Case scenario: Client ERIC RAYMOND, 12 years old from CAA HOUSING, MANUYO DOS, Las Pinas City, was admitted in the hospital due to high grade fever for 4 days. Vital signs taken are as follows: BP...

Case scenario:




Client ERIC RAYMOND, 12 years old from CAA HOUSING, MANUYO DOS, Las Pinas City, was admitted in the hospital due to high grade fever for 4 days.




Vital signs taken are as follows: BP 110/60, RR is 14, PR is 78 and Temp is 38.5. high grade fever


Weight is 45kgs.




Eric Raymond is known to have allergic reactions to eggs and seafoods but no known allergies to any medication.


CBC / Platelet counts were requested laboratory test was done.




Client Eric Raymond was admitted under the care of Dr. Rod Buenavista.


Admitting diagnosis is Dengue Fever.




Dr. Buenavista ordered the following.


Start IVF of 1L of D5.09 NaCl to be infused for 8 hours. IVF started at 9am


Give Acetaminophen 500mg q 4hrs.


Repeat Platelet count after 8 hours


CBC and Platelet Result: (attached picture)




Computation 1 : Compute for the gtts/min (Drop factor is 15)
Computation 2 : Compute for ml/hr
Computation 3 : It is now 2:00PM how many should have been infused to the client?

Extracted text: Hemoglobin-13.6 M:(13.0-18.0 Cms%) RBC 4.7 M: (4.5-6.5x10 L) F: (3.8-5.8x10 L) C: (4.0-5.2x10 L) F:(12.0-18.0 Cms%) C:(11.7-13-0 Cms% ) Hematocrit- 0.41 M:(0.40-0.54 Vol%) WBC-4.7--(4.5-10X10 L) F:(0.37-0.47 Vol%) C:(0.32-0.42 Vol%) Differential Count: Segmenters---0.80 (0.50-0.70) Blood Type o+ Lymphocytes--0.20 (0.20-0.40) Bleeding Time--(1-4mins) Eosinophils--------(0.01-0.05) Clotting Time---(2-5mins) Basophils--------- -0.01 E.S.R M:(0.10mm/hr) Monocytes--------- -0.03) F: (0.20mm/hr) Platelet Count-138 -(150-350 L)