Symptomatic Medications

-Ranitidine (Zantac) 50 mg IV q8h.

-Acetaminophen (Tylenol) 325 mg PO/PR q4-6h prn temp >38.5 °C.

-Heparin 5000 U SQ q12h.

11. Extras: Plain film, upright abdomen, lateral decubitus, CXR PA and LAT;

surgery consult; ECG, abdominal ultrasound. CT scan.

12. Labs: CBC with differential, SMA 7&12, amylase, lactate, INR/PTT, UA with micro, C&S; drug levels peak and trough 3rd dose.

Paracentesis Tube 1: Cell count and differential (1-2 mL, EDTA purple top tube)

Tube 2: Gram stain of sediment; inject 10-20 mL into anaerobic and aerobic culture bottle; AFB, fungal C&S (3-4 mL).

Tube 3: Glucose, protein, albumin, LDH, triglycerides, specific gravity, bilirubin, amylase (2-3 mL, red top tube).

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