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Diagnosis: fever, R/o serious bacterial infection
Condition: guarded
Vital Signs q 4h
Allergies: NKDA
Activity: as tolerated for age
Diet: Breastfeeding po ad lib
IVFs: D5 1/4 NAA at 15 ml/hr for maintenance or 5 ml/hr to keep vein open
Medications:
- Ampicillin 190 mg IV q 6h
- Gentamicin 15 mg IV q 12h
- Acetaminophen (80 mg/0.8 ml) 40 - 60 mg (0.4 to 0.6 ml or 1/2 to 3/4 dropperful) po q 4 -6 h prn T > 100.5
Labs:
- CBC with diff, blood culture
- Urinalysis and urine culture
- Cerebrospinal fluid
- Tube #1 gram stain and culture
- Tube #2 glucose and protein
- Tube #3 cell count and diff
- Tube #4 consider HSV PCR or Enterovirus PCR
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