Ch 13 Pediatric Medications

Chapter 13-Pediatric Medications
Chapter 13-Pediatric Medications


Mulholland: The Nurse, The Math, The Meds, 3rd Edition


ESSAY


1. A child’s weight is 34 lb 8 oz.


Weight in kilograms to the nearest tenth:




a. Estimated weight:


b. DA verification:


c. Evaluation:


ANS:


a. Estimate: approximately 17 kg (34 lb 8 oz ÷ 2)


b.


c. Equations are balanced. Only kg remains. Estimate supports answer.


2. Ordered: Drug X 125 mg 4 times daily

, a. Estimated weight in kg:


b. Child’s weight in kilograms to the nearest tenth:


c. Calculate the SDR for this child. Low safe dose:


High safe dose:


d. Decision: safe or unsafe order? State the reason.


ANS:


a. Estimate: approximately 25 kg (50 ÷ 2)


b. 22.7 kg


c. 454 mg per day (20 × 22.7); 681 mg per day (30 × 22.7)


d. Safe. Order falls within SDR.


3. Ordered: kanamycin 45 mg IV stat, for a child with an infection


SDR: 15 mg per kg per day divided in 2 or 3 doses


Child’s weight: 13.2 lb. Use a calculator.


Available:


a. Estimated weight in kilograms:


b. Child’s weight in kilograms:


c. SDR for this child:


d. Decision: safe or unsafe order? If unsafe, state the reason.