Exam 25: Pediatric and Adult Dosage Calculation Based on Weight

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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? _____

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a.0.7 m2
b.500 mg/m2 ×\times 0.7 m2 = 350 mg

Order: Albuterol 1.2 mg p.o.t.i.d.is ordered for a child weighing 27 lb.The recommended dosage is 0.3 mg/kg/24 hr divided q8h.Available: Order: Albuterol 1.2 mg p.o.t.i.d.is ordered for a child weighing 27 lb.The recommended dosage is 0.3 mg/kg/24 hr divided q8h.Available:    a.What is the child's weight in kilograms? _____ b.What is the safe 24-hour dosage for this child? _____ c.What is the divided dosage? _____ d.Is the dosage ordered safe? (Prove mathematically.)_______________ Explain your action: ______________________________ e.How many milliliters of albuterol is needed to administer the dosage? _____ a.What is the child's weight in kilograms? _____ b.What is the safe 24-hour dosage for this child? _____ c.What is the divided dosage? _____ d.Is the dosage ordered safe? (Prove mathematically.)_______________ Explain your action: ______________________________ e.How many milliliters of albuterol is needed to administer the dosage? _____

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a.27 lb ÷ 2.2 = 12.27 = 12.3 kg
b.12.3 kg ×\times 0.3 mg = 3.69 = 3.7 mg/day
c.3.7 mg ÷ 3 = 1.23 = 1.2 mg q8h
d.Yes.The dosage ordered is 1.2 mg.1.2 mg is the safe dosage to be administered q8h.Administer medication as ordered.
e.3

Order: Amoxil 75 mg p.o.q8h Available: Order: Amoxil 75 mg p.o.q8h Available:   How many milliliters will you administer? _____ mL How many milliliters will you administer? _____ mL

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A child weighs 10 kg and is to receive 0.5 g of nafcillin in 100 mL D5W q6h.The dosage range is 100 to 200 mg/kg/day.What is your course of action? ______________________________

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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? _____

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Order: Epinephrine 0.25 mg IV stat Available: Epinephrine 0.1 mg/mL How many milliliters will you prepare to administer? _____ mL

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22 inches and 10 lb: _____ m2

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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? _____

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Order: Kantrex 65 mg IV 18h Available: Order: Kantrex 65 mg IV 18h Available:   How many milliliters will you administer? _____ mL How many milliliters will you administer? _____ mL

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80 cm and 11 kg: _____ m2

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Order: Kefzol 185 mg IV q6h Available: Order: Kefzol 185 mg IV q6h Available:   How many milliliters will you add to the IV? _____ mL How many milliliters will you add to the IV? _____ mL

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Order: Lanoxin (digoxin)elixir 0.1 mg p.o.daily Available: Order: Lanoxin (digoxin)elixir 0.1 mg p.o.daily Available:   How many milliliters will you administer? _____ mL How many milliliters will you administer? _____ mL

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170 cm and 50 kg: _____ m2

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A child who measures 26 inches and weighs 36 lb: _____ m2

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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? _____

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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: _____

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Order: Nebcin 35 mg IV q8h Available: Order: Nebcin 35 mg IV q8h Available:   How many milliliters will you administer? _____ mL How many milliliters will you administer? _____ mL

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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: ______________________________

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An adolescent who measures 157.5 cm and weighs 59.1 kg: _____ m2

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An adult who is 67 inches tall and weighs 175 lb: _____ m2

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