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Iron deficiency anemia

Causes of anemia Microcytic: Nutritional deficiencies- Iron, copper or zinc Anemia of chronic inflammation Hemaglobinopathy - thalassemias Sideroblastic anemias Normocytic: Acute GI bleeding Hemolytic - Hypersplenism, infection, trauma, G6PD, sickle cell, spherocytosis Chronic renal insufficiency...

Miscellaneous complications

Indications for HPN Hospitalization: - Fever 100.4 - Dehydration - Lack of working vascular access Failure with outpatient management (unable to provide HPN safely in community) Indications for liver failure hospitalization: - Acute altered mental status - Acute GI bleeding - Fever, concern for...

Infusion Issues

PN cycling Infants at around 2 months-old can often tolerate cycling. Taper on by starting with one half the hourly rate for 30 to 60 minutes. Taper off by decreasing the hourly rate by one one for 30 to 60 minutes, then decrease the hourly rate by one fourth for 30 minutes.

Short bowel syndrome (short gut syndrome)

Short bowel syndrome (Definition): Condition resulting from Intestinal malabsorption related to massive surgical bowel resection -- ranges from mild intestinal dysfunction responsive dietary and pharmacological measures to severe intestinal failure requiring 100% parenteral support. Most important...

Pharmacy Reconcilliation

One in 10 hospitalized children are impacted by medication error. - As many as 35% of these errors are serious or life-threatening. - Less is known how common medical errors are in ambulatory patients where fewer preventive strategies are in place. Takata GS, Mason W, Taketomo C, Logsdon T, Sharek...