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Case Study 2: Analgesics
A 6 year old girl is brought into the ER by her mother at 2100 hours. The mother states
that the child has been suffering from an upper respiratory infection for the past 3 days
and that she has been treating the child with an over-the-counter cold/flu remedy for the
past 2 days, following the label directions for dosage. About 8 hours ago, the child
started spiking fever, peaking at 1600 hours at 102.5, at which point the mother gave
the child a standard dose of children’s Tylenol to try to bring down the fever. Over past 3
hours, the child has become listless, and her breathing has become rapid, prompting
the visit to the ER. Blood is drawn and the following results are obtained:
Reference Ranges
WBC: 1.4 x 104/mm3
(0.5-1.0 x104/mm3)
Neutrophils:
40%
(~50%)
Lymphocytes:
52%
(25%-40%)
Monocytes:
7%
(3%-7%)
Eosinophils:
0%
(0%-3%)
Basophils:
1%
(0%-1)
Glucose: 75 mg/dL
(60-100 mg/dL)
ALT: 35 U/L
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