You are caring for a former 28 week male infant who is now t…
You are caring for a former 28 week male infant who is now three weeks old. He had no risk factors for infection at birth other than prematurity and has never been treated with antibiotics other than an initial 48 hour sepsis rule out. He successfully extubated from the ventilator and has weaned to nasal cannula oxygen and is working up on feeds. He is receiving TPN and lipids via PICC line. Your exam today shows tachypnea, lethargy, and poor feeding tolerance. You are concerned about late onset sepsis and have sent a CBC with differential, CRP, and blood culture. What organism do you suspect and what antibiotics will you order?
Read DetailsA preterm infant in your unit has a small hemangioma on her…
A preterm infant in your unit has a small hemangioma on her back that started as a pinpoint and has increased to the size of a pencil eraser over the past 6 weeks. What will you tell the parents about the expected course and plan of treatment?
Read DetailsA small for gestational age infant has hepatosplenomegaly, j…
A small for gestational age infant has hepatosplenomegaly, jaundice, thrombocytopenia, neutropenia, and purpura. The infant does not pass the newborn hearing screen. What kind of hearing loss is this infant most likely to have?
Read DetailsA 4 day old infant born at 27 weeks gestation has been recei…
A 4 day old infant born at 27 weeks gestation has been receiving total parenteral nutrition (TPN). The following lab data is obtained: Glucose 150 mg/dL Chloride 110 mEq/L Sodium 138 mEq/L Calcium 9 mg/dL CO2 17 mM/L Triglycerides 125 mg/dL The adjustment that should be made to the TPN based on the morning lab values is:
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