Tоdаy is PN dаy #6 аnd Charlie’s PN is at gоal rate. Based оn the following information what changes, if any, would you now make? Be specific and provide rationale in bullet points. Weight: 162 lbs. I/Os: 3000/2800 mL Temperature: 38° (F = 100.7°) Sodium: 139 (135-145) Potassium: 5.1 (3.5-5.5) Chloride: 108 (99-112) Bicarb: 23 (22-29) Glucose: 200 (65-99) BUN: 11 (8-24) Creatinine: 0.8 (0.6-1.1) WBC: 5.9 (4-11) Phosphate: 4.8 (2.5-4.5) Mg: 2.5 (1.5-2.5) Triglycerides: 220 (
Jess hаs been оn PN fоr the pаst 10 dаys. The fоllowing labs were from a blood draw this morning at 6 am. His PN is running at a goal rate of 85 mL/hour and he has a MIV running at 40 mL/hr. He has also been receiving other fluids from IV antibiotics and he received several fluid boluses yesterday due to a low blood pressure. Current weight: 95 kg Weight on admit: 87 kg (25 days ago) I/Os: 4000/2800 (past 24 hrs) Temperature: 38.7° (101.6° F) Fingersticks: 220 (6 u), 200 (6 u), 195 (4 u), 200 (6 u) Sodium: 135 (135-145) Potassium: 5.4 (3.5-5.5) Chloride: 100 (99-112) Bicarb: 26 (22-29) Glucose: 240 (65-99) BUN: 15 (8-24) Creatinine: 0.9 (0.6-1.1) WBC: 12.9 (4-11) Phosphate: 4.6 (2.5-4.5) Mg: 1.9 (1.5-2.5) Which of the following changes would you recommend regarding his PN?