PEDIATRICMEDICATION

CALCULATIONS.

.

1) A 5year old Child is having seizures

Order: Dilantin 62.5 mg, PO, bid

Available: Dilantin oral suspension 125mg/ml

How much Dilantin suspension would you give per dose?

.

2) Child is in congestive heart failure

Order: Lasix 10mg, IV x 1.

Child weighs 22lbs;

Safe dosing range is 1mg/kg.

Is the dose ordered safe?

.

3) Child has fever of 102.6

Order: Acetaminophen 240 mg, PO x 1.

Available: Acetaminophen 80mg per ½ teaspoon

How much acetaminophen would you give?

In ml?

In teaspoons?

.

4) Child is in congestive heart failure

Order: Digoxin 0.05mg, PO q12h.

Available: Pediatric Digoxin elixir 50mcg/ml.

How much Digoxin would you give, in ml?

.

5) Child has strep pharyngitis

Order: Amoxicillin/clavunate (augmentin) 0.25g, PO, q8h

Available: Augmentin 250mg/ml

How much Augmentin would you give, in ml?

.

6) Child has a staph infection. Order: Clindamycin 150mg,

PO, q6hChild’s weight: 40lbsPediatric does parameter: 8-25mg/kg/d in three or

four divided doses

Drug available: Clindamycin 75mg/ml, oral solution

How many milligrams of Clindamycin would theChild receive per day?

Is the dose ordered within dosing parameters?

.

7) Child has otits media.Order: Cefaclor (Ceclor)

0.25g, PO, q8hChilds’s weight: 66lbs.Pediatric Dose Parameter: 20- 40mg/kg/d in three

divided doses, maximum 1 g qd.

Drug available: Ceclor 250mg/5ml

How many milligrams of Ceclor would you give per dose?

.

8) Child, 3- years- old has a fever of 102.6.Order: Acetaminophen 120mg, PO, Q4h x 4

doses/d, PRN for T >102.0. Child’s weight:15 kg

Pediatric dose parameter:120-160mg, TID, maximum 480mg/d

Drug available: Children's acetaminophen elixir: 80mg per ½ teaspoon

Is the dose within safe pediatric dose parameters? How many milliliters of acetaminophen would you give per dose?

.

9) Child is having an allergic reaction to a prescribed antibiotic.Order: Diphenhydramine Hydrochloride

(Benadryl) 50mg, PO, q6hChilds weight: 33lbsSafe dose range: Benadryl (PO) 5mg/kg/dayDrug available: Pediatric Benadryl elixir:12.5mg/5mlIs dose order within safe dosing range?

How many ml will child receive with each dose?

.

10) Toddler has Otitis media and a fever.

Order: Ibuprofen, 75mg, PO, q6h

Childs weight: 22lbs.

Safe dosage range: 5mg/kg/PO, q6h, maximum

Drug available: Ibuprofen drops 100mg/5ml

Is the dose within safe dosing range?

How many ml will the child receive with each dose?

.11) Child has history of rheumatic fever and requires Penicillin G

Procaine, IM, once monthly for rheumatic fever prophylaxis

Order: Pen G Procaine 1.2 million units, IM x 1.

Safe dosage range: Children 1.2 million units IM, monthly

Drug available: Penicillin G Procaine, powder: when Mixed according to manufactures advice each 1ml of reconstituted

drug solution will contain 1 million units/ml.

How many ml of PCN G Procaine will you draw up?

.

12) 10 year old boy with repaired TGA at birth is having dental work

Order: Amoxicillin 1500 mgChilds weight: 77 lbsDose required for Bacterial endocarditis

prophylaxis: 50mg/kg in one (1) dose, ½ hour before dental work is performed

Is dose ordered sufficient to cover bacterial endocarditis prophylaxis?

.13) Infant (4 months old) with large VSD is in congestive heart failure.

The cardiologist is starting the infant on Digoxin. It will be administered using the Pediatric Total Digitalizing Dosage (TDD) calculation

Order: Digoxin, 0.15mg, in three (3) TDD doses, IV Child’s weight: 13.2 lbsSafe Dosing parameters:35-40 mcg/kg, IV, in TDD.Drug available: 0.5 mg/2 ml IV solution Is dose ordered within safe dosing parameters?

What is the first TDD dose?

.

14) 4½ year old child has otitis media.

Order: Cefdinir, 150mg PO q12h

Childs weight: 33 lbs

Safe dosing parameter: 7mg/kg/q12h

Is the dose ordered within safe dosing parameters?

.

15) Child has narcotic induced respiratory depression

Order: Naloxone HCL (Narcan) 0.32mg, IV, STAT x1

Childs weight: 32 lbsSafe dosing range: 0.01mg/kg, IM/IV, q2-

3min, prnDrug available: 1mg/ml

Is dose ordered within safe dosing range?

How much Narcan would you draw up for administration?

.

16) 2¾ year old child has suspected urosepsis.Order: Gentamycin, 80mg IV, q8h.Childs weight: 22lbsSafe dosing parameter:6-7.5mg/kg/day

What is the safe dosing range for this child?

Is the dose ordered within safe dosing parameters?

.17) The safe dosage range for acetaminophen is 10-15 mg/kg

q4h.

What is the maximum safe dose for the following children?33lbs?46 lbs?58 lbs?

Acetaminophen is available in 100mg/5cc

How much acetaminophen in ml would you give to a child weighing?33lb46lbs58lbs

.

18) 10 year old Child has bacterial pneumoniaOrder: Cefadroxil 350mg, PO,

q12hChild’s weight: 88 lbsSafe dosing parameter: 20mg/kg/dayDrug available: Cefadroxil, suspension, 250

mg/teaspoon

Is the dose ordered within safe dosing range?

How much Cefadroxil would you give child per dose – In ml?

.19) Child has cellulitis.

Order: Cefotaxime 375mg, IV, q6h.Childs weight: 40lbsSafe dosing parameter: 50-180mg/kg/day, q6hDrug available: Cefotaxime IV, 500mg

When mixed to manufactures recommendations, each 1 ml will equal 150mg/ml.

Is the dose ordered safe?

How much Cefotaxime will you give with each dose, in ml?

How much Cefotaxime will the child receive per day?

.

20)The safe dosage range for Ibuprofen is 5-10mg/kg/dose,maximum of 4 doses qd, q6h.

What is the maximum safe dose for the following children?10lbs17lbs26lbs35lbs

Ibuprofen is available in 100mg/2.5ml. How much would you draw up for administration to the following children weighing? 10 lbs17 lbs26 lbs35 lbs

.

21) Child has systemic bacteremia.Order: Oxacillin, 200mg, IV, q6hChild’s weight: 32 lbsSafe dosing range: 50-100mg/kg/ in 4 – 6 divided doses

daily.Drug available: Oxacillin IV Solution, when mixed

to manufactures recommendations each 1.5 ml will equal 250 mg.

Is the dose ordered within safe dosing parameter?

How much medication will you draw up for administration?

.

22) Child has urinary tract infectionOrder: Trimethoprim (TMP)/sulfamethoxazole

(SMZ) (Septra) 60/300mg, PO, q12h.poChild’s weight: 33lbsSafe dosing range: TMP 8mg/ SMZ 40mg/kg/ in

2 divided doses

Drug available: TMP 40mg & SMZ 200mg/1 teaspoon

Is the dose ordered safe?How much in ml would you draw up with each dose?