You are caring for a 14 year old with history of obesity and…

You are caring for a 14 year old with history of obesity and obstructive sleep apnea, admitted for treatment of osteomyelitis. You are preparing for placement of a PICC line for administration of long-term antibiotic therapy. Which sedation plan is most appropriate for this patient? 

A 17-year-old girl comes to the office because she has had f…

A 17-year-old girl comes to the office because she has had fever, chills, fatigue, and loss of appetite for the past two weeks. The patient also says that she has some lumps on the side of her neck. She is concerned she might have infectious mononucleosis. Temperature is 38.6°C (101.4°F), pulse rate is 82/min, and respirations are 18/min. Physical examination shows firm, nontender adenopathy along the left anterior cervical chain. There is no tonsillar enlargement or exudate. Cardiovascular, pulmonary, and abdominal examinations show no abnormalities. Which of the following is the most appropriate next step?

You are caring for a young child undergoing intensive chemot…

You are caring for a young child undergoing intensive chemotherapy for AML. She has expected chemotherapy-related myelosuppression, her Hgb is 6.5 g/dL and she is symptomatic with her anemia. You decide to give her a transfusion of pRBCs. You choose to irradiate the blood before transfusing it knowing it helps prevent this transfusion complication: