Deck 16: Body Surface Area and Advanced Pediatric Calculations

Question 1

Given: The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medication, and other factors.
Determine the BSA for each of the following children using the BSA nomogram. Include two decimal places with your answers.
Alicia, who weighs 15 kg and is 90 cm tall. BSA = __________ m²

Answer 1

Question 2

Compute the daily rate of pediatric maintenance fluids for the following children, using the following guidelines:
Jessie, who weighs 40 lb. __________ mL/day

Answer 2

Note: If 18 kg is used instead of 18.2 kg, the answer is 1400 mL per day.

Question 3

Compute the answers to the following questions, which are based on the child's BSA, using the following information about the child and her order.
The usual adult dose of Rocephin is 0.5 g IM per dose, administered b.i.d. The child is to be given the medication based on her BSA and the usual adult dose. Her BSA is 0.51 m².
The supply of Rocephin is reconstituted to 250 mg/mL.
How many milliliters of Rocephin should she receive per administration? __________ mL

Answer 3

Question 4

Matt, who measures 177.5 cm tall and weighs 81.8 kg. BSA = __________ m²

Question 5

Compute the answers to the following questions, which are based on the child's BSA, using the following information about the child and her order.
Sally, whose BSA is 1.25 m , is to receive acyclovir 600 mg p.o. q.i.d. The drug reference guide recommends 500 mg/m q. 8h. The supply dosage available is 800mg/2mL.
How many milligrams of acyclovir should she receive per administration? ______________ mg

Question 6

Compute the daily rate of pediatric maintenance fluids for the following children, using the following guidelines:
Lisa, who weighs 11 kg. __________ mL/day

Question 7

Compute the daily rate of pediatric maintenance fluids for the following children, using the following guidelines:
Reggie who weighs 24 kg. __________ mL/day

Question 8

Compute the answers to the following questions, which are based on the child's BSA, using the following information about the child and his order.
Jimmy, whose BSA is 0.45 m², is to receive Oncovin 2 mg/m² IV once per week. The supply dosage available is 5 mg/mL.
How many milligrams of Oncovin should he receive per administration? __________ mg

Question 9

Compute the answers to the following questions, which are based on the child's BSA, using the following information about the child and her order.
The usual adult dose of Rocephin is 0.5 g IM per dose, administered b.i.d. The child is to be given the medication based on her BSA and the usual adult dose. Her BSA is 0.51 m².
How many milligrams of Rocephin should she receive per dose? __________ mg

Question 10

Compute the daily rate of pediatric maintenance fluids for the following children, using the following guidelines:
Maggie, who weighs 13 kg. __________ mL/day

Question 11

Compute the answers to the following questions, which are based on the child's BSA, using the following information about the child and her order.
Sally, whose BSA is 1.25 m , is to receive acyclovir 600 mg p.o. q.i.d. The drug reference guide recommends 500 mg/m q. 8h. The supply dosage available is 800mg/2mL.
How many milliliters should be administered per dose?

Question 12

Given: The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medication, and other factors.
Determine the BSA for each of the following children using the BSA nomogram. Include two decimal places with your answers.
Marcus, who weighs 9 kg and is 50 inches tall. BSA = __________ m²

Question 13

Given: The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medication, and other factors.
Determine the BSA for each of the following children using the BSA nomogram. Include two decimal places with your answers.
Heidi, who is a normally proportioned child, weighing 20 kg. BSA = __________ m²

Question 14

Given: The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medication, and other factors.
Determine the BSA for each of the following children using the BSA nomogram. Include two decimal places with your answers.
Miguel, who is a normally proportioned child, weighing 7.5 lb. BSA = __________ m²

Question 15

Given: The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medication, and other factors.
Determine the BSA for each of the following children using the BSA nomogram. Include two decimal places with your answers.
Tonya, who is 80 cm tall and weighs 20 kg. BSA = __________ m²

Question 16

Given: The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medication, and other factors.
Determine the BSA for each of the following children using the BSA nomogram. Include two decimal places with your answers.
Tommy, who is 35 inches tall and weighs 40 lb. BSA = __________ m²

Question 17

Given: The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medication, and other factors.
Determine the BSA for each of the following children using the BSA nomogram. Include two decimal places with your answers.
Allison, who measures 56 inches tall and weighs 68 lb. BSA = __________ m²

Question 18

Given: The following problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medication, and other factors.
Determine the BSA for each of the following children using the BSA nomogram. Include two decimal places with your answers.
Kevin, who measures 61 inches tall and weighs 84 lb. BSA = __________ m²

Question 19

What is the hourly rate for an IV of 1050 mL to be run over 24 hours?

Question 20

Compute the answers to the following questions, which are based on the child's BSA, using the following information about the child and his order.
Jimmy, whose BSA is 0.45 m², is to receive Oncovin 2 mg/m² IV once per week. The supply dosage available is 5 mg/mL.
How many milliliters should be administered per dose? __________ mL

Question 21

An adult with Promyelocytic Leukemia is measured at 165 cm tall and weighs 56.8 kg. The physician ordered tretinoin 50 mg po b.i.d. The drug reference recommends 45 mg/m b.i.d.
Calculate the BSA for this adult.

Question 22

The recommended oral dosage for succimer is 350 mg/m q. 8h. This has been ordered for a child measuring 54 inches tall and weighing 73 lb.
Calculate the safe dosage for this child.

Question 23

Kevin, a 5-year-old with herpes simplex, is measured at 42 inches tall and weighs 43 lb. The pediatrician prescribes ritonavir 200 mg p.o. b.i.d. The drug reference recommends the dose of 250 mg/m b.i.d for a child.
Calculate the recommended dose. __________ mg

Question 24

Kevin, a 5-year-old with herpes simplex, is measured at 42 inches tall and weighs 43 lb. The pediatrician prescribes ritonavir 200 mg p.o. b.i.d. The drug reference recommends the dose of 250 mg/m b.i.d for a child.
What is Kevin's BSA?

Question 25

The recommended oral dosage for succimer is 350 mg/m q. 8h. This has been ordered for a child measuring 54 inches tall and weighing 73 lb.
Is this considered a safe dose? If not, what should the nurse do?

Question 26

Is this a safe dose? If not, what should the nurse do?

Question 27

Is this considered a safe dose? If not, what should the nurse do?

Question 28

An adult with Promyelocytic Leukemia is measured at 165 cm tall and weighs 56.8 kg. The physician ordered tretinoin 50 mg po b.i.d. The drug reference recommends 45 mg/m b.i.d.
Calculate the dose.

Question 29

The recommended oral dosage for succimer is 350 mg/m q. 8h. This has been ordered for a child measuring 54 inches tall and weighing 73 lb.
What is the child's BSA m ?

Question 30

Is this a safe dose? If not, what should the nurse do?