Search

Search results

46 results found

Linear Growth

Mean Increments In Weight and Length for Boys Using CDC Growth Charts Boys Age (mos) Weight (g/month Weight (kg/yr) Length (cm/month) Length (cm/year) 2-3 yrs 132 1.6 0.7 9 3-4 yrs 156 1.9 0.6 7 4-5 yrs 181 2.2 0.5 6 5-6 yrs 189 2.3 0.6 7 6-7 yrs 197 2.4 0.5 6 7-8 yrs 205 2.5 0.5 6 8-9 yrs 247 3 0.5...

Social Assessment

Psychosocial Aspects HPN staff needs to assess family's ability to provde PN care at home. This process is similiar to transplant assessment of patient, as the alternative is continued hospitalization on HPN until PN can be discontinued OR issues can be resolved OR sometimes intestinal transplant...

Frequently Asked Questions (FAQ) When on-call

For a PDF version of the FAQ's, click here What if patient has a fever? Refer patient to the emergency department. Do not reassure family over the phone. For red flag symptoms, tell them to dial 911 (altered mental status, chills, seizures). Tell family to anticipate admission for at least 48 hours...

Clinical Vignettes

Case #1 7 year-old on PN 1500 ml/day over 24 hours and (3 gm/kg) 310 ml/day over 24 hours •PN and lipid pumps are mixed up •IL runs at 63 ml/hour, instead of 13 ml/hour •What do you need to watch for? Read more about management here

Clinical Vignettes

Question 1 Question 2 Question 3 Question 4 Question 5 Question 6 Question 7 Question 8 Question 9 Question 10 Question 11 Question 12 Question 13 Question 14 Question 15 Question 16 Question 17 Question 18 Question 19 Question 20 Question 21

Physical Diagnosis Findings with Central Venous Catheters

Central Venous Catheter cuff exposed The central venous catheter dacron cuff is supposed to be underneath the skin, so it can hold the catheter firmly within tunnel. Here we see the catheter malpositioned with the dacron cuff externalized. Purulent discharge from CVC exit site Cellulitis around...

Bram Raphael, MD

Central Venous Catheter Complications, Prevention & Treatment

Outpatient central line infection prevention bundle Encouraging good hand hygiene. Scrubbing the central line hub for 15 seconds before each line access. Changing central line dressing once per week or more frequently if soiled, using aseptic technique. Change the central line end cap using clean...

Micronutrient Monitoring & Disorders

Deficiencies are prevalent in HPN patients, especially in light of product shortages and inevitable non-adherance. Providers vigalent surveillance & supplementation is worthwhile, as it has potential to impact outcomes. Falk A. Evaluating the effectiveness of a micronutrient assessment tool for long...