Exam 12: Pediatric Medications

An IV of 250 mL of lactated Ringer's solution is ordered q24h for a child. Pediatric policy states that a buretrol must be used and that it may only contain a maximum of 2 hr's worth of the ordered flow rate. How many mL will the nurse place in the buretrol to the nearest mL?

Calculate the safe dosage ranges (SDR) and drug dose and indicate if it is safe to administer or if it should be held. (Hold = Recheck order, recalculate dose, and contact prescriber promptly if it is an underdose or overdose.) Use a calculator to solve these problems. -Order: 1 mg po daily. Child's weight: 5 kg. SDR for this child's weight: 100-200 mcg per kg per day. Safe or hold?

Ordered: Children's acetaminophen suspension 160 mg po stat for a 3-year-old child with a fever who weighs 30 lb. a. What is the recommended dose in mg and mL for this child? b. If safe, how many mg will you be administering? c. How many mL equivalents will you give using the calibrated equipment supplied with the medicine?

Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems. -Order: 20 mg per m². Weight or BSA: BSA 0.55 m². What is the dose in mg?

Calculate the safe dosage ranges (SDR) and drug dose and indicate if it is safe to administer or if it should be held. (Hold = Recheck order, recalculate dose, and contact prescriber promptly if it is an underdose or overdose.) Use a calculator to solve these problems. -Order: 200 mg po daily. Child's weight: 15 kg. SDR for this child's weight: 5-10 mg per kg per dose. Safe or hold?

Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems. -Order: 500 mcg per kg. Weight or BSA: 11 lb. What is the dose in mg?

Ordered: Lidocaine HCL IV infusion 20 mcg per kg per min for a child with ventricular tachycardia who weighs 15 kg. SDR: 20-50 mcg per kg per min. Directions for dilution: Add 6 mg per kg of Lidocaine to a compatible solution to make a total of 100 mL. Infusing when you arrive on duty: Lidocaine HCl IV at 20 mL per hr. a. SDR in mcg per min, mcg per hr, and mg per hr b. Ordered flow rate in mg per hr c. Evaluation and decision: Is the order safe? d. Ordered flow rate in mL per hr (to the nearest whole number) using the concentration of 6 mg per kg in 100 mL of solution e. Evaluation and decision regarding existing flow rate

Calculate the safe dosage ranges (SDR) and drug dose and indicate if it is safe to administer or if it should be held. (Hold = Recheck order, recalculate dose, and contact prescriber promptly if it is an underdose or overdose.) Use a calculator to solve these problems. -Order: 1 g po daily. Child's weight: 40 kg. SDR for this child's weight: 25-50 mg per kg per day. Safe or hold?

Ordered: Furosemide 15 mg IV, initial dose for a child with edema. The nurse plans to deliver the medication in a volume-control device, filling the container up to 20 mL with lactated Ringer's solution from an existing infusion. It will be infused at the recommended rate of 1 min per mL. a. How long will it take to deliver the infusion? b. What will the flow rate be in mL per hr?

Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems. -Order: 10 mg per kg. Weight (BSA): 35 kg. What is the dose in mg?

Calculate the 24-hr dose in mg. Use a calculator to solve these problems -Order: 0.5 g q12h. What is the 24-hr dose in mg?

Calculate the 24-hr dose in mg. Use a calculator to solve these problems -Order: 0.25 g q8h. What is the 24-hr dose in mg?

A child weighs 30 lb 4 oz. a. How many total lb does the child weigh to the nearest tenth of a lb? b. What is the child's estimated weight in kg? c. What is the child's actual weight in kg?

Ordered: Cleocin (clindamycin) pediatric solution 100 mg po q6h for a child with a severe respiratory infection who weighs 40 lb. SDR: 8-25 mg per kg per 24 hr in 4 divided doses. Use a calculator. Enter data twice for verification. a. Estimated weight in kg b. Exact weight in kg to the nearest tenth c. SDR for this child to nearest tenth of an mg d. Total daily dose ordered e. Evaluation and decision f. Amount to be given (if applicable), rounded to nearest tenth of an mL

Ordered: Aminophylline IV in D5W at 0.7 mg per kg per hr for a 1-year-old child with asthma. Child's weight is 12 kg. The IV 250 mg aminophylline per 250 mL started just a short time earlier is flowing at 5 mL per hr when you enter the room to care for the child. SDR: 0.6-0.7 mg per kg per hr. a. SDR of mL per hr for this child b. Ordered flow rate in mg per hr c. Ordered flow rate in mL per hr d. Current flow rate in mL per hr e. Evaluation and decision

Fill in the desired dose to the nearest tenth of a unit. Use a calculator to solve these problems. -Order: 0.25 g per kg. Weight or BSA: 13.2 lb. What is the dose in mg?

Ordered: Dilantin 30 mg q12h po daily for a child with a seizure disorder who weighs 12 kg. SDR: 5 mg per kg per day in 2-3 equally divided dosages. Available: Dilantin 30 mg per cap. a. What is the SDR? b. Is the dose safe to give, or should you hold it and contact the prescriber promptly after rechecking the order and recalculating the dose?

Ordered: Lanoxin 62.5 mcg po stat for a child with heart failure. How many tablet(s) will you give?

Ordered: Potassium chloride 10 mEq to be added to an IV of D5W to make a total of 100 mL to be administered in a volume-control device over 1.25 hr for a child with hypokalemia who weighs 30 lb. SDR: 0.5-1 mEq per kg per hr. Do not exceed 10 mEq per hr. a. Estimated weight in kg b. Exact weight in kg to the nearest tenth c. SDR for this child d. Dose ordered per hr e. Evaluation and decision f. Flow rate in mL per hr (if applicable)

Ordered: Synthroid (levothyroxine sodium) 0.15 mg po every morning for a child with hypothyroidism who weighs 40 lb. SDR: 4-5 mcg per kg per day po. a. Estimated weight in kg b. Exact weight in kg to the nearest tenth c. SDR for this child (to the nearest tenth of an mg) d. Dose ordered e. Evaluation and decision f. Amount to be administered (if applicable)