A fever plan is a must have if your child has Heterotaxy Polysplenia w/Funtional Asplenia or Asplenia. A fever plan can be done by your child's immunologist. It is a letter telling other doctors what needs to be done when your child reaches a certain temp. For instances, Chloe's temp is 102 degreess. Therefore, Chloe needs to have a CBC+DIFF, Blood Culture, and at least IM/IV ceftriaxone (in addition to any other antibiotics clinically indicated) until blood culture is negative x 48 hours. The decision to admit her to the hospital should be based on her clinical presentation.
Keep in mind even though your child has polysplenia the spleens may not be working at 100 percent so sometimes it may be treated as funtional asplenia. They may need to take a daily antibiotics & sometimes with bacterial infections they may need something even stronger.
***Consultation with an infectious disease specialist may also be warranted if bacterial infection is suspected because patients with polysplenia associated with abnormal splenic function are more susceptible to certain bacterial pathogens.***
1 comment:
this is such good information. Mei-Ling has never seen an immunologist so tomorrow I am going to make certain my daughter reads what you have written.
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