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      News & Perspective Drugs & Diseases CME & Education Academy Video Decision Point
      Drugs & Diseases > Medscape > Fast Five Quizzes

      Fast Five Quiz: Summer Health Concerns

      Richard H. Sinert, DO

      Disclosures

      June 06, 2019

      Indicators of poor prognosis during acute episodes include the following:

      • Initial temperature measurement > 106°F (> 41°C), a temperature > 108°F (> 42°C), or a temperature persisting > 102°F (> 39°C) despite aggressive cooling measures

      • Coma duration > 2 hours

      • Severe pulmonary edema

      • Delayed or prolonged hypotension

      • Lactic acidosis in patients with classic heat stroke

      • Acute kidney injury and hyperkalemia

      • Aminotransferase levels > 1000 IU/L during the first 24 hours

      Read more on heat stroke.

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