ARE Cindy 1BW 2101b 92kg Adj . < 95kg BW = + o = 2 + . 3(9) 7 = = 140-age 70 7 . 1 . 30 = 92kg 140-50 x80 42 = . 72 x 0 + . 7 (95 - 70 . 7) = 80 . 72kg weight (kg) ~ 72x5c - 100 53 . mu/min dose chart looks match at donly daily dose dose based Acyclovir on IBW IBW 59kg x 95k9 u(TBW-1BW) 101 mL/min daily . . . CrCl 600 70 = Adj BW > - /BW 50 = Vo 1BW = = 45 59 . . 5 3 + 2 kg . 3(6) orTBW If poequivalent : 500 my POQ12H X X Linezolid 600 mg Po QI2H Exclusion 198 16s 90kg = bolus Initial 60 60 units x 4000 units 49 90kg max (do Initial 1000 units nr 10 mc/ ur = 250mb " 25000 units & 10mV/hr Infusion do 12 not . 91 8 rate : 49/hr . 8 : 0 . 10 units 49/ur pantoprazole 40 my po QD X x restart unit/kg/hr previous rate 8 * units/hr 250m2 x 81-1 2 O units/kg/ur 1000 muhr Hold Infusion Y 12 25000 units/mu then units exceed 90ky x 10 1000 = = 5400 units = not exceed nuts = units/4g 90kgY unys Ferr . 10 60 mins , at less than 250mh 25000 UNAS Oxybutynin 10 QD My famotidine 20 mg IVP Q12H 8 units O XL

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