Assistive devices are an important part of the recovery process for a person with hemiplegia due to a cerebral vascular accident. Case managers are responsible for assessing the individual's needs and making sure they have the necessary resources to facilitate their recovery.
Assessing Assistive Devices for a Client Diagnosed with Hemiplegia Due to a Cerebral Vascular AccidentRehabilitation centers: These centers can provide physical, occupational and speech therapy to help the client regain their abilities and improve their quality of life.Assistive technology providers: These providers can offer devices such as wheelchairs, walkers, motorized scooters, and other devices that can help the client maintain their independence.Home health aides: Home health aides can provide assistance with daily activities such as bathing, dressing, and meal preparation.Support groups: Support groups can provide emotional support and resources to help the client cope with their disability and adjust to their new lifestyle.Local resources: Local resources can provide information on housing, employment, and social activities that may be available to the client.The full question is:
A case manager is evaluating a client diagnosed with hemiplegia due to a cerebral vascular accident for assistive devices that will be needed upon discharge.
Which resources should the case manager include for this client?
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Lack of the spleen in 48-years-old male is typical for
Answer:
lack of blood supply
Explanation:
A 27 year old female patient with a long history of diabetes mellitus present to the office for her annual physical and to go over the results of her blood work the doctor
Answer: The patient’s complaints of increased hunger and urination are indicative of diabetes, and the loss of vision in the periphery can result from uncontrolled diabetes
Had to complete the question before answering.
A 27 year old female patient with a long history of diabetes mellitus presents to the office for her annual physical and to go over the results of her blood work with the doctor. During the patient history section of the examination, the patient states that she has been experiencing increased hunger, urination frequency, and heartburn. In addition, she has noticed that when driving, the cars next to her are tougher for her to see. She also states that her neck and shoulders are tight and achy. The blood work comes back with the following results:
Fasting Glucose: 108mg/dl
HgbA1c: 8.0%
Chloride: 115 mEq/L
Potassium: 5.9 mEq/L
Sodium: 155 mEq/L
Calcium: 8.9mg/dl
Magnesium: 1.5 mg/dl
Phosphorus: 5.1 mg/d
EXPLANATION:
The patients blood sugar are above the recommended level or target range. Which has led to the patient experiencing symptoms of increased hunger, urination frequency, heart attack, the patient’s complaints of increased hunger and urination are indicative or signs of diabetes, and the loss of vision in the periphery is a result from an uncontrolled diabetes.
Red blood cells in normal saline (Isotonic solution) can survive while blast and destroy in water. Need an explanation under this statement.
using a complete cause-and-effect sequence, explain the correlation of the heart sounds with the ECG waves.
The heart sounds and ECG waves are closely correlated and provide important information about the functioning of the heart. The sequence of events can be described as follows:
1. Electrical impulses generated by the sinoatrial (SA) node in the right atrium spread through the atria, causing them to contract and produce the first heart sound (S1).
2. The impulses then reach the atrioventricular (AV) node, which delays their transmission to the ventricles.
3. The impulses then spread rapidly through the ventricles, causing them to contract and produce the second heart sound (S2).
4. The electrical activity associated with the heart's contractions is picked up by electrodes placed on the skin and recorded as an ECG waveform.
5. The P wave of the ECG corresponds to the depolarization of the atria, which leads to their contraction and the production of the first heart sound (S1).
6. The QRS complex of the ECG corresponds to the depolarization of the ventricles, which leads to their contraction and the production of the second heart sound (S2).
7. The T wave of the ECG corresponds to the repolarization of the ventricles, which prepares them for the next cycle of electrical and mechanical activity.
Thus, the correlation between the heart sounds and ECG waves can be explained as a cause-and-effect sequence, in which electrical impulses generated by the heart's pacemaker cells cause the atria and ventricles to contract, producing audible sounds that are recorded as ECG waveforms. Understanding this correlation is important for diagnosing and treating various heart The correlation between heart sounds and ECG waves is important for understanding the functioning of the heart and diagnosing various cardiac conditions. The heart sounds are audible signals produced by the heart's mechanical activity, whereas the ECG waves represent the electrical activity associated with the heart's contractions.
The first heart sound (S1) corresponds to the closure of the atrioventricular (AV) valves at the beginning of ventricular systole. This is accompanied by the depolarization of the atria, which produces the P wave of the ECG. The second heart sound (S2) corresponds to the closure of the semilunar valves at the end of ventricular systole. This is accompanied by the depolarization of the ventricles, which produces the QRS complex of the ECG.
Abnormalities in the timing, loudness, or character of the heart sounds or ECG waves can provide important diagnostic information. For example, a split S2 sound may indicate aortic stenosis or right bundle branch block, while an absent QRS complex may indicate ventricular fibrillation or asystole. Similarly, an abnormal T wave may indicate myocardial ischemia or electrolyte imbalances, while an irregularly irregular rhythm may indicate atrial fibrillation.
Overall, understanding the correlation between heart sounds and ECG waves is essential for evaluating cardiac function and diagnosing various heart conditions.
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patient is prescribed 0.8 micrograms levothyroxine per kilogram q 12 hours. patient weight is 92 kilograms. how much medication should patient be given
The medicine that the patient should be given is 0.0368 mg in one dose, and the total dose for the day is 0.736 mg.
What is medication?Medication is a process where the patient is given a calculated amount of medicines to treat the problem. Medication can be for a day or for months and years.
The patient has been prescribed levothyroxine 0.8 mg per 12 hours, which means twice per day.
So it can be calculated as:
0.8 x 92 / 100 = 0.736. The total dose.
Now divide it by 2
0.736 / = 0.368, one dose of the day.
Thus, the patient should be given 0.0368 mg in one dose, and the total dose for the day is 0.736 mg.
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Answer:147.2
Explanation:
3. You check the driver and discover that the driver is unresponsive. You tell a bystander to call 9-1-1. List the information that the bystander should have when calling 9-1-1.
3 warnings that a health care provider isn’t legitimate
Which instruction would the nurse give an unlicensed assistivepersonnel (UAP) to perform while caring for a client prescribedcaptopril?Select all that apply.One, some, or all responsesmay be correct.Correct1Obtain blood pressure.Correct2Measure intake and output.Correct3Weigh the client every morning.Correct4Notify the nurse if the client has a dry cough.Correct5Assist the client to change positions slowly.ACE inhibitors such as captopril are prescribed for the management of hypertension,
1, 3, and 4 instructions would be given to the UAP while caring for a client prescribed captopril. (1,3,4)
It is important to obtain blood pressure regularly to monitor the effectiveness of captopril treatment, as well as any potential side effects. Weighing the client every morning is also important because changes in weight can indicate fluid retention, which can be a side effect of captopril use.
Notifying the nurse if the client develops a dry cough is also important, as this can be a sign of a serious side effect of captopril known as angioedema.
It is also important for the UAP to be aware of the potential for dizziness or lightheadedness when changing positions, and to assist the client in doing so slowly to reduce the risk of falls.
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During a home visit to a client, the nurse identifies tremors of the client's hands. When discussing this assessment, the client reports being nervous, having difficulty sleeping, and feeling as if the collars of shirts are getting tight. Which problem should be reported to the practitioner?
1. Increased appetite
2. Recent weight loss
3. Feelings of warmth
4. Fluttering in the chest
During a home visit to a client, the nurse identifies tremors in the client's hands. When discussing this assessment, the client reports being nervous, having difficulty sleeping, and feeling as if the collars of shirts are getting tight. Fluttering in the chest should be reported to the practitioner (option 4).
A tremor is an involuntary shaking or rhythmic movement that is produced by the back-and-forth or synchronous contraction of opposing muscle groups. Parkinson's disease, essential tremors, and dystonia are the most frequent sources of tremors. Tremors can be caused by other illnesses, including overactive thyroid, Parkinson's disease, or brain injuries, or stroke.
Fluttering in the chest, also known as atrial fibrillation or AFib, is an irregular and often rapid heartbeat that can cause heart palpitations, shortness of breath, and weakness. Atrial fibrillation occurs when the heart's electrical signals are disrupted, causing the heart's two upper chambers to beat out of sync with the two lower chambers. It is a frequent condition that can have significant consequences, such as stroke and heart failure.
Fluttering in the chest or atrial fibrillation (AFib) should be reported to the practitioner. This is because AFib can be a serious illness that can result in blood clots, stroke, and heart failure. AFib can be treated with medications or by using a pacemaker to regulate the heart's electrical signals.
Because of the significant health risks associated with AFib, it is critical to seek medical attention if you experience it. As a result, fluttering in the chest should be reported to the practitioner.
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In the past, the utilization of telemedicine was often primarily thought of in the context of a "specialist" consulting with a physician regarding a patient in a remote or rural area who may not have easy access to the specialist, or a radiologist reading an image from a "remote" location. Due, in large part, to advancements in technology (including EMR), the term "telemedicine" currently includes such patient care practices as providing "patient portals" to patients, which may house secured provider-patient email capabilities, test result reporting, etc.
In today’s world of being "connected 24/7", initial feedback indicates that many patients like the ability to communicate with their providers from their mobile device at their convenience. However, as with many technological advances and resulting capabilities (especially in healthcare), come additional legal oversight and regulatory requirements.
Questions inevitably arise as to what type of "communication" or "reporting" to patients constitutes the "practice of medicine?"
For example, if a patient sends her physician a secure email indicating describing a "cold" or sinus infection symptoms and requests a prescription for an antibiotic, which the physician prescribes, is the physician practicing telemedicine even though she hasn’t physically seen the patient in her office? Does it matter if the physician has prescribed the same, or a similar, antibiotic for the patient’s recurring symptoms over the past ten years?
What types of additional precautions must the physician or practice take to ensure that all patient information remains "secure" and, if appropriate, "encrypted"?
Is it possible to balance the wealth of information available to patients via the Internet with a loss of a personal relationship between the patient and caregiver?
It is possible to balance the wealth of information available to patients via the Internet with a loss of a personal relationship between the patient and caregiver by open communication, empathy, and understanding remain crucial in maintaining a positive patient-provider relationship.
Telemedicine refers to the practice of healthcare professionals remotely providing medical services using technology. It has evolved from specialists consulting with physicians to now include patient portals and secure email capabilities.
Patients appreciate the convenience of communicating with their providers from their mobile devices. However, this advancement raises questions about what constitutes the "practice of medicine" and the legal and regulatory requirements that come with it.
For example, if a patient emails their physician about symptoms and requests a prescription, and the physician prescribes the medication without physically seeing the patient, it can be considered telemedicine. The physician's familiarity with the patient's recurring symptoms over the past ten years may influence their decision.
To ensure patient information remains secure and encrypted, physicians and practices must take additional precautions.The challenge lies in balancing the wealth of information available to patients on the internet with the loss of a personal relationship between the patient and caregiver Striking this balance is essential for effective healthcare delivery in today's connected world.
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dentify the true statement.
a.
PK is not a good predictor of how quickly the PD effect will start.
b.
How quickly a drug is distributed in the body is a study of pharmacodynamics of a drug.,
c.
How slow (or fast) a drug is metabolized can allow us to determine the dosing schedule of a drug.
d.
Both b and c
The true statement is b. How quickly a drug is distributed in the body is a study of pharmacodynamics of a drug.
Pharmacodynamic actions of a drug include stimulating activity by directly inhibiting a receptor and its downstream effects. Depressing activity by direct receptor inhibition and its downstream effects. Antagonistic or obstruction a receptor by binding to that, however not activating it.
4 stages of pharmacodynamics are Absorption: Describes however the drug moves from the location of administration to the location of action. Distribution: Describes the journey of the drug through the blood to varied tissues of the body. Metabolism: Describes the method that breaks down the drug. Excretion: Describes the removal of the drug from the body.
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Write a short explanation understandable to a patient's family on why antibiotics are being combined in the treatment of their family member.
we are adding antibiotics to your (family member enter here) treatment because your (family member enter here) is rejecting the treatment or the treatment is not strong enough.
bob is a telemarketer so spent a large amount of his day sitting. however, bob is also a high level marathon runner so he gets a high volume of moderate to high intensity exercise. does this type of lifestyle help him lower his risk of mortality?
Yes, this type of lifestyle helps him lower his risk of mortality.
A healthy lifestyle is one that assists people in maintaining and improving their health and well-being while simultaneously dealing with stress. Many governments and non-governmental groups are working to promote healthy living. Healthy living has a long-term impact. Healthy nutrition, physical activity, weight control, and stress management are all part of being healthy.
A balanced diet is part of a healthy lifestyle. This does not imply eliminating vital food categories from your diet or lowering your daily calorie intake. A well-balanced diet includes foods from all food categories at each meal. Meats, dairy products, fruits, and vegetables are all key components of a balanced diet.
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Choose one word from the following diagnostic statement that identifies the main term: Congestive heart failure?
Answer:
Congestive heart failure (CHF) is a chronic progressive condition that affects the pumping power of your heart muscle.
Explanation:
What is Congestive heart failure?
Congestive heart failure also refers to as CHF is a chronic progressive condition that affects the pumping power of your heart muscle.The most common cause of congestive heart failure is coronary artery disease. Risk factors for coronary artery disease include: high levels of cholesterol and/or triglyceride in the blood. high blood pressure.Heart failure sometimes known as congestive heart failure. It occurs when the heart muscle doesn't pump blood as well as it should. When this happens, blood often backs up and fluid can build up in the lungs, causing shortness of breath.Learn more:
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superantigens activate more t cells than a normal immune response.
It is true that superantigens activate more T cells than a normal immune response.
The superantigens bind to a element of the key organic phenomenon complicated of T lymphocytes through an antigen-independent mechanism, that stimulates binding of the T-cell receptor via an antigen-independent mechanism resulting in the proliferation of an oversized set of T lymphocytes
T cells are a type of white corpuscle. T cells are a part of the system and develop from stem cells within the bone marrow. facilitate|they assist} defend the body from infection and should help fight cancer. conjointly referred to as lymph cell and thymocyte.
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15. Order: oxacillin sodium 0.25 g p.o.q.8h
Supply: oxacillin sodium oral suspension 125 mg per 2.5 mL
Give:____ t
Explanation:
To determine the number of teaspoons (t) needed for the prescription, we need to calculate the dosage conversion from grams to milligrams and then to teaspoons.
Given:
- Oxacillin sodium oral suspension: 125 mg per 2.5 mL
First, let's convert the dosage from grams to milligrams:
0.25 g = 250 mg
Now, let's find out how many milliliters (mL) are needed for the prescription:
250 mg = 2.5 mL
Since the prescription calls for 2.5 mL of the suspension, we can now determine the number of teaspoons needed.
1 teaspoon (t) is approximately equal to 5 mL.
Therefore, the calculation is as follows:
2.5 mL ÷ 5 mL/t = 0.5 t
So, the prescription requires 0.5 teaspoons (t) of oxacillin sodium oral suspension.
List all the bones on your thumb from proximal to distal. Do the same for your pinky finger.
What is the difference?
Answer:
Thumb= distal phalanx, promixal phalanx, metacarpal
Pinky= distal phalanges ,middle phalanges, prominal phalanges, metacarpal
Explanation:
Thumb bone from proximal to distal. Daumen = distale Phalanx, proximale Phalanx, Mittelhandknochen
Pinky = distale Phalangen, mittlere Phalangen, pronominale Phalangen, Mittelhandknochen.
What are the 14 phalanges?The phalange is one of the bones of the fingers and toes. Beim Menschen gibt es 14 Fingerglieder in jeder Hand und jedem Fuß, 2 in jedem Daumen und großen Zeh und 3 in den verbleibenden Fingern. They are connected to the metacarpal bones of the hands and the metatarsals of the feet.
What is a phalange?The phalanges are the bones that make up the fingers and toes. The human body has 56 phalanges, and each hand and foot has 14 phalanges. Each finger and toe has three phalanges, except that there are only two big toes and two big toes.
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Answer:
A or b
Explanation:
a nurse is teaching a client how to properly administer fosfomycin. the nurse determines the session is successful when the client correctly points out they will administer the drug in which manner?
Changes in procedures are thus required as new knowledge becomes available. We advise the reader to always look up the most recent studies.
Whatever testing process should the nurse keep an eye on to gauge the efficacy of the treatment?Therapeutic drug monitoring, often known as TDM, is a test that quantifies the concentration of specific drugs in your blood. To ensure that the dosage of medication users are getting is both secure and efficient, this is done.
Which gland had a problem would have an impact on aldosterone levels?Just above the kidneys, there are the adrenal glands. They produce hormones that have an impact on practically all of the body's organs and tissues as a component of the endocrine system. Too little cortisol and, frequently, too little aldosterone are produced as a result of damage to these glands.
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Psychologists who study the Nature/Nurture controvery often do so by focusing on a field known as:
Group of answer choices
Psychologist who study the Nature/Nurture controversy often does so by focusing on a field known as behavioral genetics.
What do you mean by Controversy?Controversy may be defined as a state of being opposite views to one another in any dispute, debate, or expression.
Behavioral genetics deals with the observable response of organisms to their external or internal stimuli. It contributes to the differential survival and reproduction of organisms.
Therefore, a psychologist who studies the Nature/Nurture controversy often does so by focusing on a field known as behavioral genetics.
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Stacy, a physical therapy assistant, jokes about an Islamic patient’s religious garment. The patient overhears Stacy's comment and becomes visibly upset. Out of embarassment, the patient requests to work with Jim, another physical therapy assistant, and tells only Jim what happened. Jim reviews his company's code of conduct for guidance, and determines he has a moral obligation to report the situation to his superiors. Would you have done the same thing if you were in Jim's position?
Answer:
Hay
Explanation:
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The patient has vesicles and scabs over her forehead. Microscopic examination of skin scrapings shows gram-positive cocci in clusters. The etiology is
A) Candida.
B) Microsporum.
C) Pseudomonas aeruginosa.
D) Staphylococcus aureus.
The etiology of the patient's vesicles and scabs over her forehead, with the presence of gram-positive cocci in clusters on microscopic examination, is Staphylococcus aureus. The correct option is D).
The presence of vesicles and scabs over the patient's forehead suggests a skin infection. Microscopic examination of skin scrapings revealing gram-positive cocci in clusters further narrows down the potential etiology. Among the options provided, Staphylococcus aureus is the most likely cause.
Staphylococcus aureus is a common bacterium that can cause various skin infections, including impetigo, folliculitis, and cellulitis. It is characterized by the formation of clusters (grape-like clusters) of gram-positive cocci when observed under a microscope.
Other options provided in the question, such as Candida (a fungal infection) and Pseudomonas aeruginosa (a gram-negative bacterium associated with various infections), are less likely based on the clinical presentation and microscopic findings described. Microsporum, on the other hand, is a dermatophyte fungus that can cause tinea infections (ringworm) rather than vesicles and scabs.
It is important to note that laboratory culture and sensitivity testing would be required to confirm the specific strain of Staphylococcus aureus and determine the most appropriate antibiotic treatment. Option D is the correct one.
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work
Complete the following calculation of IV flow rate.
Time
Amount of fluid
(milliliters)
IV set drop factor
(drops/milliliter)
(hours)
128
5
10
The answer is drops per minute.
(Round to the nearest whole number as needed.)
Flow rate
(drops/minute)
The answer to Flow rate drops per minute is 1.066. When you receive an order for an IV infusion, the nurse is responsible for making sure that the fluid will flow at the recommended pace.
Given Volume is 128 ml. The time is 10 hrs. The drop factor is 5 gtts/ ml
\(Flow rate = (Total volume (mL) / Time (min))* Drop factor (gtt/mL)\\= 128 / 10*60) * 5\\= 1.066\)
Using a roller clamp or dial-a-flow, fluids can be injected manually, or automatically using an infusion pump. Whatever the method, it's imperative to know how to calculate the ideal IV drip-rate. Once the infusion has started, check the patient's IV site for signs of infiltration or irritation and keep an eye on the rate to make sure it is flowing at the right pace.
The flow rate drops per minute are therefore 1.066, we can state.
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Can you name three purposes of the most current diagnostic coding system?
The three purposes of most current diagnostic coding system are collecting health care statistics, performing a medical care review, and indexing medical records.
Current diagnostic coding systemThe current diagnostic coding system is the latest improvement of the manual coding used in health systems.
The current diagnostic coding system is a standardized way of managing medical information which is carried out by:
collecting health care statistics, performing a medical care review, and indexing medical records.Therefore diagnostic coding is an important tool used in health systems for record keeping.
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what are some of the purposes of a post-mortem? check all that apply.
a. To learn from and adapt processes for higher efficiency
b. to understand the cause of mistakes and how to prevent them
c. to foster a culture where it's ok to make mistakes
The purpose of post-moterm is to understand the cause of mistakes and how to prevent them.
A post-moterm, which is also called an autopsy an examination of the body done after the passing of the individual.
When the post-moterm of a body is done, it gives us a brief understanding of what went wrong in the body and what was the cause of the death or how did the death caused.
By learning about how and what happened, we can understand the causes of the mistakes and we can prevent them in future.
A major experiments and crucial information is obtained from the post-moterm report of the body. This useful information is used in future to make medicines and surgical methods.
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why are regional and directional terms are extremely important in the medical and dental professions
Answer:
Below:
Explanation:
Understanding terminology ensures doctors and technicians have a shared method of communicating, which helps to avoid confusion when pinpointing structures and describing locations of lesions. Knowing your directional terms makes things clear and saves time!
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It's Muska
While providing education to a young adult during an annual health exam, the nurse discusses health problems common during this stage of development. What is the most common cause of mortality during this stage
During the young adult stage of development, the most common cause of mortality is unintentional injuries.
Young adulthood is a time when individuals may engage in new experiences, take risks, and explore their independence. Unfortunately, this can also increase the likelihood of accidents and injuries. Unintentional injuries, such as motor vehicle accidents, falls, drownings, and poisoning, are the leading cause of death among young adults.
The nurse's discussion about common health problems during this stage should include emphasizing the importance of practicing safety measures, such as wearing seat belts, using protective gear during sports or recreational activities, avoiding substance abuse, and practicing responsible behavior.
By addressing the most common cause of mortality in young adulthood, the nurse can help raise awareness and promote preventive measures to reduce the risk of unintentional injuries.
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You are called to the scene of a 47 year old man with a current chief complain of chest pain. The patient informs you he has never been sick a day in his life prior to this which of the following will provide you the greatest information
PEDIATRIC CALCULATIONSExample: A child weighing 76 lbs. is ordered to receive 150 mg of Clindamycin every six (6) hours. The recommended pediatric dose is 8-20 mg / kg / day in four divided doses.The Clindamycin is supplied in 100 mg scored tablets.1. What is the weight in kg
Complete question: A child weighing 76 lbs. is ordered to receive 150 mg of Clindamycin q6h.
The pediatric drug handbook states the recommended dose is 8-20 mg/kg/day in four divided doses.
The Clindamycin is supplied in 100 mg scored tablets.
1.) What is the weight in kg?
2.) What is the safe total daily dose?
3.) Is the prescribed dose safe?
4.) Calculate the number of tablets to give.
Answer:
1.) 34.55 kgs
2.) 276.36 - 690.91 mg/day
3.) YES
4.) 1.5 tablets
Explanation:
Paediatric calculations are performed by medical personnel using the child's weight to avoid medication errors. Clindamycin is a broad spectrum antibiotics which is used for the treatment of different infections both in adult and children. It's dosage should be properly calculated by the medical personnel to avoid drug abuse and serious adverse effects.
1.) To calculate the body weight of the child from pound( lbs) to Kilogram ( kg):
1 kg = 2.2 lbs
Therefore 76 lbs ÷ 2.2 = 34.55 kgs
2.) To determine the safe total daily dose:
The recommended pediatric dose is 8-20 mg / kg / day in four divided doses.
Therefore, safe total daily dose: 34.55 x 8 = 276.36 mg
34.55 x 20 = 690.91 mg
safe dosage range: 276.36 - 690.91 mg/day
3.) To determine if the prescribed dose is safe is:
150 mg x 4 doses/day = 600 mg/day;
Since 600 mg/day is within the safe dosage range which is 276.36 - 690.91 mg/day, the prescribed dose is SAFE.
4.) To determine the number of tables to give:
Note that the Clindamycin is supplied in 100 mg scored tablets. But the child is ordered to receive 150mg of Clindamycin. Therefore the number of tablets to receive is;
150 ÷ 100 = 1.5 tablets.
General procedures ( codes 20005-20999 ) are used for various anatmical strures and not limited to anyone body area. true or false