B is a 16 years old female

B is a 16 years old female with a history of MERRF Syndrome, seizure disorder, tracheostomy tube, and GT dependent, who was admitted to the PICU for C. Diff. colitis. She had 2 weeks of dark green watery stools before admission that did not improve with loperamide. Her abdomen got more distended and she started having intermittent fevers of 100.4 F. She eventually had to be taken to ER where she was tachycardic in the 140-150 beats/min. CT’s abdomen showed pancolitis and her C. Diff was positive. She also was not very responsive and was admitted to the PICU where she was required to be placed on a mechanical ventilator due to altered mental status. Her chest X-ray showed a questionable right-sided infiltrate. CT head was done and negative. She was initially placed on Cefepime and Flagyl but changed to Vancomycin with improved stools. She was eventually weaned off the ventilator by 11/26/– to O2 via trach collar. Feeds were slowly reintroduced and she was transferred to the pediatric floor on 11/29/– but readmitted to PICU on 11/30/– after having respiratory failure and right lower lobe infiltrate. She remains in the PICU and ventilator. she tolerated 6 hours of sprinting off the ventilator yesterday and 3 hr today. She has become more interactive. Lipase was elevated worrisome for pancreatitis. Remains on TPN and GT feedings.find out/answer the below questions related to the case: What brought the B to the hospital (tip: don’t choose the medical diagnosis)? What is the medical history of B? Which test did they do in ER and what was the result? Why did they do CT head? Why B had tachycardia (three reasons)? Why did they admit her to the PICU, not the floor? What did they do in the PICU? What is your opinion about the antibiotic choice that they gave her? What is the reason they did sprint off from the ventilator? Why was she transferred from the floor to PICU in the last 24 hours? What does the healthcare provider expect to order if she had pancreatitis (at least 3 expectations)?

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