solved

Four hours pass after administration of ibuprofen and acetaminophen. The infant currently has a temperature of 38.8 degrees Celsius. Blood pressure one hour ago was 94/62. Current blood pressure is 60/30
M.S. received a fluid bolus of 108 mL of normal saline for a blood pressure of 60/30and his blood pressure after the fluid bolus is 68/34. The provider suspects early sepsis and orders norepinephrine 0.05 mcg/kg/min and another normal saline fluid bolus of 20 mL/kg.
M.S. weighs 6 pounds. The initial dose of norepinephrine for septic patients is 0.05-0.1 mcg/kg/min. The safe dose for fluid boluses for septic patients is 20-60 mL/kg. The pharmacy provides norepinephrine as 1 mg in 250 mL D5W. Round all values to the nearest tenth. Use an “X” for the nursing actions listed below that are indicated (necessary), contraindicated (could be harmful), or non-essential (makes no difference or not necessary). Only one selection can be made for each nursing action.
Nursing Action Indicated Contraindicated Non-Essential
Administer a normal saline fluid bolus of 120 mL
Administer a normal saline fluid bolus of 54 mL
Calculate the norepinephrine dose as 1mL/hr
Calculate the norepinephrine dose as 2.3 mL/hr
Administer acetaminophen
After 5 days in the hospital, M.S. has a temperature of 37 degrees Celsius and is off of the norepinephrine drip. The infant’s parents want to take the baby home. The healthcare provider assesses a minor infection remains in the left ear and orders continued antibiotic therapy at home. Orders include azithromycin 25 mg PO daily for 3 days. M.S. currently weighs 5.5 pounds. The safe dose for azithromycin is 10 mg/kg daily for 3 days. Highlight the information necessary for the nurse to determine if the azithromycin dose is safe for M.S. before sending him home.

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