Admission Record
A 78-year-old man weighing 72 kg is admitted with a culture-supported complicated intra-abdominal infection. Serum creatinine is 1.6 mg/dL, and the Cockcroft-Gault calculation is 39 mL/min. The prescription is meropenem 1 g IV every 8 hours. Home medications include divalproex sodium 500 mg twice daily for a seizure disorder. The last valproate level was 72 mcg/mL. He is alert and oriented, with BP 126/70 mm Hg, SpO2 97 percent on room air, and no beta-lactam allergy.
入院記錄
一名 78 歲男性，體重 72 kg，因培養證實的複雜性腹腔內感染入院。血清肌酸酐為 1.6 mg/dL，Cockcroft-Gault 計算結果為 39 mL/min。醫囑為 美洛培南 1 g 靜脈注射每 8 小時一次。居家藥物包括用於癲癇症的 雙丙戊酸鈉 500 mg 每日兩次。上次丙戊酸鹽濃度為 72 mcg/mL。他 意識清楚且定向感良好，血壓 126/70 mm Hg，室內空氣下血氧飽和度 97%，且 無 β-內醯胺類藥物過敏。