 43 pounds & 12 oz (convert tokg) Acetaminophen: 275 mg every 4-6 hours PRN forfever > 101 or Pain. Do not exceed more than 5 doses in 24hours. Lorazepam: 2 mg slow IV push and notify MD Fosphenytoin: 388mg IV to be administered over7 minutes for Status Epilepticus after diazepam and notifyingMD Phenobarbital 580 mg IV over 20 minutes afterFosphenytoin given Titrate oxygen at 1-2 L per min via FM up to 4 L per minto maintain O2 > 94% IV D5 NS @ maintenance rate if takingadequate Schedule EEG Diastat (rectal diazepam) |
Therapeutic range acetaminophen is 10-15 mg/kg/dose What’s safe dose range? Therapeutic range for Lorazepam is 0.05-0.1 mg/kg/dose (Max4mg/dose IM/IV) Safe dose? Therapeutic Loading dose of Fosphenytoin 20mg/kg/dose Is this safe dose? Therapeutic range for Loading dose of Phenobarbital is20-40mg/kg/dose Is this safe dose? ABC’s of Status epilepticus? What is maintenance per day? Per hour? What is this diagnostic test? Teaching? |
Hint: What do you monitor for? What are contraindications orwarnings? Hint: How fast would you give it IV? What would you monitorwhile giving? What should the nurse monitor? What should the nurse monitor? What is the differencebetween loading and maintenance dose? LIST ABC’s |
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