Deck 15: Pediatric Dosages

Question 1

A health care provider orders 500 mL of D₅0.45% NS to infuse at 50 mL/h.The tubing drop factor is 60 gtt/mL.Calculate the rate in drops per minute.____________________

Answer 1

50 gtt/min

Question 2

Maintenance Rate Table A child is to receive IV fluids at maintenance rate.The child weighs 60 lb.
a.What is the child's weight in kilograms? _____________
b.Calculate the 24-hour fluid requirements for this patient.____________
c.How many milliliters per hour are needed to deliver the maintenance fluids? _______________

Answer 2

a.27.3 kg b.1365 mL c.56.9 mL/h

Question 3

The recommended dosage of gentamicin IVPB for a child is 6 mg/kg/day in two equal doses.The child's weight is 44 lb.The tubing drop factor is 60 gtt/mL.The medication is supplied in 60 mg/100 mL to infuse over 90 minutes.
a.What is the child's weight in kilograms? _____________
b.Calculate the dose for this child.____________________
c.Calculate the rate in milliliters per hour for this IV.____________________
d.Calculate the drops per minute.____________________

Answer 3

a.20 kg b.60 mg/dose c.67 mL/h d.67 gtt/min

Question 4

The recommended safe dosage of erythromycin for a child is 20 mg/kg/day in four equal doses.The child's weight is 33 lb.The medication is supplied in 125 mg/mL.
a.What is the child's weight in kilograms? _____________
b.Calculate the safe dose for this child.____________________
c.How many milliliters will be administered for each dose? ____________________

Question 5

The recommended safe dose of rifampin for a child is 5 mg/kg/dose.The child's weight is 11 lb.The medication is supplied in 10 mg/mL.
a.What is the child's weight in kilograms? _____________
b.Calculate the safe dose for this child.____________________
c.How many milliliters will be administered for each dose? ____________________

Question 6

Maintenance Rate Table A child is to receive IV fluids at maintenance rate.The child weighs 32 lb.
a.What is the child's weight in kilograms? ________________
b.Calculate the 24-hour fluid requirements for this patient._________________
c.How many milliliters per hour are needed to deliver the maintenance fluids? _________________

Question 7

The physician orders ibuprofen 200 mg oral every 6 hours for a child weighing 60 lb.The ibuprofen is available in a 100 mg/5 mL concentration.The recommended dose is 5 to 10 mg/kg/dose.
a.What is the child's weight in kilograms? _______________
b.How many milligrams per kilogram per 24 hours is the patient receiving? ___________
c.Is the order safe? _______________
d.If yes,how many milliliters are needed for each dose? __________________

Question 8

The recommended dose of Lasix for a child is 1 mg/kg/dose.The child's weight is 77 lb.The medication is supplied in 10 mg/mL.
a.What is the child's weight in kilograms? _____________
b.Calculate the safe dose for this child.____________________
c.How many milliliters will be administered for each dose? ____________________

Question 9

The recommended dosage of amoxicillin is 20 to 40 mg/kg/day divided in equal doses q8 h.The medication is supplied as 50 mg/mL oral suspension.The child weighs 72.6 lb.
a.What is the child's weight in kilograms? _____________
b.Calculate the safe dosage range for this child per day.____________________
c.Calculate the safe dose range for each 8-hour dose._______________________
d.How many milliliters will be administered for a single dose if the child is receiving the 20 mg/kg/day dosage? ____________________

Question 10

The physician orders prednisone 10 mg oral every 12 hours for a child weighing 22 lb.The prednisone syrup is available in a 5 mg/5 mL concentration.The recommended dose is 0.5 to 2 mg/kg/24 h.
a.What is the child's weight in kilograms? _____________
b.How many milligrams per kilogram per 24 hours is the patient receiving? ___________
c.Is the order safe? _______________
d.If yes,how many milliliters are needed for each dose? _________________

Question 11

The physician orders Ancef 500 mg IV every 8 hours for a child weighing 30 lb.The Ancef is available in a 330 mg/mL concentration.The recommended dose is 100 mg/kg/24 h divided in three doses.
a.What is the child's weight in kilograms? ___________
b.How many milligrams per kilogram per 24 hours is the patient receiving? ___________
c.Is the order safe? _____________
d.If yes,how many milliliters are needed for each dose? ______

Question 12

Maintenance Rate Table A child is to receive IV fluids at maintenance rate.The child weighs 14 lb.
a.What is the child's weight in kilograms? _____________
b.Calculate the 24-hour fluid requirements for this patient._______________
c.How many milliliters per hour are needed to deliver the maintenance fluids? _______________

Question 13

Maintenance Rate Table A child is to receive IV fluids at maintenance rate.The child weighs 75 lb.
a.What is the child's weight in kilograms? _____________
b.Calculate the 24-hour fluid requirements for this patient.___________________
c.How many milliliters per hour are needed to deliver the maintenance fluids? _______________

Question 14

The physician orders Keflex 250 mg oral every 6 hours for a child weighing 40 lb.The Keflex is available in a 250 mg/5 mL concentration.The recommended dose is 50 to 100 mg/kg/24 h divided in four doses.
a.What is the child's weight in kilograms? _____________
b.How many milligrams per kilogram per 24 hours is the patient receiving? ___________
c.Is the order safe? ________________
d.If yes,how many milliliters are needed for each dose? ________________

Question 15

The physician orders vancomycin 400 mg oral every 6 hours for a child weighing 90 lb.The vancomycin is available in a 250 mg/5 mL concentration.The recommended dose is 40 mg/kg/24 h divided in four divided doses.
a.What is the child's weight in kilograms? _____________
b.How many milligrams per kilogram per 24 hours is the patient receiving? ______________
c.Is the order safe? ___________________
d.If yes,how many milliliters are needed for each dose? ______________

Question 16

The recommended dosage of morphine IV for a child is 0.6 mg/kg/h.The child weighs 99 lb.The medication is supplied in 30 mg/30 mL.
a.What is the child's weight in kilograms? _____________
b.Calculate the dose for this child.____________________
c.Calculate the rate in milliliters per hour for this IV.____________________

Question 17

Maintenance Rate Table A child is to receive IV fluids at maintenance rate.The child weighs 28 lb.
a.What is the child's weight in kilograms? _____________
b.Calculate the 24-hour fluid requirements for this patient.__________________
c.How many milliliters per hour are needed to deliver the maintenance fluids? _______________

Question 18

The recommended dosage of Dilantin for a child is 7 mg/kg/24 h given q12 h.The child's weight is 55 lb.The medication is supplied in 125 mg/5 mL.
a.What is the child's weight in kilograms? _____________
b.Calculate the safe dose for this child.____________________
c.How many milliliters will be administered for each dose? ____________________

Question 19

The recommended dosage of oxacillin for a child is 50 mg/kg/day in four equal doses.The child's weight is 66 lb.The medication is supplied in 250 mg/5 mL.
a.What is the child's weight in kilograms? _____________
b.Calculate the safe dose for this child.____________________
c.How many milliliters will be administered for each dose? ____________________

Question 20

The recommended dosage of Zinacef IVPB for a child is 75 mg/kg/day in three equal doses.The child weighs 66 lb.The tubing drop factor is 60 gtt/mL.The medication is supplied in 750 mg/50 mL to infuse over 30 minutes.
a.What is the child's weight in kilograms? _____________
b.Calculate the dose for this child.____________________
c.Calculate the rate in milliliters per hour for this IV.____________________
d.Calculate the drops per minute.____________________