature above 100.4 degrees Fahrenheit (or 2 degrees higher than baseline)

Multiple Select

Using the Fever Algorithm, which of the following might a patient exhibit with a fever?

(Select four that apply)

• PAIN

• Diaphoresis

• Rigors

• Hypotension & tachycardia

• Weight gain

Fever : Stable

Assess condition
Vital Signs
Pain
POC Covid-19 test
FSBS
Recheck temperature in one hour

​Alert & able to tolerate po &
Baseline mental status

Fever: Stable

Multiple Select

Using the algorithm, which of the following tests might you anticipate performing when a patient has a fever?

(Select 2 that apply)

• Hematocrit

• POC Covid-19

• Fingerstick blood sugar

• Bilirubin

Fever Stable

​Utilize relevant prn's
Call provider
Recheck temperature in 1 hour

Fever: Stable

​Call for 2nd license to initiate constant observation.
Notify Nurse Manager or NAC

Fever Stable

Follow provider instructions & anticipate orders:
IV insertion
IV fluids
Cultures
Antibiotics
Cold packs

Fever : Stable

Vital signs Q 4 hours or as needed

Fever Unstable

Recheck vital signs
pain assessment
POC Covid 19 test
FSBS
Visible signs of distress:
nausea, vomiting, weakness, lethargy, confusion, blurred vision