RNC NIC study guide questions with complete solutions

GIR correct answer: 6-8mcg/kg/min caloric intake D10 Bolus correct answer: 2mL/kg Fluid Volume Bolus correct answer: 10mL/kg Term Parenteral Fluid Requirement correct answer: 80mL/kg/day Enteral 100-150 mlk/kg/day Preterm Parenteral Fluid Requirement correct answer: 120 Enteral 150-200ml/kig/day GIR Calculation correct answer: (%dextrose x IV rate) / (6 x wt in kg) I/T ratio correct answer: %Metas + Bands / %Metas + Bands + Segs I/T ratio greater than 0.2 to .25 suggestive of infection 0.8 associated with shock Absolute Neutrophil COUNT correct answer: WBC x (%) Segmented neutrophils + band neutrophils + metamyelocytes Example. 15,000 x 35 segs + 15 bands + 3 metas (turns into percent) 15,000 x .53 = 7950 ANC 1800 suggestive of infection Normal Range Mature WBCs correct answer: Poly, Segs, Neutrophils Immature WBCs correct answer: Meta, Bands, Stabs Platelet Range correct answer: 150-400k Thrombocytopenia ( 100,000/mm 3 ): possible association with bacterial sepsis or viral infection, but usual onset does not occur until 1 to 3 days after infection onset (late indicator). May also occur with maternal HELLP syndrome ( h emolysis, e levated l iver function test results, and l ow p latelet count), pregnancy-induced hypertension, and intrauterine growth restriction, as well as some syndromes such as trisomies 13, 18, and 21, Turner's syndrome, and hemolytic disease. CRP level correct answer: CRP level usually 1.6 for the first two days of life Elevated cord blood CRP levels are associated with chorioamnionitis with prolonged rupture of membranes. Most common pathogens correct answer: Currently, GBS E. coli