Question

Mary is a 12 month old who has been vomiting for the past 12 hours. Mary woke up at 5 AM but has not been able to “hold anything down”. Mary’s mother is concerned because it is now 4:00 pm. Mary’s mother calls the primary care office and is recommended by the nurse to have Mary evaluated at the clinic (Dr. Office). On initial assessment, Mary is lethargic and very quiet. She has mild nasal congestion and Her lips and skin are dry. She occasionally cries, but does not produce tears. Mary’s diaper has not been changed since 5 am and is currently dry upon this visitation to the clinic. Note: The season is late winter.

Mary is stabilized at this time. The nurse sends a repeat UA and the doctor orders an antibiotic by mouth for the patient. Her temperature is now at 99.2^O F rectally and her chest X-ray is positive for left lower lobe PNEUMONIA. The doctor decides to admit Mary for observation and IV fluid therapy.

What should the doctor consider when ordering medication for Mary?

Answer 1

Ans) The doctor must consider the most common reasons for IV therapy in infants are for the delivery of maintenance fluids, blood and blood products, medications and nutrition. Choosing an appropriate peripheral IV site should include consideration of type and duration of therapy, rate of infusion and expected site rotations.

- The dosage, the route for meeting the desired effect of medication is to considered.

- Close observation and monitoring of patient.