Math and Dosage Calculations for Health Care 3rd Edition by James Whaley, Kathryn Booth, Booth Kathryn

Exercise 36

You are working in a pediatric ICU where your patient is a 3-year-old boy who has a staphylococcal skin infection in the area surrounding his incision. His attending physician has prescribed the following treatment. You know from his chart that he weighs 40 lb.
Ordered: Rocephin 600 mg IV over 30 min bid
On hand: Refer to label H. According to the package insert, for pediatric patients with skin infections, the recommended total daily dose is 50 to 75 mg/kg/day given once a day (or in equally divided doses twice a day). The total daily dose should not exceed 2 g. The Rocephin is reconstituted to a dosage strength of 40 mg/mL.
Figure 11-13
Is this order a safe dose for your patient? If it is not a safe dose, what steps should you take?