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Infant (2 Months Old) Has Congestive Heart Failure

Question 14

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Infant (2 months old) has congestive heart failure. , Order: digoxin (Lanoxin); initially: 0.1 mg, PO, q8h x 3 doses , Child's weight: 8 lb , Pediatric dose: Child 1 month to 2 years old: 0.035 to 0.06 mg/kg/day in three divided doses for 24 hours , Drug available: Lanoxin 50 mcg (0.05 mg)/mL elixir
a. What is the dose parameter according to the infant's weight?
b. Is the dose within safe dose parameters? Explain.
c. How many milliliters would you give the child per dose?

Correct Answer:

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a. 8 lb ÷ 2.2 kg/lb = 3.6 kg
Parameters:...

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