Exam 25: Pediatric and Adult Dosage Calculation Based on Weight

Directions: Determine the volume of solution that must be added to the burette in the following problem.Determine the rate in gtt/min for each IV when a microdrop is used,then the rate in mL/hr for a controller. A medication of 1 g in 4 mL is to be diluted to 60 mL and infused over 90 minutes. a.Dilution volume: _____ b.gtt/min: _____ c.mL/hr: _____

Directions: Calculate the following children's dosages. Order: Epinephrine 0.25 mg IV stat Available: Epinephrine 0.1 mg/mL How many milliliters will you prepare to administer? _____ mL

Directions: Using the West nomogram,determine the body surface area (BSA)for a child with the height and weight given. 80 cm and 11 kg: _____ m²

Directions: Using the West nomogram or formula when indicated,calculate the following dosages.Express answer to the nearest tenth. The recommended dosage of Paraplatin for ovarian cancer is 360 mg/m².The client's BSA is 1.67 m².What dosage should the client receive? _____

Directions: Using the West nomogram or formula when indicated,calculate the following dosages.Express answer to the nearest tenth. The recommended dosage of acyclovir is 250 mg/m².What will be the dosage for a child with a BSA of 0.27 m²? _____

Directions: Use the appropriate formula to determine BSA.Express answer to the nearest hundredth. An adolescent who measures 157.5 cm and weighs 59.1 kg: _____ m²

Directions: Round dosage and weight to the nearest tenth as indicated.Use labels where provided. The recommended dosage of Ticar for an adult with a complicated urinary tract infection is 150 to 200 mg/kg/day IV in divided dosages every 4 or 6 hours.The adult weighs 194 lb. a.What is the 24-hour dosage range for the 194-lb adult in milligrams? _____ b.What is the dosage range in grams? _____ c.The prescriber ordered 4 g IV q6h.Is the dosage ordered safe? _____ Explain: ______________________________

Directions: Round dosage and weight to the nearest tenth as indicated.Use labels where provided. The recommended dosage of Mezlin for an adult with a serious infection is 200 to 300 mg/kg/day given in four to six divided dosages.The adult weighs 175 lb. a.What is the adult's weight in kilograms? _____ b.What is the 24-hour dosage range for the 175-lb adult in milligrams? _____ c.What is the dosage range in grams? _____

Directions: Using the West nomogram or formula when indicated,calculate the following dosages.Express answer to the nearest tenth. The recommended dosage of methotrexate is 25 to 75 mg/m²/wk.The child's height is 30 inches and the weight is 25 lb. a.What is the child's BSA? _____ b.What is the recommended dosage range? _____

Directions: Round dosage and weight to the nearest tenth as indicated.Use labels where provided. Erythromycin ethylsuccinate 62.5 mg p.o.q6h is ordered for an infant weighing 10 lb 4 oz.The recommended safe dosage is 30 to 50 mg/kg/24 hr divided q6h. a.What is the infant's weight in kilograms? _____ b.What is the safe 24-hour dosage range for this infant? _____ c.What is the divided dosage range? _____ d.Is the dosage ordered safe? (Prove mathematically. )_______________ Explain your action: ______________________________

Directions: Round dosage and weight to the nearest tenth as indicated.Use labels where provided. Gentamicin 45 mg IV q8h for a child weighing 45 lb.The recommended dosage is 6 to 7.5 mg/kg/day in three to four divided dosages. a.What is the child's weight in kilograms? _____ b.What is the safe 24-hour dosage range for this child? _____ c.What is the divided dosage range? _____ d.Is the dosage ordered safe? (Prove mathematically. )_______________ Explain your action: ______________________________

Directions: Using the West nomogram,determine the body surface area (BSA)for a child with the height and weight given. 22 inches and 10 lb: _____ m²

Directions: Using the West nomogram or formula when indicated,calculate the following dosages.Express answer to the nearest tenth. The recommended dosage of Zovirax for a child who is immunosuppressed and has a varicella-zoster infection is 500 mg/m².The child weighs 26.5 lb and is 58 inches tall. a.What is the child's BSA? _____ b.What is the recommended dosage? _____

Directions: Use the appropriate formula to determine BSA.Express answer to the nearest hundredth. An adult who measures 175 cm and weighs 85 kg: _____ m²

Directions: Round dosage and weight to the nearest tenth as indicated.Use labels where provided. Order: Ceclor (cefaclor)100 mg p.o.q8h is ordered for a child weighing 32 lb.The recommended dosage is 20 to 40 mg/kg/day divided q8h. Available: a.What is the child's weight in kilograms? _____ b.What is the safe 24-hour dosage range for this child? _____ c.Is the dosage ordered safe? (Prove mathematically. )_______________ Explain your action: ______________________________ d.How many milliliters of Ceclor are needed to administer the dosage? _____

Directions: Using the West nomogram,determine the body surface area (BSA)for a child with the height and weight given. 170 cm and 50 kg: _____ m²

Directions: Use the appropriate formula to determine BSA.Express answer to the nearest hundredth. A child who measures 26 inches and weighs 36 lb: _____ m²

Directions: Determine the normal dosage range to the nearest tenth.State your course of action. An IV medication of 50 mcg in 200 mL is ordered to infuse over 2 hours.The normal dosage range is 1.5 to 3 mcg/kg/hr.The child weighs 5.7 kg.Determine the dosage range per hour.Determine whether the dosage ordered is within normal limits.State your course of action: ______________________________

Directions: Calculate the following children's dosages. Order: Nebcin 35 mg IV q8h Available: How many milliliters will you administer? _____ mL

Directions: Determine the volume of solution that must be added to the burette in the following problem.Determine the rate in gtt/min for each IV when a microdrop is used,then the rate in mL/hr for a controller. The volume of a 75-mg dosage of medication is 3 mL.Dilute to 55 mL and infuse over 45 minutes. a.Dilution volume: _____ b.gtt/min: _____ c.mL/hr: _____