SOLVED888

This 17 month old was admitted to the hospital after nonresponsive to outpatient mana- gement of her high fevers, high white counts and the sudden development of severe swelling of athe right side of the neck. Examination revealed and confirmed right cervical lymphadenitis. The patient was admitted and initially started on IV hydration due to her poor oral intake over 24 hours prior to admission, and was placed on D5&1/2 normal saline at 60 cc./hr. and 500,000 units of aqueous Pen.-G. Sodium was given qth IV. Tylenol and aspirin were alternated control temperature and the patient’s VI after 4-6 hours i n fi l t r a t e d , although patient was more adequately hydrated and was switched to MI Penicillin-G injections 94h. On 2-23-83 her aqueous Pen.-G injections were changed to goh and then discontinued later that day to oral dose of Pen.Vee K 250 mg./5 cc. 5 cc. q.i.d. daily. She was discharged on Penicillin Vee K to 5 cc. t.i.d. daily and was Rx’d for Dimetapp Elixir 3/4 tsp. qoh p.r.n. for congestion with the onset of a mild rhinitis. The mother had been using prophylactic Gantrisin for the prevention of ear infections and will
SCIENCE
HEALTH SCIENCE
NURSING

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