NCMP EXAM 3: ALL PHARM | QUESTIONS AND
ANSWERS | WITH COMPLETE SOLUTION
KCl - ANSWERS-what is added to the fluid once urination begins
10 kg patient
10% dehydration
Total deficit = 10 x 10 x 10 = 1,000 mL
20 mL/kg bolus --> 200 mL - ANSWERS-10 kg pt and 10% dehydrated. what
it is the total deficit and what bolus is needed first 20 min?
Clark's and Young's Rule - ANSWERS-If medication doesn't have
recommended of pediatric dose can use either these two rules
dose = adult dose x (age in years/ age + 12) - ANSWERS-young's rule
dose = adult dose x (weigh in kg/70)
dose = adult dose x (weight in lbs/ 150) - ANSWERS-clark's rule
2.2lbs : 1kg - ANSWERS-lbs: kg
Step 1: Convert lbs to kg
Step 2: determine mg per day of medication
Step 3: if medication is a suspension, then need to determine mg to mL/day -
ANSWERS-3 steps of pediatric dosing
, age, blood flow, and GI function - ANSWERS-Peds have DEC absorption
compared to adults due to what 3 things
INC extracellular water
DEC protein binding - ANSWERS-Peds have INC distribution and therefore
DEC concentration of medications due to what 2 things
100 mL/kg - ANSWERS-based on the Holliday-Segar method, how much
fluid is needed for maintenance in an infant that is 3.5-10 kg
1,000 mL + 50 mL/kg for q kg >10 - ANSWERS-based on the Holliday-Segar
method, how much fluid is needed for maintenance in a child that is 11-20 kg
1,500 mL + 20 mL/kg for q kg over 20 (up to 2,400 mL daily) - ANSWERS-
based on the Holliday-Segar method, how much fluid is needed for
maintenance in a child over 20 kg
newborn (0-28 days old) - ANSWERS-what peds age group does the
Holliday-Segar method not apply to
5% Dextrose in Normal Saline (D5NS) - ANSWERS-what IVF is used for fluid
maintenance in peds?
0.9% saline - ANSWERS-what IVF is used for fluid replacement in peds?
Total deficit (mL) = weight (kg) x % dehydration x 10 - ANSWERS-total fluid
deficit equation
false: Maintenance fluids (D5NS) given concurrently - ANSWERS-true or
false: you should give fluid replacement first and then fluid maintenance
ANSWERS | WITH COMPLETE SOLUTION
KCl - ANSWERS-what is added to the fluid once urination begins
10 kg patient
10% dehydration
Total deficit = 10 x 10 x 10 = 1,000 mL
20 mL/kg bolus --> 200 mL - ANSWERS-10 kg pt and 10% dehydrated. what
it is the total deficit and what bolus is needed first 20 min?
Clark's and Young's Rule - ANSWERS-If medication doesn't have
recommended of pediatric dose can use either these two rules
dose = adult dose x (age in years/ age + 12) - ANSWERS-young's rule
dose = adult dose x (weigh in kg/70)
dose = adult dose x (weight in lbs/ 150) - ANSWERS-clark's rule
2.2lbs : 1kg - ANSWERS-lbs: kg
Step 1: Convert lbs to kg
Step 2: determine mg per day of medication
Step 3: if medication is a suspension, then need to determine mg to mL/day -
ANSWERS-3 steps of pediatric dosing
, age, blood flow, and GI function - ANSWERS-Peds have DEC absorption
compared to adults due to what 3 things
INC extracellular water
DEC protein binding - ANSWERS-Peds have INC distribution and therefore
DEC concentration of medications due to what 2 things
100 mL/kg - ANSWERS-based on the Holliday-Segar method, how much
fluid is needed for maintenance in an infant that is 3.5-10 kg
1,000 mL + 50 mL/kg for q kg >10 - ANSWERS-based on the Holliday-Segar
method, how much fluid is needed for maintenance in a child that is 11-20 kg
1,500 mL + 20 mL/kg for q kg over 20 (up to 2,400 mL daily) - ANSWERS-
based on the Holliday-Segar method, how much fluid is needed for
maintenance in a child over 20 kg
newborn (0-28 days old) - ANSWERS-what peds age group does the
Holliday-Segar method not apply to
5% Dextrose in Normal Saline (D5NS) - ANSWERS-what IVF is used for fluid
maintenance in peds?
0.9% saline - ANSWERS-what IVF is used for fluid replacement in peds?
Total deficit (mL) = weight (kg) x % dehydration x 10 - ANSWERS-total fluid
deficit equation
false: Maintenance fluids (D5NS) given concurrently - ANSWERS-true or
false: you should give fluid replacement first and then fluid maintenance
