PEDS PRACTICE PROBLEMS Instructions: 1.

Read and work the review and self-evaluation calculations relating to pediatric dosage calculations (omit BSA): Pickar, G.D. (2008). Dosage Calculations, 8th ed., Thomson-Delmar Learning. ISBN 13: 9781418989471. 2. Also refer to Ch. 24 (Box 24-2, p. 841) in Hockenberry, M.J. (2005). Wongs Essentials of Pediatric Nursing, 7th ed., Elsevier Mosby. ISBN 0-323-02593-5 3. Round to the nearest tenth. Example: 12.24 = 12.2 mL Be Sure to Show your work DOCTORS ORDER: AVAILABLE: RECOMMENDED SAFE DOSAGE RANGE: CHILDS WEIGHT: 1. Calculate the maximum daily safe dose: Amoxicillin 80 mg orally every 8 hours 125 mg/5 mL 20 40 mg/kg/day 15 kg mg/day

2. Is the dose ordered above safe?

Yes

No

3. Calculate the amount to administer per dose.

mL

DOCTORS ORDER: AVAILABLE: 4. How much will you draw into the syringe?

Ampicillin 325 mg every 6 hours 500 mg/5mL mL

DOCTORS ORDER: AVAILABLE: RECOMMENDED SAFE DOSAGE RANGE: CHILDS WEIGHT: 5. Calculate the minimum daily safe dose.

Vancomycin 30 mg IV q 8 hours 80 mg/2mL 10 20 mg/kg/day 26 lb mg/day

6. Is the dose ordered above safe?

Yes

No

7. Calculate the amount to administer per dose.

mL

8. The order reads 200 mg of Penicillin IM. The vial reads, add 9.6 mL sterile water. 1 mL= 1 g when reconstituted. How many mL will you give? mL

Use the following formula to answer the next set of questions. Daily Maintenance Fluid Requirement (mL) 100 mL/kg/day 50 mL/kg/day 20 mL/kg Body Weight (kg) for the first 10 kg of body weight for the second 10 kg of body weight for each kg above 20 kg of body weight mL/24hr

9. What is the daily maintenance fluid requirement for a child who weighs 63 kg?

10. A 15-month-old child who weighs 13 kg is to receive IV fluids at hourly infusion rate?

the maintenance rate. What is the ___________________ mL/hr

11. What is the daily maintenance fluid requirement for a 15 kg child?

mL/24hr

What is the hourly rate?

___________________

mL/hr

12. A drugs recommended dosage is 8 mg/kg/day. What is the daily dose for a child weighing 13 lb? mg/day

13. The doctor has ordered Benadryl 35 mg IV STAT. Floor stock vial contains 50 mg/mL. How many mL will you give? mL

DOCTORS ORDER: AVAILABLE: 14. How many mL will you give?

1500 U Heparin subcu 1000 U/2 mL mL

15. The patients weight is 4300 grams. The order is Amoxicillin 6 mg/kg. How many micrograms will the patient receive? _______ mcg

An infant who weighs 13 lb has an order for Gentamycin 45 mg q 12hrs. The recommended safe dosage range is 8 10 mg/kg/day. 16. Calculate the minimum daily safe dose for this infant: mg/day

17. Is the dose ordered for this infant safe?

Yes

No