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Discussion

Help with math problem and ANC

Can someone help me with these two questions?

1. The physician orders a 20 ml/kg normal saline bolus followed by D10W with Calcium gluconate at 80 ml/kg/day. What would the bolus volume and the IV rate per hour be? The baby is 3.2 kg.

2. The infant's CBC results show: WBC 3,200, H/H 13.7/41, plt 86K, Segs 7%, Bands 15%, meta 3%, Lymph 50%, Mono 15%, Eos 10%. What is the absolute neutrophil count?

Thanks!!!

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    1.the bolus would be 64 ml. (20 ml/kg x3.2 kg). The rate would be 10.7 or 11 ml/hr. (80 ml/kg x 3.2 kg = 256 ml/day divided by 24 hr = 10.66)

    Not sure on 2

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    • Author
    1.the bolus would be 64 ml. (20 ml/kg x3.2 kg). The rate would be 10.7 or 11 ml/hr. (80 ml/kg x 3.2 kg = 256 ml/day divided by 24 hr = 10.66)

    Not sure on 2

    Thanks, I really appreciate your help!!!:nurse:

  • Quote

    ANC= WBCs x (% Neutrophils/100 + % Bands/100)

    %segs=% neutrophils

    ANC= 3200 cells/mm3 x (7/100 +15/100)= 704 cells/mm3

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    • Author

    thank you all!!! you are awesome!!!

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