Weight Conversion
Fluid maintenance
IV Meds
safe dose/ mg/ dose or x tablets
Miscellaneous
100

The child weighs 10 pounds, what is weight in kilograms? Round to the nearest tenth. 

What is 4.5 kg? 

100

The formula for pediatric daily fluid maintenance need is?

What is: 

less than or equal to 10 kg = 100ml/kg/day

10-20 kg 1000ml/day +50ml/kg/day for each kg over 10 kg. 

>20 kg 1500 ml/day +20ml/kg/ day for each kg over 20kg.

100

The dr orders 1000 ml LR to infuse in 24 hours.  What will the ml/hr be on the pump?

Round to the nearest whole number. 

What is 42ml/ hr?

1000ml/ 24 hours= 41.66


100

The dr orders 200 mg of Ibuprofen.  The pharmacy supplies 100 mg/ tablet.  How many tablets do you administer? 

What is 2 tablets? 

mg/ tablets   200mg 

                    100 mg = 2 tablets

100

What are your two patient identifiers ?

What is name and date of birth?

200

You are working in the NICU and admitted a 2.1 kg 35 week newborn for respiratory distress. How much does your patient weigh in pounds? Round to the nearest tenth.

What is 4.6 pounds? 

2.2 x 2.1= 

200
A child needs IV fluids. Weight 57 kg.  

The pump needs to be set at what ml/hr? 

What is 93.3ml/hr?

10kg x 100ml= 1000 ml

10kg x 50ml = 500 ml

37kg x 20 ml = 740 ml

___________________

Total: 2240 ml/24 hours = 93.3 ml

200

The dr orders Ampicillin 200 mg.  Infuse in 30 min.

On hand you have Ampicillin 200 mg in a 100 ml. IV bag. 

How many ml/hr do you set the pump at?

What is  200 ml/hr?

ml/hr 100ml x 60 min =6000

           30min         =  30

6000 divided by 30 = 200ml/hr

200

Ondestron 1.5 mg ordered po. every 8 hours. 

On hand oral suspension 4 mg/ 5ml. 

How many mls are you going to administer?

Round to the nearest tenth. 

What is 1.9 mls? 

mls   5mls     1.5 mg  = 7.5

         4 mg

7.5/ 4= 1.875 mls = 1.9 mls


         

200

You check your medication rights this many times?

What is 3 times?
300

Your patient weighs 2.5 pounds.  How many kg does your patient weigh? Round to the nearest one hundredth. 

 What is 1.14 kg? 

lbs 2.5 / 2.2 = 1.1363 


300

A child needs IV fluid. Weight- 44 kg.  The rate for the pump needs to be set at how many ml/hr?

Round to the nearest tenth.

What is 82.5 ml/hr

10 kg x 100= 1000 ml

10 kg x 50 = 500 ml

24 kg x 20 = 480 ml

Total: 1980/24hr = 82.5__________________

300

The dr orders a child a 20 ml bolus of IV Dextrose to infuse in 30 min. What would the ml/ hr be on the pump? 


What is 40 ml/ hr?

ml/r 20 x 60min = 1200

       30min             30 

1200/ 30 = 40 ml/ hr

300

The dr orders Digoxin (Lanoxin) 0.50 mg PO daily. How many tablets do you administer as the nurse?

(Available: 0.25 mg tablets)

What is 2 tablets? 

tabs 0.50mg   1 tablet 

       0.25 mg 

0.50/ 0.25 =2 

300

The physician orders you to administer an unsafe dose, what is your nursing action?

What is do not administer the dose, and let the dr know it is unsafe?

400

The child weighs 15 pounds.  How many kilograms does this child weigh? 

What 6.8 kg?

400

A pediatric patient you are caring for is in renal failure, and weighs 56 kg.   The dr. order D5 1/2 NS plus 20 KCL.  Calculate how many mls/ hr will be administered for full maintenance. 

What is 92.5 ml/hr? 

10 kg x 100 ml= 1000 ml

10 kg x 50 ml = 500 ml

36 kg x 20 ml = 720 ml 

Total: 2220/ 24 hrs = 92.5 ml


400

The dr orders a D10 bolus for a neonate experiencing a low blood glucose level.  The child weighs 9 kg. 

(recommended dose- 5ml/kg/IV bolus) 

What is the total volume IV this child will get?

What is 45 mls?

 mls= 5ml x 9 kg = 45

  

400

Ibuprofen is ordered 100 mg every 8 hours prn for fever over 100.4 F. or pain. What is the safe dose range? 

Child weighs 18 kg 

Recommeded dosing is 5-10 mg/kg/dose

What is 90 to 180 mg ? 

18 x5 = 90

18 x 10 = 180 

400

The dr orders the pediatric patient 1000 mls of IV fluids of D5 with 20 Meq of Potassium at 40 ml/ hr.  How many hours  will it run? 

What is 25 hours? 

1 hour 1000 mls

40 ml

1000/ 40= 25

500

You patient weighs 3550 grams.  How many kgs does your patient weigh? Round to the nearest hundredth.

What is 3.55 kg? 

3550 / 1000= 3.55

(1000 gm = 1 kg) 

kg 1  3550 gm   1 kg 

         1000 gm


500

Calculate the fluid maintenance for a child that weighs 5 kg. What is the ml/ hr? (round to nearest tenth) 

What is 20.8 ml/hr. ?

500

An infant that is 3.6 kg is admitted and needs Ampicillin 250mg/ kg/day IV every 8 hours which is equal to 300 mg/ dose. 

The Ampicillin on hand is: 500 mg/ ml

How many mls will you give IV? 

What is 0.6mls ? 

ml= ml    x 300  

      500 mg  dose   

300 / 500 = 0.6 ml

500

Amoxicillin 450 mg PO every 12 hours. How many mls do you administer as the nurse per dose? 

Recommended dosing is 25-45 mg/ kg/ dose

Available is 400 mg/ 5 ml

What is 5.6 mls? 

mls 5ml x 450 

____________  

    400

500

What is the FULL fluid maintenance for 24 hours for a child that weighs 4 kg. Round to the nearest tenth. 

What is 16.7 mls? 

4 kg x 100= 4000ml / 24 hours = 

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