Heart Anatomy:

You have a 24-week gestation patient who is showing signs of RDS at 0800. You have decided to deliver surfactant. The surfactant on formulary at your site is Calfactant. The protocol at your clinical site is 3mL/kg and your patient weighs 960 g.a. What is the dose for this patient? b. Medications is derived from bovine or porcine.c. You are delivering 2 aliquots. What is the dose of each aliquot?d. If additional doses are needed, how soon after the initial dose can an additional dose be given?e. What (if any) is the limit to the number of doses that can be given?f. What are two values on the ventilator that will need to be adjusted?

Your 10 year-old CF patient will be receiving broad spectrum antibiotics. Her weight is 70lbs. 1. Cephalosporin will the the first antibiotic on a schedule of 7.5mg/kg. 2. Tobramycin via IV will be the second antibiotic on a schedule of 6mg/kg. This total dose should be given over 4 doses at a frequency of qid. How much will the first dose be? Show all your work.

Your neonatal patient was born at a low gestational age and weight. Your patient is 1400 grams and the dosing schedule is 2.5mL/kg of birth weight (2 aliquots). You would like to treat with surfactant therapy prophylactically. Curosurf is the surfactant on formulary at your hospital. What is the number of max doses? Positioning for administration? full Dose? Aliquot dose? Generic name? Choose all that apply.  

Surfactant protein C & D are low-molecular-weight proteins are responsible primarily for endocytosis.

Your patient has just received their dose of surfactant. List all hazards/ complications of surfactant therapy. How long after administration can you suction? Choose all that apply.

Use a table of areas for the standard normal curve to find the​ z-score for which the area under the standard normal curve to its left is 0.04.

Use a table of areas for the standard normal curve to find the​ z-score for which the area under the standard normal curve to its left is 0.96.

Continued from previous…..   Sketch the graph and determine the two​ z-scores that divide the area under the standard normal curve into a middle 0.48 area and two outside 0.26 areas.   The​ z-scores are [a], [b]. Round to two decimal places as needed. Type smallest z-score first. 

Continued……. A census collected data on everyone that lived in a certain small town. The random variable X is the number of girls born to a randomly selected couple in that town who has four children. Its probability distribution is shown below.  x 0 1 2 3 4 ​P(X=​x) 0.0526 0.2824 0.3183 0.2554 0.0913   Interpret the mean of the random variable.