NABP NAPLEX - North American Pharmacist Licensure Examination

Patient dose: 0.75mcg × 115kg = 86.25mcg/min (100mL/20mg) × (86.25mcg/1hr) × (60min/1hr) × (1mg/1000mcg) = 25.875mL/hr Rate of infusion of Milrinone

Rate of infusion: 100mL/40U × 0.03U/min × 60min/1 hr = 4.5mL/hr

In a normal distribution sample, within 1 standard deviation 68% of the sample falls within 1 standard deviation, 95% within 2 standard deviations, and 99.7% within 3 standard deviations of the mean.

This patient is displaying signs of a severe case of cellulitis. Severe cellulitis is defined as having one of the following: failed oral antibiotic treatment, immunocompromised, clinical signs of deeper infection, or meeting the SIRS criteria. Based on this patient’s presentation they have failed antibiotic treatment and meet SIRS criteria. For severe cellulitis, IDSA SSTI guidelines recommend using Vancomycin along with Zosyn.

Statin therapy should be used as treatment in adults with primary LDL–C ≥190 mg/dL and age over 21 years. Unless contraindicated, high-intensity statin therapy should be used.

SGLT-2 inhibitors have a black box warning for diabetic ketoacidosis, which manifests as euglycemic and makes it relatively difficult to detect without monitoring. The complex physiology by which this occurs is not clearly understood. On the other end, they have been shown to reduce major cardiovascular events (MACE) in persons with type 2 diabetes and established cardiovascular disease.