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Question 1129244: A 6-year-old patient underwent an outpatient tonsillectomy and adenoidectomy. The surgeon ordered 1,000 cc D5W, dispensed
at a rate of 600 cc every 8 hours, to maintain hydration levels. A pharmacist calculated the infusion rate for the IV drip to be
administered. He used a calculator and checked his calculations twice. He then listed the infusion rate on the electronic medical
chart as 200 mL/hr.
The nurse who started the infusion obtained a bag of D5W, which contains 1,000 cc of fluid, and administered the IV solution to
the child. Like other nurses in her unit, she relied on the accuracy of the pharmacist since he had a reputation for correctness.
Therefore, she did not check his calculations even though her job duties include verifying dosages. Once the first 1,000 cc bag of
D5W was empty, she hung a second bag to infuse.
The child began vomiting frequently, which is not unusual in the recovery for this surgery. The child was given medicine to ease
the vomiting. Forty minutes later the child exhibited seizure-like activity, which is unusual in the recovery from this type of surgery.
This behavior increased over the course of the day, during which a third 1,000 cc bag of D5W was hung to dispense.
The pediatrician on call noticed the patient was experiencing hyponatremia and water intoxication due to the high IV infusion rate
and lack of sodium chloride in the infused medicine. In fact, the child’s sodium level was 107 mEq/L. Despite treatment, the child
did not survive.
Assuming all three bags were completely administered, how much D5W did the child actually receive compared to the amount ordered?
Assuming the surgeon’s orders were correct, what should the IV rate have been in cc/hour?
Answer by ikleyn(52893)   (Show Source):
You can put this solution on YOUR website! .
My comments after reading this story . . .
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A good shortcut for it would be "to weep and cry . . . "
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When I completely read this post from the beginning to the end, I just forgot what this post was about - so long it is.
The story is written in perfect English, and you proved that you fully mastered relevant terminology - my congratulations -
but it is not a way to present a Math problem.
In Math, rare problem is longer than 5 lines of the standard text.
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The last lines with the questions seem to be alien for this story . . .
Without them, the story would be god to start the company on collecting money to help the family . . .
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