What is your diagnostic and therapeutic plan for the patient

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Reference no: EM133781325

Problem

Called to the bedside to evaluate a school-aged patient with congenital hydrocephalus and seizure disorder who is post-op day 2 from externalization of his ventriculo-peritoneal shunt due to shunt infection. His output been hard to calculate since his foley was removed as the antibiotics for his shunt infection are causing diarrhea and everything is documented as "mixed" AM labs (drawn four hours ago): NA 131 K 3 Cl 92 Bun 8 Creat 0.2 Mg 1.8 Glu 90 Afebrile - hemodynamically stable / vital signs are unchanged and within normal limits for age On exam he is quietly playing in bed, appears comfortable, in no apparent distress, interactive with you when you walk in, bladder non-palpable and bladder scan on the unit is broken. His EVD is putting out <15ml q2h, is patent and is leveled, positioned appropriately and open to drain. What is your diagnostic and therapeutic plan for this patient's post-operative problem?

Reference no: EM133781325

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