Presenting a Difficult PICU Patient Practice Case
Vancomycin, timentin, gentamycin. Continued metabolic acidosis. Insulin added to TPN solution. HD 8 WBC 38,800. Hematocrit 15. Exploratory lap to drain abscess. Pulmonary artery catheter placed for better monitoring. Blood products refused. HD 9 This morning CAVH changed to Continuous Arterial Venous Hemofiltration with Dialysis. ................
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