SCCM Resource Library-Febrile Neutropenia

Video Transcription

Video Summary

Febrile neutropenia is a complex condition seen in patients with cancer who have a fever while having a low number of white blood cells. These patients can be super sick, with around 50% progressing to neutropenic sepsis and requiring ICU care. It is important for healthcare professionals to be familiar with the fundamentals of caring for these patients. Risk stratification, diagnostic decision-making, and guideline-based treatment options are crucial in managing febrile neutropenia. Low-risk patients may be able to be observed and discharged after careful evaluation and consideration of factors such as type of cancer, comorbidities, social support, and access to emergency care. Antibiotic treatment should be initiated early, focusing on broad-spectrum coverage, especially for gram-negative bacteria. Source control and consideration of antifungal therapy may be necessary in severe cases. Working closely with oncology specialists is essential for the management of febrile neutropenia.

Asset Subtitle

Pharmacology, Hematology, 2022

Asset Caption

In a flipped classroom format, the audience will discuss the pharmacologic management of cancer patients admitted to the ICU with febrile neutropenia, hypercalcemia, and tumor lysis syndrome. Throughout the discussion, the moderator will highlight challenging aspects that may be encountered in the management of oncologic emergencies.

Meta Tag

Content Type Presentation

Knowledge Area Pharmacology

Knowledge Area Hematology

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Fever

Tag Hematology

Year 2022

Keywords

febrile neutropenia

cancer

neutropenic sepsis

ICU care

risk stratification

antibiotic treatment

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