Calculate the dose
What's that 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

Infant weighing 7.5 kg is febrile. Order for Acetaminophen 25 mg/kg PO q 4 hours PRN. What dose do you give? 

187.5 mg

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

Doctor orders Zofran 2 mg for a child that weighs 13.6 kg. The safe dosage range of this drug is 0.15 mg/kg. Is this a safe dose?

Yes this is a safe dose!

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

A child weighs 52 lbs. The child has a fever and the doctor orders Tylenol. The safe dose range of this medication is 10-15 mg/kg every 6 hours. What is the maximum safe dose this child can have per day?

1,418 mg/day

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

Doctor order Cefazolin 350 mg IV every 4 hours. The child weighs 31 lbs. The safe dosage range for this medication is 25-75 mg/kg/day. Is this a safe dose for this patient?

No. Safe dose 58.7-176.1 mg/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, 2 nurse check offs

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

A 2 year old patient needing a fluid bolus, the child weighs 19.7 kg. How much fluid should the bolus be? 

Bolus should be 20 mL/kg- 394 ml

500
Convert 20 pounds 5 ounces to kg
9.23 kg
500

Name the 3 different calculation formulas

Frieds, Clark, Young

500
Pediatric doses should never exceed...
What is adult doses, regardless of the weight of the child
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