Deck 12: Pediatric Dosages

Question 1

Order: Amiodarone HCl 100 mg/m PO,daily. Calculate how many milligrams a child whose BSA is 0.8m² should receive.

A)80 mg
B)125 mg
C)8 mg
D)12.5 mg

Answer 1

80 mg

Question 2

Order: Lomustine 100 mg/m PO,every six weeks. The label on the bottle reads,"100 mg/cap." How many capsules of this antineoplastic drug will you administer to a child whose BSA is 1 m²?

A)1 capsule
B)10 capsules
C)0.1 capsule
D)7 capsules

Answer 2

1 capsule

Question 3

Order: Ery-Ped (erythromycin ethylsuccinate)oral suspension 30 mg/kg/daily PO,in four equally divided doses. The label on the bottle reads,"200 mg/5 mL," and the child weighs 45 pounds.Calculate the number of milliliters that you should administer.

A)15.3 mL
B)5.6 mL
C)18.6 mL
D)2.55 mL

Answer 3

15.3 mL

Question 4

Order: Claforan (cefotaxime sodium)50 mg/kg/day IV in four equally divided doses,infuse in 50 mL DW over 30 minutes via pump. The package insert states to reconstitute the 500 mg vial with 10 mL sterile water,and the child weighs 36 kilograms.At what rate will you set the IV pump to run in milliliters per hour?

A)100 mL/h
B)108 mL/h
C)118 mL/h
D)172 mL/h

Question 5

Order: Amoxicillin oral suspension 40 mg/kg/day PO,in three divided doses. The label on the bottle reads,"125 mg/5 mL," and the child weighs 65 pounds.Calculate the number of milliliters that you should administer.

A)0.14 mL
B)34.7 mL
C)15.7 mL
D)47.3 mL

Question 6

Order: Fluconazole (Diflucan)5 mg/kg p.o.every day. The label on the bottle reads "50 mg/tablet." Calculate how many tablets you should administer for a child who weighs 44 pounds.

A)4 2/5 tablets
B)4 tablets
C)12 1/2 tablets
D)2 tablets

Question 7

Order: Amoxicillin oral suspension 20 mg/kg/day PO in three divided doses. The label on the bottle reads 125 mg/5 mL,and the child weighs 35 pounds.Calculate the number of milliliters that you should administer.

A)9.3 mL
B)4.2 mL
C)2.5 mL
D)12.9 mL

Question 8

Order: Gentamicin sulfate 2.5 mg/kg IV q.12h.,infuse in 20 mL DW over 1h via pump. The label on the vial reads,"10 mg/mL," and the child weighs 10 pounds.At what rate will you set the IV pump to run,in milliliters per hour?

A)20.6 mL/h
B)25.7 mL/h
C)21.1 mL/h
D)24.5 mL/h

Question 9

Order: Wellcovorin (leucovorin calcium)10 mg/mPO stat. The label on the ampule reads 3 mg/mL.Calculate how many milliliters you will prepare for a child whose BSA is 0.96 m².

A)0.32 mL
B)3.3 mL
C)33 mL
D)3.2 mL

Question 10

Calculate the daily rate of maintenance fluids and the hourly flow rate in mL/h for a child who weighs 8 kilograms.

A)800 mL/day; 33 mL/h
B)100 mL/day; 4.2 mL/h
C)80 mL/day; 3.4 mL/h
D)80 mL/d; 3.3 mL/h

Question 11

A patient is to receive 250 mL D₅W at 24 mL/h.Calculate the flow rate in gtt/min.The drop factor is 15 gtt/mL.

A)30 gtt/min
B)6 gtt/min
C)62 gtt/min
D)48 gtt/min

Question 12

Order: Dronabinol 5 mg/m PO,1-3 hours before chemotherapy. How many milligrams will a child whose BSA is 0.8m² receive?

A)4 mg
B)6.25 mg
C)0.4 mg
D)0.625 mg

Question 13

Order: Pen-Vee K (penicillin V potassium)7.5 mg/kg PO,daily q.4h. The medication is supplied in 125 mg/tab,250 mg/tab,and 500 mg/tab.Using the minimum number of tablets,how many tablets,and of which strength,will you administer to a child who weighs 110 pounds?

A)Three 125mg tablets
B)One 250mg tablet and one 125mg tablet
C)One 500mg tablet,one 250mg tablet,and 3/5 of a 125mg tablet
D)Three 250mg tablets

Question 14

Order: Phenobarbital sodium 4 mg/kg PO,daily at bedtime. The label on the bottle reads,"30 mg/tab." Calculate how many tablets you should administer for a child who weighs 33 pounds.

A)2 tablets
B)4 1/2 tablets
C)15 tablets
D)9 2/3 tablets

Question 15

Order: Dilantin Kapseals (phenytoin sodium,extended)5 mg/kg PO,extended-release capsules divided in three equal doses. The label on the bottle reads,"30 mg/cap." Calculate how many capsules you should administer for a child who weighs 40 pounds.

A)1 capsule
B)3 capsules
C)2 2/3 capsules
D)3 3/4 capsules

Question 16

Order: Lasix (furosemide)oral suspension 2 mg/kg/daily PO,in four equally divided doses. The label on the bottle reads,"40 mg/5 mL," and the child weighs 11 pounds.Calculate the number of milliliters that you should administer.

A)3.1 mL
B)6.05 mL
C)0.21 mL
D)0.31 mL

Question 17

A patient is to receive 500 mg of Kefzol (cefazolin sodium)in 50 mL D₅W over 30 minutes.Calculate the flow rate in mcgtt.The drop factor is 60 mcgtt/mL.

A)50 mcgtt/min
B)60 mcgtt/min
C)100 mcgtt/min
D)120 mcgtt/min

Question 18

Order: Ery-Ped (erythromycin ethylsuccinate)oral suspension 20 mg/kg/daily PO,in four equally divided doses. The label on the bottle reads,"400 mg/5 mL," and the child weighs 65 pounds.Calculate the number of milliliters that you should administer.

A)3.25 mL
B)1.2 mL
C)8.9 mL
D)1.8 mL

Question 19

A patient is to receive 1000 mL D₅W at 80 mL/h.Calculate the flow rate in gtt/min.The drop factor is 20 gtt/mL.

A)26 gtt/min
B)33 gtt/min
C)333 gtt/min
D)240 gtt/min

Question 20

Order: Prednisone 0.15 mg/kg PO daily. The label on the bottle reads 2.5 mg/tab,and the child weighs 110 pounds.Calculate the number of tablets that you should administer.

A)6 tablets
B)14 1/2 tablets
C)3 tablets
D)18 tablets

Question 21

The physician orders vancomycin (Vancocin)500 mg q.6h. Directions on the label instruct 500 mg vial to be diluted with 10 mL of sterile water and then further diluted with 100 mL of D₅W.How many mL of fluid will there be in the VCC when medication is ready to infuse?

A)100 mL
B)10 mL
C)110 mL
D)115 mL

Question 22

Calculate the daily rate of maintenance fluids and the IV hourly flow rate for a child who weighs 95 pounds.

A)1960 mL per day; 80 mL/h
B)2100 mL per day; 87.5 mL/h
C)2500 mL per day; 104 mL/h
D)2050 mL per day; 85 mL/h

Question 23

The physician orders Garamycin (gentamicin)25 mg IVPB q.8h.for a child. If the label on the Garamycin vial reads 5 mg/mL,how many milliliters will you withdraw from the vial to add to the volume control chamber? If the recommended concentration of the solution for infusion is 2 mg/mL,how would you then dilute the medication in the volume control chamber (VCC)?

A)5 mL of medication and 12.5 mL of fluid
B)125 mL of medication and 125 mL of fluid
C)5 mL will be withdrawn from the vial and added to the VCC.And then IV fluid must be added to the VCC to the level of 12.5 mL
D)125 mL of medication and no further fluid is needed

Question 24

Calculate the daily rate of maintenance fluids and the IV hourly flow rate for a child who weighs 25 kilograms.

A)500 mL per day; 20.8 mL per hour
B)170 mL per day; 7 mL per hour
C)600 mL per day; 25 mL per hour
D)1600 mL per day; 66 mL per hour

Question 25

Calculate the daily rate of maintenance fluids and the hourly flow rate for a child who weighs 13 kilograms.

A)1150 mL per day; 47.9 mL/h
B)130 mL per day; 5.4 mL/hr
C)650 mL per day; 27 mL/hr
D)260 mL per day; 10.8 mL/hr

Question 26

The doctor orders Ampicillin 500 mg q6h to be administered in a volume control chamber in a total solution of 40 mL.The ampicillin vial has a strength of 100 mg/mL.After adding the ampicillin to the VCC,how many mL of fluid will you then also add to the VCC?

A)5 mL
B)15 mL
C)35 mL
D)40 mL

Question 27

Calculate the daily rate of maintenance fluids and the IV hourly flow rate for a child who weighs 44 pounds.

A)1100 mL per day; 46 mL/h
B)850 mL per day; 35 mL/h
C)1500 mL per day; 62 mL/h
D)1200 mL per day; 50 mL/h