Deck 23: Pediatric Intravenous Medications

Question 1

A dosage of 1.5 g/2 mL of an antibiotic is to be diluted to a total of 40 mL of D5W and administered in 40 min.

Answer 1

Total dosage strength of the medicine is 1.5 g in 2 mL.
The solution is ordered to dilute to 40 mL.
Then the volume of solution that must be added to the burette to dilute the solution is
Therefore, the Dilution volume is
The flow rate gtt/min is calculated as shown below.
The total volume to be infused is 40 mL in 40 min.
Then,
`
Therefore, the flow rate in gtt/min is

Question 2

A 30 mg dosage in 1 mL has been ordered diluted to 10 mL to infuse in 10 min.

Answer 2

Total dosage strength of the medicine is 30 mg in 1 mL.
The solution is ordered to dilute to 10 mL.
Then the volume of solution that must be added to the burette to dilute the solution is
Therefore, the Dilution volume is
The volume flow rate is calculated using ratio method as shown below.
The total volume to be infused is 10 mL in 10 min.
Then,
Cross multiply the above equation to get,
Divide both sides with the multiplier of X and do the math.
Therefore, the volume flow rate is

Question 3

A 24 kg child is receiving 116 mg of medication via IV 3 times each day (every 8 hours). Dosage range for this drug is 10-20 mg/kg/day.
Normal dosage range per day _______ Dosage received after 3 doses _______ Assessment _______

Answer 3

Multiply dosage range with the weight of the child to calculate the dosage range per day.
The dosage range of the drug is 10-20 mg/kg/day
The weight of the child is 24 kg.
Then the lower per dose dosage range is
Then the upper per dose hourly dosage range is
Therefore, the dosage range per day is
Total dosage ordered is 116 mg in 8 hrs.
Then the total dosage received after 3 doses is calculated as shown below.
Therefore, the dosage received after 3 doses is
As the dosage to be infused is within the infuse range therefore, the dosage ordered is in normal range.

Question 4

A child weighing 20.9 kg is to receive a medication with a normal dosage range of 80-160 mg/kg/day in divided doses every 6 hours. The IV ordered contains 500 mg.
Dosage range per day _______ Daily dosage ordered _______ Assessment _______

Question 5

An antibiotic dosage of 200 mg in 4 mL is to be diluted to 50 mL and administered in 70 min.

Question 6

A dosage of 250 mg in 5 mL has been ordered diluted to 40 mL and infused in 60 min.

Question 7

A child weighing 15 kg has an order for 40 mcg of medication in 75 mL D5W to infuse every 12 hours. The normal dosage range is 8-10 mcg/kg/day.
Normal dosage per day _______ Dosage ordered _______ Assessment _______

Question 8

A child weighing 22.3 kg is to receive 750 mL of D5 ¼ S containing 6 g of a drug, which is to run for 24 hours. The dosage range of the drug is 200-300 mg/kg/day.
Dosage range per day _______ Assessment _______

Question 9

A dosage of 20 mg in 2 mL has been ordered diluted to 30 mL to be infused in 35 min.

Question 10

A child weighing 15.4 kg is to receive a dosage with a range of 5-7.5 mg/kg/dose. The solution bag is labeled 100 mg.
Dosage range _______ Assessment _______

Question 11

The usual dosage for children is 50 mg/kg/24 hr in equally divided doses. The order is to infuse 50 mL with 290 mg every 6 hours. The child weighs 51 lb.
Normal dosage per day _______ Daily dosage ordered _______ Assessment _______

Question 12

An IV of 50 mL of D5W containing 55 mcg of a drug is infusing in a 30-min period. The child weighs 14.9 kg and the dosage range is 6-8 mcg/kg/day, every 12 hours.
Dosage range per day _______ Daily dosage ordered _______ Assessment _______

Question 13

A dosage of 25 mg in 5 mL has been ordered diluted to 40 mL and administered in 50 min.

Question 14

The order is for 200 units in 75 mL. The child weighs 13.1 kg, and the dosage range is 15-20 units/kg per dose.
Dosage range _______ Assessment _______

Question 15

Order: 500 mL D5RL with 30 mEq KCl to infuse at 40 mL/hr. A maximum of 10 mEq/hr of KCl should not be exceeded, and the total 24 hr dosage should not exceed 40 mEq/day.
Dosage infusing per hr _______ Dosage infusing per day _______ Assessment _______

Question 16

A child weighing 27.1 kg is to receive a medication with a normal range of 0.5-1 mg/kg/dose. An IV containing 20 mg of medication has been ordered.
Dosage per dose _______ Assessment _______

Question 17

A 10 mg in 2 mL dosage has been ordered diluted to 20 mL to infuse in 30 min.

Question 18

A dosage of 1.5 mg in 20 mL has been ordered. The normal dosage range is 0.1-0.3 mg/kg/day in two divided doses. The child's weight is 12.4 kg.
Dosage range per day _______ Daily dosage ordered _______ Assessment _______

Question 19

A child weighing 30 kg has an IV of 100 mL of D5W containing 600 mcg of medication to infuse in 2 hours. The normal range for this drug is 2-4 mcg/kg/hr.
Normal dosage range per hr _______ Dosage infusing per hr _______ Assessment _______

Question 20

An IV medication of 60 mcg in 200 mL is ordered to infuse in 2 hr. The normal dosage range is 1.5-3 mcg/kg/hr. The child weighs 16.7 kg.
Dosage range per hr _______ Dosage infusing per hr _______ Assessment _______

Question 21

A medication dosage of 800 mg in 4 mL is to be diluted to 60 mL and infused in 80 min.

Question 22

A dosage of 400 mg in 75 mL of medication is to be infused every 8 hours. The normal range is 15-45 mg/kg/day, and the child weighs 27.9 kg.
Dosage range per day _______ Daily dosage ordered _______ Assessment _______

Question 23

150 mL with 18 mg of medication is ordered to infuse in 10 hours. The normal range for this drug is 0.2-0.6 mg/kg/hr. The child weighs 9 kg.
Normal dosage range per hr _______ Dosage infusing per hr _______ Assessment _______

Question 24

A dosage of 0.5 g in 2 mL is to be diluted to 40 mL and run in 30 min.

Question 25

A child weighing 15.7 kg is to receive a medication with a normal hourly range of 3-7 mcg/kg. A 250 mL solution bag containing 350 mcg is infusing at a rate of 50 mL/hr.
Dosage range per hr _______ Dosage infusing per hr _______ Assessment _______

Question 26

An IV medication of 75 mg in 3 mL is ordered diluted to 55 mL to infuse over 45 min.
Dilution volume _______ gtt/min _______ mL/hr _______

Question 27

A medication of 1000 mg in 1 mL is to be diluted to 15 mL and administered in 20 min.

Question 28

A child weighing 19.6 kg is to receive a medication with a normal dosage range of 60-80 mg/kg/day. A 90 mL infusion containing 375 mg has been ordered every 6 hours.
Dosage range per day _______ Daily dosage ordered _______ Assessment _______

Question 29

A dosage of 100 mg in 2 mL is diluted to 30 mL of D5W to infuse in 20 min.
Dilution volume _______ gtt/min _______ mL/hr _______

Question 30

A dosage of 40 mg in 4 mL is to be diluted to 50 mL and administered in 90 min.

Question 31

Two infusions of 250 mL, each containing 300 mg of medication, are to infuse continuously over a 24 hr period. The child receiving the infusion weighs 11.7 kg, and the normal dosage range of the drug is 50-100 mg/kg/day.
Dosage range per day _______ Daily dosage ordered _______ Assessment _______

Question 32

The volume of a 10 mg dosage of medication is 1 mL. Dilute to 40 mL and administer over 50 min.
Dilution volume _______ gtt/min _______ mL/hr _______

Question 33

A 2 g in 5 mL dosage has been ordered diluted to a total of 90 mL and administered in 45 min.

Question 34

The order is for 100 mL of D5W containing 150 mg of medication to infuse every 8 hours. The normal dosage range is 3-12 mg/kg/day, and the child weighs 40.1 kg.
Dosage range per day _______ Daily dosage ordered _______ Assessment _______

Question 35

A dosage of 15 mg with a volume of 3 mL is to be diluted to 70 mL and administered in 50 min.
Dilution volume _______ gtt/min _______ mL/hr _______

Question 36

An 80 mg dosage with a volume of 2 mL is to be diluted to 80 mL and administered in 60 min.

Question 37

A child has an infusion of 250 mL containing 500 units of medication to run at 50 mL/hr. The normal dosage range is 10-25 units/kg/hr. The child weighs 10.3 kg.
Dosage range per hr _______ Dosage infusing per hr _______ Assessment _______

Question 38

A medication of 1 g in 4 mL is to be diluted to 60 mL and infused over 90 min.
Dilution volume _______ gtt/min _______ mL/hr _______

Question 39

A 60 mg dosage with a volume of 4 mL is ordered diluted to 30 mL and run in 20 min.

Question 40

The normal dosage range of a drug is 0.5-1.5 units/kg/hr. A child weighing 10.7 kg has a 150 mL volume of solution containing 45 units infusing at a rate of 20 mL/hr.
Normal dosage range per hr _______ Dosage infusing per hr _______ Assessment _______

Question 41

A child weighing 24.4 kg has an IV of 250 mL of D5W containing 2500 units of a drug. The dosage range for this drug is 15-25 units/kg/hr. The pump is set to deliver 50 mL/hr.
Dosage range per hr _______ Dosage infusing per hr _______ Assessment _______

Question 42

A 5 mg per 2 mL dosage is to be diluted to 80 mL and administered in 50 min.

Question 43

A child weighing 12.5 kg is receiving an IV of 2500 units of medication in 250 mL of D5W at 40 mL/hr. The normal dosage range is 10-25 units/kg/hr.
Normal dosage range per hr _______ Dosage infusing per hr _______ Assessment _______

Question 44

A solution of D5W containing 25 mg of a drug is to infuse in 30 min. The dosage range is 4-8 mg/kg/day every 6 hours. The child weighs 18.7 kg.
Dosage range per day _______ Daily dosage ordered _______ Assessment _______

Question 45

The dosage ordered is 0.75 g in 3 mL to be diluted to 30 mL and infused in 40 min.

Question 46

A child with a weight of 10 kg is to receive a medication with a normal dosage range of 60-80 mg/kg/day. The order is for 200 mg every 6 hours.
Normal dosage range per hr _______ Daily dosage ordered _______ Assessment _______

Question 47

An IV solution containing 125 mg of medication is infusing. The dosage range is 5-10 mg/kg/dose, and the child weighs 14.2 kg.
Dosage range per dose _______ Assessment _______

Question 48

An IV antibiotic of 750 mg in 3 mL has been ordered diluted to a total of 25 mL of D5W to infuse in 40 minutes

Question 49

A medication of 100 mg in 2 mL is ordered diluted to 30 mL and run in 25 min.

Question 50

The order is for 0.5 g in 100 mL of D5W every 6 hours. The normal dosage range is 100-200 mg/kg/day. The child weighs 15 kg.
Normal dosage range per hr _______ Daily dosage ordered _______ Assessment _______

Question 51

A child weighing 14.3 kg is to receive an IV drug with a dosage range of 50-100 mcg/kg/day in two divided doses. An infusion of 50 mL of D5W containing 400 mcg to run 30 min has been ordered.
Daily dosage range _______ Daily dosage ordered _______ Assessment _______

Question 52

A dosage of 500,000 units of a penicillin preparation with a volume of 4 mL has been ordered diluted to 50 mL D5 ½ NS to infuse in 60 min.

Question 53

The dosage ordered is 100 mg in 1 mL to be diluted to 50 mL and infused in 45 min.

Question 54

A continuous IV of 500 mL with 20 mEq KCl is infusing at 30 mL/hr. The dosage for potassium chloride is not to exceed 40 mEq/day.
Dosage infusing per hr _______ Dosage infusing per day _______ Assessment _______

Question 55

A dosage of 4 mg (4000 mcg) of drug in 500 mL of D5 ½ S is to infuse in 4 hours. The dosage range of the drug is 24-120 mcg/kg/hr, and the child weighs 16.1 kg.
Dosage range per hr _______ Dosage infusing per hr _______ Assessment _______