Postoperatively, the patient was maintained on an intravenous ampicillin-sulbactam (Unasyn[R] 3 g, IVPB
, q6 hours) regimen until presentation and intraoperative culture results were available.
Eligible participants were planned to receive GEM 750 mg/[m.sup.2] as intravenous piggyback (IVPB
) over 30 minutes followed by CDDP 25 mg/[m.sup.2] over 1 hour given on Days 1, 8, and 15 of a 28-day cycles.
* N-acetylcysteine is given as a loading dose of 140 mg/kg in 200 mL of 5% D/W given over 15 min, followed by 70 mg/kg IVPB
over 15-20 min q4hr x 17 doses.
On transfer to the large university hospital, his care included repeat MRI of the brain with contrast and continued IV fluids; nomial saline solution 0.9%, 125 ml/hr; Dilaudid (hydromoiphone) of 0.4 mg IV push q4h pm; Heparin injection of 5000 units subcutaneous q8h; Clindamycin (cleocin) IVPB
of 600 mg q8h (one dose); and Dexamethasone injection of 6 mg q6h.
He is started on clindamycin 300 mgm IVPB
every 6 hours and ceftazidime 1 gram IVPB
every 12 hours.