مريض على تغذية وريدية كاملة عبر قسطرة مركزية من ١٠ أيام. فجأة صارت عنده رجفة وحرارة ٣٩٫٣ أثناء تشغيل المحلول، والضغط ٩٢/٥٤، والنبض ١٢٦. مكان القسطرة نظيف. ما الذي يشك فيه الممرض أولاً؟

A client on TPN via a central line for 10 days suddenly develops rigors and T 39.3 °C during the infusion. BP 92/54, HR 126. The insertion site looks clean. What does the nurse suspect first?

1. Pneumonia from immobility
2. Central line-associated bloodstream infection
3. High glucose from the solution alone
4. A normal reaction to the infusion rate

Answer: B) Central line-associated bloodstream infection. Fever, rigors and hypotension in a client with a central line on TPN suggest CLABSI even with a clean site. Draw cultures from the line and a vein, notify the provider and start antibiotics.