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...


Mrs. AB obtains a prescription for Cephalexin, an oral antibiotic, which she has to take q6hr at a dose of 250 mg for a total of 7 days. Cephalexin is available as capsules of 0.25g. Please answer the following questions:



  1. How many tablets should the pharmacy dispense to Mrs. AB to ensure she gets enough tablets for 7 days?

  2. Based on the prescription order, how much Cephalexin will Mrs. AB be getting in mg/kg/24hr (her weight is 70kg).


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

Extracted 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.
Jun 05, 2022
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