ETSU Pediatric Grand Rounds-15825-------1/10/2013, Niswonger Children's Hospital
Marcela Popescu, M.D.
Dr. Popescu reports there is NOT a financial interest/arrangement of affiliation with one or more organizations which could be perceived as a real or apparent
COI in the context of this presentation.
This Continuing Medical Education activity has not received support from any commercial source.
'Management of Fever and Neutropenia- Can We Do Better?
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Review guidelines for the management of febrile neutropenia in patients with cancer          
Become familiar with our clinical procedure and care of patients with FN          
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Balanced, Objective, and Evidence Based          
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Based on what you heard today:
Which physician attributes (core competencies) did the speaker incorporate into their presentation? Please choose all which apply:
10y/o girl with ALL, presents to a rural ED with fever, chills. She received high dose Methotrexate 5 days prior. On exam: T=38.3 C, BP=112/80. She has oral mucositis and
abdominal pain/fullness in the RLQ. The initial management should be:
A). Transfer to Niswonger Children's Hospital---B). Obtain cultures/cbc and start IV Cefepime---C). Obtain cultures/cbc; start IV Cefepime only if ANC < 500
D). Obtain cultures/cbc; start IV Vancomycin and Meropenem---E). Obtain cultures/cbc; start IV Vancomycin and Meropenem only if ANC < 500
Correct answer is: D          
What new information/strategy do you plan to implement into your clinical practice?
What challenges or barriers might prevent you from implementing this new information/strategy?
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If you have questions, concerns, or comments about this activity, please contact: Barbara Sucher, M.B.A., Associate Dean for CME or 423.439.8081.
Form Revised 9-2012