This month’s winner of random drawing for a gift card is: Nandeesh Rangaswamy PMG of Missouri

LATEST Challenge

Should we start her on Albumin to help her with her blood pressure? Asks Margaret’ nurse.

Merchak Case Challenge # 76 - April 2026 Should we start her on Albumin to help her with her blood pressure? Asks Margaret’ nurse. You are caring for Margaret. Margret is a 6-day old female, born at 26 weeks GA via vaginal delivery due to preterm labor. Her mother’s serology is negative, and she received one dose of antenatal steroids. Margaret received exogenous surfactant therapy, on conventional ventilation, on trophic feeds of donor breast milk, TPN support via UVC and on Caffeine. Few days ago, Margret had increased frequency of desaturations requiring increased vent support, so she was placed on broad spectrum antibiotics. Blood culture grew Klebsiella Pneumonia. Her urine output has been diminishing and now has no urine output for 3 days. She has severe generalized edema, and she is having frequent events of bradycardia on high ventilatory support. Margaret’s Blood pressure has been decreasing, and you started her on pressors. Margaret’ nurse askes you about the role of albumin infusion in Margaret’s condition.

Google Sites

Report abuse