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Patient complains of fevers, chills and pus coming from central line exit site. What is the diagnosis? A. Central line exit-site and tunnel infection B. Contact dermatitis C. Cutaneous candidiasis D. Varicella-Zoster E. Normal Click here for answer Go to previous question Go to next question

Patient complains of fevers, chills and pus coming from central line exit site. What is the diagnosis? A. Central line exit-site and tunnel infection B. Contact dermatitis C. Cutaneous candidiasis D. Varicella-Zoster E. Normal The correct answer is a. Central line exit-site and tunnel...

2 year-old male had a recent adjustment in parenteral nutrition infusion cycle from 18 to 12 hours. There was no change in PN concentration. As a result, the glucose of infusion rate changed from 14 to 25 mg/kg/minute. Mother calls to complain that has symptoms of polydipsia and dehydration during...

30 year-old female with HPN dependence following traumatic motor vehicle accident and non-compliance with adding IV multi-vitamin to HPN bag complains of difficulty with vision driving home at nighttime after clinic visits. What’s the most likely cause? A. Anemia B. Vitamin A deficiency C. Folate...

30 year-old female with HPN dependence following traumatic motor vehicle accident and non-compliance with adding IV multi-vitamin to HPN bag complains of difficulty with vision driving home at nighttime after clinic visits. What’s the most likely cause? A. Anemia B. Vitamin A deficiency C. Folate...

6 year-old male well-nourished patient receives IV fluids nightly with D10 ½ normal saline 1000 ml over 12 hours. Mother pages on-call provider concerned that Broviac might have come out 3 cm. Patient is asymptomatic. Next visit is scheduled for 1 week. What is the next step? A. Reassurance and...

Answer 10. The correct answer is c. Increase glucose infusion rate by 2 mg/kg/minute to increase calories by 10%. Nutrition should be advanced by enteral route whenever possible. However, PN support should be increased when growth is faltering as evinced by 2-3 consecutive visits with inadequate...

5 year-old male with long-term HPN dependence secondary to short bowel syndrome is seen for routine follow-up. Enteral tolerance is currently maximized. PN currently providing energy 45 kcal/kg/day, protein 1.3 gram/kg/day, IV soybean lipids 1 gram/kg/day, glucose infusion rate 10 mg/kg/minute...