C09994004 / invoice 10000

Reason:  7th amphotericin B Subjective:Marginal swelling at lateral scapular sites this morning. Will use interscapular midline, further cranial from lateral sites. No other concerns, Tarni seems to be handling tx better this week than last.  Current meds = - ampB 0.8mg/kg SC last given Monday- fluconazole 150mg po BID- theophylline 300mg PO SID (given last night)- maropitant 60mg sid given the night prior to txObjective:HR/PR:  88bpm, normal pulses, sinus arrhythmiaTemp: 38.9MM: Pink, 2s crtPulse:  normalResp: 20bpm, normal sounds and pattern. Not congested or stertorous on cxxHydration: nad Assessment: OK for tx. Treatment: AmpB 0.8mg/kg -> 12.5mg or 2.5mlsInjected into NaCl 0.5%+ 2.5% glucose,  warmed to 40 degrees (achieved this by heating the 500ml bag in microwave for 60s).  Given via extension line injected with 22G needle at R and L dorso-lateral scapular sites. Infused entire bag in <20mins.Site massaged post-infusion. Plan: - rv Monday for 5th  AmpB rx (0.8mg/kg) + rpt bloods- continue fluconazole 150mg BID PO - continue theopylline 300mg SID PO     Vital Signs    Weight: 15.3;