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Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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For the TylenolTM dose, calculate how much (in mg) did Erthy consume for all six doses. To do that, you will need the following information: Mrs. AB used a 100 mL bottle of TyelnolTM (concentration is 160 mg per 5 mL) and followed the package instructions (1.5 tsp per dose for a child weighing 16 – 21.9 kg).

Transcribed Image Text:Mrs. AB presented at the emergency department on Wednesday night with her 4 year old daughter (Erthy).
Both Mrs. AB and Erthy were not feeling well. Erthy was constipated, had very low urine output, a high fever
(39.9°C), and tachycardia (elevated heart rate); she also appeared very pale and had cold extremities (hands
and feet). Erthy's fever had started on Sunday night and by the time she was at the emergency department, the
fever had not subsided. Mrs. AB told the triage nurse that she gave Erthy Motrin® every evening and
TylenolTM 2 times a day since Monday morning (i.e. Motrin® was administered a total of 3 times while
TylenolTM was administered a total of 6 times before Mrs. AB arrived to the emergency department). At the
time of administration, Erthy's weight was 19kg. When the triage nurse asked Mrs. AB how she (the mother)
was feeling, Mrs. AB told her she had trouble swallowing and had a swollen lymph node (but no cough); Mrs.
AB had a temperature of 37.1°C however had taken an Advil earlier in the day (1 hour before arriving to the
emergency department).
Based on her symptoms, the triage nurse thinks that Erthy is suffering from sepsis secondary to a UTI (urinary
tract infection). He also suspects that Mrs. AB has strep throat (caused by the bacteria streptococcus). The
emergency doctor agrees when she sees the family and admits Erthy to the hospital, where she is started on IV
fluids and antibiotics. Mrs. AB gets a prescription for Cephalexin.
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