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Fever after 12 hours of surgery

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2K views 7 replies 5 participants last post by  HouseWannabe 
#1 ·
The intern on call is summoned at 2:00 am to evaluate a 24-year-old postsurgical man with a fever. The patient is 12 hours postappendectomy. There were no complications during surgery; the appendix had not ruptured. On arrival at the patient's bedside, he is sleeping comfortably. His vital signs are blood pressure 110/80 mm Hg, heart rate 65 beats/min, respiratory rate,14 breaths/min, and temperature 38.6°C (101.5°F). He is easily awakened and without complaints. The surgical wound site is cool to the touch and without drainage. What would most likely have prevented his fever?

A. Drainage tube placement
B. Incentive spirometry
C. Laparoscopic appendectomy
D. Mini dose heparin
E. Postoperative prophylactic antibiotics
 
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