Patient Encounter Part

BB is now 3 days old and presents with body temperature fluctuations and hypotension. A workup to rule out sepsis was initiated with collection of blood cultures. He was empirically started on ampicillin 50 mg (50 mg/kg/dose) IV every 8 hours and gentamicin 4 mg (4 mg/kg/dose) IV daily.

SB's Laboratory Values

WBC 10.2 X lOVpL

Normal Ranges

(1=0.2 x IOVL] Bands 0% Segs41% Lymphs 49% Monocytes 6% SO 0.4 mg/dL (35.4 pmol/L)

Using the most appropriate method, calculate a creatinine clearance for BB.

The mg/kg dose of gentamicin administered to BB is high compared to a child or an adolescent; however, the dosing frequency is less often. How would you explain this difference?

COMMON PEDIATRIC ILLNESSES

There may be similarities and differences in illnesses such as infections, asthma, allergic rhinitis, attention deficient hyperactivity disorder, diabetes, and seizure disorders between children and adults. These have been discussed throughout the textbook. The incidence of previously common childhood illness such as measles, mumps, and rubella has significantly decreased as a result of en masse vaccination of infants and children. The Advisory Committee on Immunization Practices (ACIP) within the CDC release and update child and adolescent immunization schedules every year. Patients' immunization records should be reviewed routinely for needed immunizations based on these schedules. , Most of the common illnesses in children leading to missed school and/or need for clinician consultation are ambulatory in nature; however, some complications may require hospitalization.

Presentation of common childhood illnesses may vary depending on age and development. Older children and adolescents are able to communicate symptoms verbally, making assessment and treatment easier, unlike infants and younger children who are less able to do so. In such cases, changes in vital signs, such as respiratory rate, heart rate, body temperature, and changes in oral intake, feeding pattern, and urine output are used as indicators of potential illness. Parents may also note subjective items such as changes in mood (e.g., increased irritability or "fussiness").

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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