Calculate the dose
What's wrong with this order?
Calculate the weight
All about the presentation
Pharmacology
100
Order: Solumedrol 1.5 mg/kg for a child weighing 34 kg. Available: Solumedrol 56 mg/mL How many mL will you administer?
0.91 mL
100
Acetaminophen 25 mg/kg PO Q 4 hrs prn fever
Max acetaminophen dose is 15-20 mg/kg
100
Convert 22 lbs to kg
10 kg
100
This is where the largest portion of pediatric errors comes from
What is nurses
100
The general cutoff weight for giving children adult dosages
What is 50 kg
200
Doctor’s order is Demerol 1 mg/kg PO q4h prn pain. The child weighs 9.1 kg. Demerol comes in 50mg/mL. How many mL would you give?
0.18 mL
200
Motrin 10 mg/kg rectal Q4 hours prn fever
No such thing as rectal ibuprofen!
200
Convert 97 lbs to kg
44.09 kg
200
The biggest difference between adult and pediatric medications
What is weight based
200
The decimal point do you round to in pediatrics
What is the hundredth decimal place
300
Prednisone 2 mg/kg/day IV every 12 hours is ordered. On hand you have Prednisone 50 mg/mL. The child weighs 25 kg. How many mg per dose will the child receive?
25 mg/dose
300
Patient: 5 month old female Order: Motrin 10 mg/kg PO Q4 hours prn pain
No ibuprofen before 6 months old
300
Convert 38 kg to lbs
83.6 lbs
300
Name a common error that is made while dosing pediatric medication
Mathematical error Misplacement of decimal Incorrect units Incorrect recording of weight
300
Name a pharmacokinetic difference between pediatrics and adult patients
Anatomical, physiological, and developmental differences Age, weight, organ maturity Differences in ability to metabolize, absorb, excrete, and transform medications Unexpected side effects
400
Order: Acetaminophen elixir 10 mg/kg po. Child weight is 4.5 kg. Available: Acetaminophen elixir 160 mg/ 5ml How much Acetaminophen will you administer?
1.4 ml
400
Patient:12 month old female, 10 kg Order: Bactrim DS (double strength) po BID
DS is an adult dose
400
Convert 6 lbs 6 ounces to kg
2.89 kg
400
Name one way to prevent pediatric medication errors
Standardized dosing units and concentrations Post common medications at nursing station Dosing software such as CPOE Improved communication
400
The difference between an elixir and a suspension
Suspension includes undissolved particles and it has to be shaken
500
7. Order: Tylenol suspension ½ tsp po q4h prn for fever for a child weighing 32 lb. Tylenol is supplied as 325 mg / 10 mL Recommended dose is 25 – 35 mg / kg / day q4h prn a. How many mg of Tylenol in a ½ teaspoon? b. Is this a safe dose?
a. 81.3 b. yes
500
Patient: 2 y.o. male, 14 kg Order: NS bolus of 1,000 mL
Too much fluid. Bolus should be 20 mL/kg (280 mL)
500
Convert 20 pounds 5 ounces to kg
9.23 kg
500
Even if you don't work in pediatrics, name one way you can use this information in your practice or home life
500
Pediatric doses should never exceed...
What is adult doses, regardless of the weight of the child
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