CS3_DeCamargo

Case Study 3: Parvo Puppy Problems Last name: The purpose of this assignment is to apply math concepts from this lesson to common math calculations related to fluid balance in the veterinary setting. Scenario: Karen is tasked with caring for Remington, a 6 month old Rottweiler mix weighing 49 lbs . Remington was diagnosed with parvovirus and was admitted to the isolation ward today. He is having large amounts of vomiting and diarrhea. Karen must help the veterinarian keep Remington hydrated by correctly calculating his fluid needs. 1. Determine Remington’s fluid maintenance requirements using the standard maintenance formula of 50 ml/kg/day. a. What is the first step in this problem? Perform the calculation. (2 points) Convert the puppy’s weight from lbs. to kg. 49lb divided by 2.2 = 22.27kg (Rounding: 22.3kg) b. Calculate how many milliliters of fluid Remington needs to maintain normal hydration status? (2 points) Maintenance Fluid = 22.3kg x 50mL/kg/day – Cancel units if you can (in this case cancel “kg”). Maintenance Fluid = 1,115mL/day 2. During the physical exam, the veterinarian assesses that Remington is 6% dehydrated. This means Remington has a fluid deficit that will need to be replaced. a. How will you convert percent dehydration? (1 point) Convert 6% into a decimal by dividing by 100 6/100 = 0.06 b. Calculate the fluid deficit in Liters. (2 points) Fluid Deficit = 22.3kg x 0.06 = 1.338L c. What is the conversion factor for Liters to milliliters? (1 point) 1L = 1000mL d. How many milliliters of fluid will Remington need to replace his fluid deficit? (2 points) Divide 1.338L by 1000 to get the results in mL = 1,338mL 3. Based on your calculation of Remington’s fluid maintenance needs and current fluid deficit, determine his fluid rate over the next 24 hours. Assume you will be using a 10 gtt/ml drip administration set. a. Perform the necessary calculation to determine the total fluid needed. (1 point) Maintenance Fluid + Fluid Deficit = total fluid needed 1,115mL + 1,338mL = 2,453mL b. Calculate the IV flow rate for the next 24 hours. (2 points) Flow Rate = 2,453mL/day x day/24h Flow Rate = 102.2mL/hr c. How many drops per hour will this equate to? (2 points) Drip Rate (ml/hr) = 102.2mL/hr x 10gtt/mL = 1,022gtt/hr d. How many drops per second will this equate to? (2 points) 1,022gtt/hr x hr/60min x min/60sec = 0.283gtt/sec (Rounding: 0.28gtt/sec e. How many drops per 10 seconds of fluids will Remington receive? (2 points) 0.28gtt/sec x 10sec = 2.8gtt per 10 seconds 4. The veterinarian directs Karen to start Remington on a bland diet. She wants to begin by feeding only 35% of Remington’s resting energy requirement (RER) for the day. Karen plans to split this total over 5 meals. Conversions and formulas for this assignment can be found here: Medical Math Study Guide You must show all your work and include appropriate units in your answers to earn full credit. Round your answers to the nearest hundredths if necessary.