Clinical Calculations Made Easy: Solving Problems Using Dimensional Analysis, 3rd Edition

Case Study 11. Hyperemesis Gravidarum

A 14-year-old patient is admitted to the hospital with weight loss and dehydration secondary to hyperemesis gravidarum. The orders from the physician include:

· Bed rest with bathroom privileges

· Obtain weight daily

· Vital q4h

· Test urine for ketones

· Urinalysis, complete blood count, electrolytes, liver enzymes, and bilirubin

· NPO for 48 hr, then advance diet to clear liquid, full liquid, and as tolerated

· IV D5 ½ NS at 150 cc/hr for 8 hr, then decrease to 100 cc/hr

· Observe for signs of metabolic acidosis, jaundice, or hemorrhage

· Monitor intake and output

· Droperidol (Inapsine) 1 mg IV q4h prn for nausea

· Metoclopramide (Reglan) 20 mg IV in 50 mL of D5W to infuse over 15 min

· Diphenhydramine (Benadryl) 25 mg IV q3h prn for nausea

· Dexamethasone (Decadron) 4 mg IV q6h

Identify the orders that require calculations.

Set up and solve each problem using dimensional analysis.

1.

View Answer

2.

View Answer

3.

View Answer

4.

View Answer

5.