Chapter 4, Problem 8CR

* Question Completion Status: Usual Padiat Patient's Doss Directions for Micing NDC 61442-202-01 CEPHALEXIN For Oral Suspension USP Low 250 mg per 5 mL Each 5ml Arom than contain: Cephalesin Manched quant to 250 ing Cephasn Rev. 09 10 Rx Only Carlsbad Technology, Inc. 100 ml (When Mored) 61442 2020 Lot CCP50 Order: cephalexin 350 mg p.o. every 6 hrs for 7 days for a child who weighs 70 lbs. What is the child's weight in kg to the nearest tenths? Calculate the safe total "daily dose range" for this child (round to whole number) Calculate the safe "single dose range" for this child (round to a whole number) Is the ordered dose a "safe dose"? How many mLs will the nurse administer for each dose? 31 798 mg/day; 1,599 mg/day 198.7 mg/dose; 397.5 mg/dose Yes 7 mL O 31.8 795 mg/day; 1,590 mg/day 199 mg/dose; 398 mg/dose Yes 7 mL 31.8 795 mg/day; 1,590 mg/day 198.75 mg/dose; 397.5 mg/dose Yes 7 mL 31 795 mg/day; 1,590 mg/day 199 mg/dose; 398 mg/dose No 7 mL Click Save and Submit to save and…

Considering the kcals the patient is receiving from propofol and D51⁄2NS, what should be the rate (ml/hr) of the tube feeding you selected? 30 ml/hr 45 ml/hr 55 ml/hr 65 ml/hr

You are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal   What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the estimated protein need for this patient? 45 – 50 g/day 86 – 108g/day 108 – 180g/day 144 – 188 g/day What type of tube feeding formula would you recommend for this patient? Standard 1.5 kcal/ml formula Glycemic control product, 1.0 kcal/ml Low residue, high protein, nutritionally balanced,1.2 kcal/ml High protein, calorie control product, 2.0 kcal/ml