At 60 hours of age, your infant’s lab values are as follows: Na 155, K 7.5, Cl 118, Ca 6.5, and glucose 90. The blood was drawn from the UAC which has 1/2 NS infusing at 1 ml/hr. The infant is currently receiving D10W with 1 mEq/kg/day of calcium gluconate via PIV at 120 ml/kg/day. The urine output is 4 ml/kg/hr. The infant’s weight is now 0.725 kg, down from 0.8 kg at birth. Which of the following is true?
Read DetailsThe child in the previous question weighs 22 kg. Previous question:You are treating a 10 kg child who is severely dehydrated, has delayed capillary refill, and is lethargic, but is protecting his own airway. The child is on continuous GJ feeds. How much of a typical pediatric formula (30cal/oz) does this child require to meet energy requirements of 70 calories/kg/day?
Read DetailsA 14 year old with rheumatoid arthritis presents to the ED with nausea, vomiting, fatigue and joint pain. She came to the ED today because she “passed out twice this morning.” On exam, she is appropriately hydrated though vital signs show tachycardia (HR 144) and hypotension (BP 82/60). Upon reviewing her history, she has been prescribed prednisone for 8 months for management of her RA. What is the most likely cause of her symptoms?
Read DetailsA 3 month old male with complex medical history presents to your clinic. He has Tetralogy of fallot, repaired choanal atresia, and combined sensorineural hearing loss. He is at the 5th% for height and 10% for weight. Physical exam shows a small infant with dysmorphic features including small cupped ears, micrognathia, a linear defect in the left iris, a 3/6 systolic ejection murmur and good capillary refill. What syndrome best accounts for this constellation of symptoms?
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