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A Child Has Seizures

Question 8

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A child has seizures. , Order: phenytoin (Dilantin) 125 mg, PO, daily , Child's height and weight: 36 in, 45 lb , Pediatric dose parameter: 250 mg/m2/day maximum , Drugs available: Dilantin 30 mg/5 mL and 100 mg/5 mL
a. What is the child's body surface area (BSA) in meters squared (m2)? (Use nomogram to determine BSA.)
b. What is the dose parameter according to the child's BSA?
c. Is the dose within safe dose parameters? Explain.
d. Which bottle of Dilantin would you use?
e. How many milliliters would you give the child per day?

Correct Answer:

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a. BSA = 0.74 m2
b. 250 mg/m2/day x 0.74 m...

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