A patient who is HIV+ and a Jehovah's Witness is admitted to the hospital with anemia, fever of unknown origin, and wasting syndrome with dehydration. The orders from the physician include:
· O2 at 4 L/min per nasal cannula
· IV D5W/½ NS at 150 cc/hr
· CD4 and CD8 T-cell subset counts; erythrocyte sedimentation rate; complete blood count; urine, sputum, and stool cultures; chest x-ray
· Acyclovir 350 mg IV q8h
· Neupogen 300 mcg SQ daily
· Epogen 100 units/kg SQ three times a week
· Megace 40 mg PO tid
· Zidovudine 100 mg PO q4h
· Vancomycin 800 mg IV q6h
· Respiratory treatments with pentamidine
· High-calorie, protein-rich diet in six small meals daily
· Encourage PO fluids to 3 L/day
· Accurate I/O
· Daily AM weight
Identify the orders that require calculations.
Set up and solve each problem using dimensional analysis.
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Editors: Craig, Gloria P.
Title: Clinical Calculations Made Easy: Solving Problems Using Dimensional Analysis, 3rd Edition
Copyright ©2005 Lippincott Williams & Wilkins
> Table of Contents > Section 3 - Case Studies > Case Study 5 - Sickle Cell Anemia
Case Study 5
Sickle Cell Anemia
A patient is admitted to the hospital in sickle cell crisis. The orders from the physician include:
· Bed rest with joint support
· O2 at 2 L/min per nasal cannula
· Complete blood count, erythrocyte sedimentation rate, serum iron levels, and chest x-ray
· IV D5W/½ NS at 150 cc/hr
· Zofran 8 mg IV q8h
· Morphine sulfate 5 mg IV prn
· Hydrea 10 mg/kg/day PO
· Folic acid 0.5 mg daily PO
· Encourage 3000 cc/daily PO
Identify the orders that require calculations.
Set up and solve each problem using dimensional analysis.
1.
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2.
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3.
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4.
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5.
