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

Case Study 17. Sepsis

A neonate born at 32 weeks' gestation (weight 2005 g) is admitted to the Neonatal Intensive Care Unit (NICU) with a diagnosis of sepsis. The orders from the physician include:

· Admit to NICU with continuous cardiorespiratory monitoring

· Complete blood counts, blood and urine cultures, chest x-ray, bilirubin, ABGs, theophylline levels, and lumbar puncture

· Strict intake and output

· Daily weight

· Vitals q3h

· NG breast milk diluted with sterile water 120 cc/day with feedings q3h

· IV D10 and 20% lipids 120 cc/kg/day

· Aminophylline 5 mg/kg IV q6h

· Cefotaxime (Claforan) 50 mg/kg q12h

· Vancomycin 10 mg/kg/dose q12h

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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