Exam 16: Body Surface Area and Advanced Pediatric Calculations

An adult with Promyelocytic Leukemia is measured at 165 cm tall and weighs 56.8 kg. The physician ordered tretinoin 50 mg po b.i.d. The drug reference recommends 45 mg/m $2$ b.i.d. -Calculate the dose.

Given: The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medication, and other factors. Determine the BSA for each of the following children using the BSA nomogram. Include two decimal places with your answers. -Tonya, who is 80 cm tall and weighs 20 kg. BSA = __________ m²

Given: The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medication, and other factors. Determine the BSA for each of the following children using the BSA nomogram. Include two decimal places with your answers. -Miguel, who is a normally proportioned child, weighing 7.5 lb. BSA = __________ m²

Is this a safe dose? If not, what should the nurse do?

An adult with Promyelocytic Leukemia is measured at 165 cm tall and weighs 56.8 kg. The physician ordered tretinoin 50 mg po b.i.d. The drug reference recommends 45 mg/m $2$ b.i.d. -Calculate the BSA for this adult.

Compute the answers to the following questions, which are based on the child's BSA, using the following information about the child and her order. Sally, whose BSA is 1.25 m $2$ , is to receive acyclovir 600 mg p.o. q.i.d. The drug reference guide recommends 500 mg/m $2$ q. 8h. The supply dosage available is 800mg/2mL. -How many milligrams of acyclovir should she receive per administration? ______________ mg

The recommended oral dosage for succimer is 350 mg/m $2$ q. 8h. This has been ordered for a child measuring 54 inches tall and weighing 73 lb. -Calculate the safe dosage for this child.

Is this a safe dose? If not, what should the nurse do?

Compute the daily rate of pediatric maintenance fluids for the following children, using the following guidelines: $100 \mathrm{~mL} / \mathrm{kg} /$ day for the frist $10 \mathrm{~kg}$ of body weight $50 \mathrm{~mL} / \mathrm{kg} /$ day for the next $10 \mathrm{~kg}$ of body weight $20 \mathrm{~mL} / \mathrm{kg} / \mathrm{day}$ for each $\mathrm{kg}$ above $20 \mathrm{~kg}$ of body weight -Maggie, who weighs 13 kg. __________ mL/day

The recommended oral dosage for succimer is 350 mg/m $2$ q. 8h. This has been ordered for a child measuring 54 inches tall and weighing 73 lb. -Is this considered a safe dose? If not, what should the nurse do?

Compute the answers to the following questions, which are based on the child's BSA, using the following information about the child and her order. Sally, whose BSA is 1.25 m $2$ , is to receive acyclovir 600 mg p.o. q.i.d. The drug reference guide recommends 500 mg/m $2$ q. 8h. The supply dosage available is 800mg/2mL. -How many milliliters should be administered per dose?

Is this considered a safe dose? If not, what should the nurse do?

Given: The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medication, and other factors. Determine the BSA for each of the following children using the BSA nomogram. Include two decimal places with your answers. -Allison, who measures 56 inches tall and weighs 68 lb. BSA = __________ m²

Compute the answers to the following questions, which are based on the child's BSA, using the following information about the child and his order. Jimmy, whose BSA is 0.45 m², is to receive Oncovin 2 mg/m² IV once per week. The supply dosage available is 5 mg/mL. -How many milligrams of Oncovin should he receive per administration? __________ mg

Kevin, a 5-year-old with herpes simplex, is measured at 42 inches tall and weighs 43 lb. The pediatrician prescribes ritonavir 200 mg p.o. b.i.d. The drug reference recommends the dose of 250 mg/m $2$ b.i.d for a child. -What is Kevin's BSA?

Compute the daily rate of pediatric maintenance fluids for the following children, using the following guidelines: $100 \mathrm{~mL} / \mathrm{kg} /$ day for the frist $10 \mathrm{~kg}$ of body weight $50 \mathrm{~mL} / \mathrm{kg} /$ day for the next $10 \mathrm{~kg}$ of body weight $20 \mathrm{~mL} / \mathrm{kg} / \mathrm{day}$ for each $\mathrm{kg}$ above $20 \mathrm{~kg}$ of body weight -Lisa, who weighs 11 kg. __________ mL/day

Given: The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medication, and other factors. Determine the BSA for each of the following children using the BSA nomogram. Include two decimal places with your answers. -Heidi, who is a normally proportioned child, weighing 20 kg. BSA = __________ m²

Compute the answers to the following questions, which are based on the child's BSA, using the following information about the child and his order. Jimmy, whose BSA is 0.45 m², is to receive Oncovin 2 mg/m² IV once per week. The supply dosage available is 5 mg/mL. -How many milliliters should be administered per dose? __________ mL

Kevin, a 5-year-old with herpes simplex, is measured at 42 inches tall and weighs 43 lb. The pediatrician prescribes ritonavir 200 mg p.o. b.i.d. The drug reference recommends the dose of 250 mg/m $2$ b.i.d for a child. -Calculate the recommended dose. __________ mg

Given: The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medication, and other factors. Determine the BSA for each of the following children using the BSA nomogram. Include two decimal places with your answers. -Alicia, who weighs 15 kg and is 90 cm tall. BSA = __________ m²