b. What is her CrCl?4. J.C., a 70 year old male (5'8", 100 kg) is to begin Vancomycin (along with Zosyn and Levaquin) forbroad-spectrum coverage for pneumonia (moderate infection with goal AUC 500-600).WBC=13.8, SCr=0.9 mg/dL. Using AUC dosing, please come up with a dosing regimen that isappropriate for JC.a. What is the dosing weight? CrCl ?b. What LD & MD & interval would you recommend?c. When should you order a vancomycin trough for J.C?Now, lets adjust his doseAssume his initial dose was 1750mg g 12h scheduled at 0900 & 2100. Assume his doses weregiven on time. The hospital policy required an infusion time of 2hr. The peak was 45ug/mldrawn after the 4th dose at 1230, 3.5hr after the start of the infusion. The trough level was21ug/ml drawn at 2030, 11.5hr after the 4th dose. How would you adjust the dose?a. Calculate the patient specific kb. Calculate Cmax & Cminc. Calculate the AUCd. Calculate patient specific Vde. Calculate new dosing intervalf. Calculate new doseg.calculate new AUCh confirm peak t trough within range

IBW -- Ideal body weight refers to the ideal weight of a person to a given height having lowest risk…

Answered: b. What is her CrCl? 4. J.C., a 70 year…

Surgical Tech For Surgical Tech Pos Care

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter7: Preventing Perioperative Disease Transmission

Section: Chapter Questions

Problem 7.2.4CS

See similar textbooks

Similar questions

4. J.C., a 70 year old male (5'8", 100 kg) is to begin Vancomycin (along with Zosyn and Levaquin) for broad-spectrum coverage for pneumonia (moderate infection with goal AUC 500-600). WBC=13.8, SCr=0.9 mg/dL. Using AUC dosing, please come up with a dosing regimen that is appropriate for JC. a. What is the dosing weight? CrCl ? b. What LD & MD & interval would you recommend? c. When should you order a vancomycin trough for J.C? Now, lets adjust his dose Assume his initial dose was 1750mg q 12h scheduled at 0900 & 2100. Assume his doses were given on time. The hospital policy required an infusion time of 2hr. The peak was 45ug/ml drawn after the 4th dose at 1230, 3.5hr after the start of the infusion. The trough level was 21ug/ml drawn at 2030, 11.5hr after the 4th dose. How would you adjust the dose? a. Calculate the patient specific k b. Calculate Cmax & Cmin c. Calculate the AUC d. Calculate patient specific Vd e. Calculate new dosing interval f. Calculate new dose g.calculate new AUC…
Case study HPI: 73 year old Asian male presents to your clinic for a follow-up appointment. He is c/o dyspnea. SOB has gradually increased over the last 4 days and is worse when lying down in bed. He cannot walk more than 25 feet without SOB. He sleeps downstairs in a recliner, mostly so he doesn’t have to go up the stairs. He denies fever, chills, chest pain, palpitations, dizziness constipation, diarrhea, abdominal pain, or nausea. Reports 7 kg weight gain over the past week, chronic nonproductive cough. PmHx: heart failure, DM type II, HTN, CAD, MI, CKD FHx: Father died of MVC at age 62, mother died of heart failure at age 79, sister (age 65, alive) with HTN SHx: never used tobacco, etoh 1-2 drinks/month, retired, married with 1 daughter (ages 41, healthy), used to walk at the neighborhood track, but can’t anymore; eats mostly fish and vegetables, does not use salt. Meds: carvedilol 3.125mg BID lisinopril 40mg daily…
Case study : Ms. X, a 32-year-old Hispanic woman, has had a history of intermittent pleuritic chest pain and joint pain for the past several years. Recently, she went to her physician because she noticed that an erythematous, butterfly-shaped rash had appeared on her face. Further lab tests indicated protein in her urine. Her blood test indicated the presence of numerous antinuclear antibodies, especially anti-DNA, and mature neutrophils containing nuclear material. A diagnosis of systemic lupus erythematosus (SLE) was made. Discussion Questions 1. Discuss possible reasons why SLE was not diagnosed earlier 2.Discuss how the presence of antibodies can cause such widespread damage in organ systems. 3. Discuss possible manifestations of SLE 4. Discuss treatments for SLE and a prognosis for the patient in this case.
DISCUSS THE CURRENT INDICATION FOR THE USE OF IV FLUIDS IN THE TREATMENT OF HAEMORRHAGIC SHOCK.
tein X Case Studies.docx X + rl=https://wheatland.orbundsis.com/einstein-freshair/Videos/0216D9403D0ED43358766A676D8A4817/Case+Stuc TCentral | NBA... a Amazon.com: Onlin... (6) The Reason Why... Isaiah Blames Zora... Beyond The Lights... Case Study, Chapter 26, The Digestive System Mr. McArthur is hospitalized with pancreatitis and cholecystitis. Neither his gallbladdernor his pancreas are functioning normally at this time. The client is placed on a NPO (nothing by mouth) diet order, given intravenous fluids and pain medication. The nurse is aware that the pancreas has two functions: one being endocrine, secretion of hormones to assist with glucose control and the other being exocrine, aiding the digestive system. Mr. McArthur is scheduled for gallbladder removal in the morning to treat the cholecystitis. (Learning Objective 4) 1. The client asks what his gallbladder does. What is the nurse's best response? 2. The client also asks how the pancreas works to help with digestion. What…
CASE STUDY 2 History and Physical Examination This 6-year-old white male patient was taken to a pediatri- cian because of recurring abscesses since the age of 1 month. The current abscesses were lanced and he was placed on antibiotic therapy... The patient had two brothers who had died in infancy of infections. His parents and two sisters are healthy. Laboratory Data Hemoglobin and hematocrit-slightly decreased Total leukocyte count-elevated Differential leukocyte count-increased percentage of segmented neutrophils Immunoglobulin profile-polyclonal elevation of all Ig classes Neutrophil oxidative burst assay (DHR) activity absent Nitroblue tetrazolium (NBT) test (automated)-reduction of unstimulated and stimulated neutrophils Culture of abscess revealed S. aureus Questions 1. What does the patient's family history suggest? a. A genetic disorder in male offspring b. A genetic disorder in female offspring c. Lack of leukocyte production d. Anemia producing an immune dysfunction What…
MAKE SHORT TERM GOAL AND 5 OBJECTIVES FOR THIS DX. Main Dx: Imbalanced nutrition less than body requirements related to Lacto-Ovo vegetarian diet as evidenced by lack of essential minerals & nutrients (Iron, Zinc & Omega Fatty-acids) SHORT TERM GOAL: OBJECTIVES: 1. 2. 3. 4. 5. SCENARIO: Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse,…
Case Study Identifying Intravenous Delivery Systems, Administration Method, Infusion Rate, Stability/Compatibility, and Labelling of an Intravenous Admixture Mr. Blair, a 75-year-old man weighing 60 kg, was admitted to the Gastroenterology Unit of the Miracle Hospital with severe diarrhea due to food poisoning. After examining Mr. Blair, Dr. Clark ordered IV fluids of D5W 1000 mL q12h, for the next three days with added electrolytes, such as potassium, sodium, calcium, and magnesium, since Mr. Blair was severely dehydrated. In addition, suspecting Salmonella poisoning, Dr. Clark prescribed Septra, 500 mg IV q12h, to be mixed in the D5W electrolytes fluid admixture. What considerations must be taken into account prior to admixing this order? (NAPRA 6.1, 6.2, 8.3, 9.2) 2.If the drug is determined to be incompatible with D5W and electrolytes, what IV delivery system and/or administration method would you use to administer the medication? (NAPRA 2.3, 6.1, 6.2, 8.3, 9.2)…
*Case Study* A 2-year-old boy fell from a backyard gym set. His shoulder and upper arm became very swollen shortly after the fall. The boy’s mother took him to the emergency department a few hours after th incident because he was complaining of pain. On physical examination, the physician noted that large hematoma had formed in the upper part of the boy’s right arm. There was no history of surgery (he had not been circumcised), injury, or illness. The boy was receiving no medication. Emergency department treatment consisted of aspirating the hematoma Subsequent to this treatment, the boy began to bleed extensively. He was admitted to the hospital. The following laboratory tests were ordered: a hemoglobin and hematocrit, platelet count, and bleeding time. Because the bleeding continued, a type and crossmatch for two units of fresh blood were ordered on a standby basis. Additional information from the mother revealed that the boy’s cousin had “bleeding problem.” Laboratory Data…
Answer the ff. questions: 1. State the diagnosis of the patient and explain the genetic mechanism involved. 2. give explanation to the mechanism of the disease/condition?
QUESTIONS. A. What diagnostic testing would identify the cause of T.H.'s Cushing syndrome? B. What is the usual treatment for Cushing syndrome? C. What is meant by a "medical adrenalectomy"? Thank you! :)
explain reasons for IV therapy -unconcious -nil by mouth -only route emergency

SEE MORE QUESTIONS

Recommended textbooks for you

Surgical Tech For Surgical Tech Pos Care

Health & Nutrition

ISBN:

9781337648868

Author:

Association

Publisher:

Cengage

3-2-1 Code It

Biology

ISBN:

9781337660549

Author:

GREEN

Publisher:

Cengage

Surgical Tech For Surgical Tech Pos Care

Health & Nutrition

ISBN:

9781337648868

Author:

Association

Publisher:

Cengage

3-2-1 Code It

Biology

ISBN:

9781337660549

Author:

GREEN

Publisher:

Cengage

SEE MORE TEXTBOOKS