Week 1 Case Studies

Week 1 Case Studies
NRP/540 Version 4 / 2

University of Phoenix Material

Week 1 Case Studies

Case Study 1

1. A 4-month-old, weighing 12 pounds, needs oral albuterol for wheezing secondary to RSV. Calculate the dose.

2. A 1-year-old who weighs 22 pounds needs amoxicillin (at 80mg/kg) for otitis media. Calculate the dose.

3. A 32-pound, 4-year-old needs Bactrim for otitis media. Calculate the dose.

4. A 9-month-old who weighs 18 pounds has a fever of 103ºF. What dose of acetaminophen drops would you recommend?

5. What dose of ibuprofen would you recommend for the same child?

6. A 20-pound, 1-year-old needs dexamethasone (Decadron) IM for croup. Calculate the dose.

7. A 5-year-old asthmatic child who weighs 40 pounds needs prednisolone (Prelone) for an exacerbation of his asthma. Calculate the dose.

Case Study 2

Jimmy is a 6-month-old boy who has had vomiting and diarrhea for 3 days. He is seen in your office today and weighs 16 pounds (7.27kg). Last week, he was in your office for a well-child visit and weighed 17.5 pounds (7.95kg).

1. How much weight, in grams, has Jimmy lost?

2. What percentage of dehydration does this represent?

3. What signs and symptoms would you expect to see?

4. What type of oral fluids would you suggest?

5. What instructions would you give Jimmy’s mom about offering fluids and calling the office, or taking the child to the emergency room?

Case Study 3

Janice is a 3-year-old who has had vomiting and diarrhea for 3 days. She weighed 33 pounds at a well-child check-up 2 weeks ago. Today, she weighs 26.5 pounds.

1. Calculate Janice's degree of dehydration.

2. What do you expect Janice to look like?

3. What would be your first fluid treatment?

4. Janice responds well to your therapy. What would your next step be?