Exam 18: Lifespan Considerations in Dosage Calculation

A provider orders cyclosporine (Sandimmune) 15 mg/kg/day, IV, divided into two doses (one every 12 hours) for a child who weighs 32 kg. Calculate the amount (mg) of cyclosporine (Sandimmune) to be administered per dose. Round to the nearest milligram.

A nurse is preparing an IV infusion for a child. Which action(s) by the nurse should prevent an accidental fluid bolus? Select all that apply.

A provider orders daunorubicin (Cerubidine) 25 mg/m², IV, daily. The child weighs 21 kg and is 98 cm in height. Calculate the amount (mg) of daunorubicin (Cerubidine) to be administered per dose. Round the dosage to the nearest milligram.

Why are elderly patients at increased risk for adverse medication reactions? Select all that apply.

A provider orders loracarbef (Lorabid) 30 mg/kg/day oral suspension every 12 hours for a child who weighs 14 kg. Calculate the amount (mg) of loracarbef (Lorabid) to be administered per dose. Round to the nearest milligram.

Which statement is correct when considering alterations in organ function related to young age?

When administering medications to infants and children, which drug dosage calculations require double-checking by another nurse or pharmacist before administration?

A patient asks the nurse how safe it is to take medications while breastfeeding. Which statement by the nurse is correct?

A nurse is preparing to infuse IV fluids for an infant. If the infant's total daily fluid need is 1,480 mL, and the infant is to receive 30% of those fluids from the IV, at what mL/hr flow rate will the nurse set the pump? Round your answer to the nearest tenth milliliter.

A nurse is teaching an 85-year-old patient about medications. Which of these statements indicates that the patient needs additional teaching?

A nurse is calculating the daily maintenance fluid needs for an adequately hydrated child who weighs 30 kg. If the child is to receive 25% of the fluids by the IV route, at what mL/hr flow rate should the nurse set the pump? Round to the nearest tenth milliliter.

A nurse is calculating the daily maintenance fluid needs for an adequately hydrated child who weighs 12 kg. If the child is to receive 50% of the fluids by the IV route, at what mL/hr flow rate should the nurse set the pump? Round to the nearest tenth milliliter.

A provider orders cytarabine (Cytosar) 100 mg/m², IV, divided into two daily doses. The child weighs 18 kg and is 95 cm in height. Calculate the amount (mg) of cytarabine (Cytosar) to be administered per dose. Round the dosage to the nearest tenth milligram.

A nurse is calculating the daily maintenance fluid needs for an adequately hydrated child who weighs 4 kg. How many mL of IV fluid will the child need in 24 hours? Round to the nearest whole milliliter.

As people age, kidney function decreases. What effect does this change have on medication metabolism, absorption, or excretion?

When calculating dosages for infants and children, why are calculations using body surface area (BSA) thought to be more accurate than those that use body weight alone?