Deck 18: Pediatric Dosages

Question 1

Insert the correct responses. Do not round doses.

-Maintenance Rate Table
A child is to receive IV fluids at maintenance rate. The child weighs 75 lb.
a. What is the child's weight in kilograms? _____________
b. Calculate the 24-hour fluid requirements for this patient. ___________________
c. How many milliliters per hour are needed to deliver the maintenance fluids? _______________

Answer 1

a. 34.1 kg
b. 1782 mL
c. 74.3 mL/h

Question 2

Insert the correct responses. Do not round doses.

-The recommended dosage of oxacillin for a child is 50 mg/kg/day in four equal doses. The child's weight is 66 lb. The medication is supplied in 250 mg/5 mL.
a. What is the child's weight in kilograms? _____________
b. Calculate the safe dose for this child. ____________________
c. How many milliliters will be administered for each dose? ____________________

Answer 2

a. 30 kg
b. 375 mg/dose
c. 7.5 mL

Question 3

Insert the correct responses. Do not round doses.

-The recommended dosage of morphine IV for a child is 0.6 mg/kg/h. The child weighs 99 lb. The medication is supplied in 30 mg/30 mL.
a. What is the child's weight in kilograms? _____________
b. Calculate the dose for this child. ____________________
c. Calculate the rate in milliliters per hour for this IV. ____________________

Answer 3

a. 45 kg
b. 27 mg/dose
c. 27 mL/h

Question 4

Insert the correct responses. Do not round doses.

-The recommended dose of Lasix for a child is 1 mg/kg/dose. The child's weight is 77 lb. The medication is supplied in 10 mg/mL.
a. What is the child's weight in kilograms? _____________
b. Calculate the safe dose for this child. ____________________
c. How many milliliters will be administered for each dose? ____________________

Question 5

Insert the correct responses. Do not round doses.

-The recommended dosage of gentamicin IVPB for a child is 6 mg/kg/day in two equal doses. The child's weight is 44 lb. The tubing drop factor is 60 gtt/mL. The medication is supplied in 60 mg/100 mL to infuse over 90 minutes.
a. What is the child's weight in kilograms? _____________
b. Calculate the dose for this child. ____________________
c. Calculate the rate in milliliters per hour for this IV. ____________________
d. Calculate the drops per minute. ____________________

Question 6

Insert the correct responses. Do not round doses.

-The physician orders Ancef 500 mg IV every 8 hours for a child weighing 30 lb. The Ancef is available in a 330 mg/mL concentration. The recommended dose is 100 mg/kg/24 h divided in three doses.
a. What is the child's weight in kilograms? ___________
b. How many milligrams per kilogram per 24 hours is the patient receiving? ___________
c. Is the order safe? _____________
d. If yes, how many milliliters are needed for each dose? ______

Question 7

Insert the correct responses. Do not round doses.

-The recommended dosage of amoxicillin is 20 to 40 mg/kg/day divided in equal doses q8 h. The medication is supplied as 50 mg/mL oral suspension. The child weighs 72.6 lb.
a. What is the child's weight in kilograms? _____________
b. Calculate the safe dosage range for this child per day. ____________________
c. Calculate the safe dose range for each 8-hour dose. _______________________
d. How many milliliters will be administered for a single dose if the child is receiving the 20 mg/kg/day dosage? ____________________

Question 8

Insert the correct responses. Do not round doses.

-Maintenance Rate Table
A child is to receive IV fluids at maintenance rate. The child weighs 32 lb.
a. What is the child's weight in kilograms? ________________
b. Calculate the 24-hour fluid requirements for this patient. _________________
c. How many milliliters per hour are needed to deliver the maintenance fluids? _________________

Question 9

Insert the correct responses. Do not round doses.

-The recommended dosage of Dilantin for a child is 7 mg/kg/24 h given q12 h. The child's weight is 55 lb. The medication is supplied in 125 mg/5 mL.
a. What is the child's weight in kilograms? _____________
b. Calculate the safe dose for this child. ____________________
c. How many milliliters will be administered for each dose? ____________________

Question 10

Insert the correct responses. Do not round doses.

-Maintenance Rate Table
A child is to receive IV fluids at maintenance rate. The child weighs 28 lb.
a. What is the child's weight in kilograms? _____________
b. Calculate the 24-hour fluid requirements for this patient. __________________
c. How many milliliters per hour are needed to deliver the maintenance fluids? _______________

Question 11

Insert the correct responses. Do not round doses.

-A health care provider orders 500 mL of D₅0.45% NS to infuse at 50 mL/h. The tubing drop factor is 60 gtt/mL. Calculate the rate in drops per minute. ____________________

Question 12

Insert the correct responses. Do not round doses.

-Maintenance Rate Table
A child is to receive IV fluids at maintenance rate. The child weighs 60 lb.
a. What is the child's weight in kilograms? _____________
b. Calculate the 24-hour fluid requirements for this patient. ____________
c. How many milliliters per hour are needed to deliver the maintenance fluids? _______________

Question 13

Insert the correct responses. Do not round doses.

-The physician orders prednisone 10 mg oral every 12 hours for a child weighing 22 lb. The prednisone syrup is available in a 5 mg/5 mL concentration. The recommended dose is 0.5 to 2 mg/kg/24 h.
a. What is the child's weight in kilograms? _____________
b. How many milligrams per kilogram per 24 hours is the patient receiving? ___________
c. Is the order safe? _______________
d. If yes, how many milliliters are needed for each dose? _________________

Question 14

Insert the correct responses. Do not round doses.

-The recommended safe dosage of erythromycin for a child is 20 mg/kg/day in four equal doses. The child's weight is 33 lb. The medication is supplied in 125 mg/mL.
a. What is the child's weight in kilograms? _____________
b. Calculate the safe dose for this child. ____________________
c. How many milliliters will be administered for each dose? ____________________

Question 15

Insert the correct responses. Do not round doses.

-Maintenance Rate Table
A child is to receive IV fluids at maintenance rate. The child weighs 14 lb.
a. What is the child's weight in kilograms? _____________
b. Calculate the 24-hour fluid requirements for this patient. _______________
c. How many milliliters per hour are needed to deliver the maintenance fluids? _______________

Question 16

Insert the correct responses. Do not round doses.

-The recommended dosage of Zinacef IVPB for a child is 75 mg/kg/day in three equal doses. The child weighs 66 lb. The tubing drop factor is 60 gtt/mL. The medication is supplied in 750 mg/50 mL to infuse over 30 minutes.
a. What is the child's weight in kilograms? _____________
b. Calculate the dose for this child. ____________________
c. Calculate the rate in milliliters per hour for this IV. ____________________
d. Calculate the drops per minute. ____________________

Question 17

Insert the correct responses. Do not round doses.

-The recommended safe dose of rifampin for a child is 5 mg/kg/dose. The child's weight is 11 lb. The medication is supplied in 10 mg/mL.
a. What is the child's weight in kilograms? _____________
b. Calculate the safe dose for this child. ____________________
c. How many milliliters will be administered for each dose? ____________________

Question 18

Insert the correct responses. Do not round doses.

-The physician orders Keflex 250 mg oral every 6 hours for a child weighing 40 lb. The Keflex is available in a 250 mg/5 mL concentration. The recommended dose is 50 to 100 mg/kg/24 h divided in four doses.
a. What is the child's weight in kilograms? _____________
b. How many milligrams per kilogram per 24 hours is the patient receiving? ___________
c. Is the order safe? ________________
d. If yes, how many milliliters are needed for each dose? ________________

Question 19

Insert the correct responses. Do not round doses.

-The physician orders ibuprofen 200 mg oral every 6 hours for a child weighing 60 lb. The ibuprofen is available in a 100 mg/5 mL concentration. The recommended dose is 5 to 10 mg/kg/dose.
a. What is the child's weight in kilograms? _______________
b. How many milligrams per kilogram per 24 hours is the patient receiving? ___________
c. Is the order safe? _______________
d. If yes, how many milliliters are needed for each dose? __________________

Question 20

Insert the correct responses. Do not round doses.

-The physician orders vancomycin 400 mg oral every 6 hours for a child weighing 90 lb. The vancomycin is available in a 250 mg/5 mL concentration. The recommended dose is 40 mg/kg/24 h divided in four divided doses.
a. What is the child's weight in kilograms? _____________
b. How many milligrams per kilogram per 24 hours is the patient receiving? ______________
c. Is the order safe? ___________________
d. If yes, how many milliliters are needed for each dose? ______________