Question 1

A child has pruritus. , Order: diphenhydramine (Benadryl) 25 mg, PO, q6h , Child's weight: 22 lb , Pediatric dose parameter: 5 mg/kg/day , Drug available: Benadryl 12.5 mg/5 mL
a. How many kilograms does the child weigh?
b. Is the dose within safe dose parameters? Explain.
c. How many milliliters would you give per dose?

Accepted Answer

The answer of A child has pruritus. , Order: diphenhydramine...

Question 2

A child (3 years old) has a fever. , Order: acetaminophen (Tylenol) 120 mg, PO, q4h x 4 doses/day, prn for temperature greater than 102° F , Child's weight: 15 kg , Pediatric dose: 120 to 160 mg tid, qid; maximum: 480 mg/day , Drug available:  
a. Is the dose within safe dose parameters? Explain.
b. How many milliliters of Tylenol would you give per dose?

Accepted Answer

The answer of A child (3 years old) has a...

Question 3

A child has a Varicella zoster infection. , Order: acyclovir (Zovirax) 400 mg, PO, q8h, x 7 days , Child's height and weight: 46 in, 55 lb , Pediatric dose parameter: 500 mg/m² maximum dose, q8h , Drug available: a. What is the child's BSA (m²)? (Use nomogram.) b. What is the dose parameter according to the child's BSA? c. Is the dose within safe dose parameters? Explain. d. How many milliliters would you give the child per dose?

Accepted Answer

The answer of A child has a Varicella zoster infection....

Question 4

A child has seizures. , Order: ethosuximide (Zarontin) 125 mg, PO, bid , Child's weight: 24 kg , Pediatric dose parameter: 20 mg/kg/day; maximum: 1.5 g/day , Drug available: Zarontin 250 mg/5 mL
a. Is the dose within safe dose parameters? Explain.
b. How many milliliters of Zarontin would you give per dose?

Accepted Answer

The answer of A child has seizures. , Order: ethosuximide...

Question 5

A child has attention deficit hyperactivity disorder (ADHD). , Order: methylphenidate HCl (Ritalin) 7.5 mg, PO, daily in AM , Drugs available: Ritalin 5 mg and 10 mg tablets
a. Which bottle of Ritalin would you use?
b. How many tablets would you give?

Accepted Answer

The answer of A child has attention deficit hyperactivity disorder...

Question 6

A child has ADHD. , Order: methylphenidate HCl (Ritalin) 15 mg, PO, daily , Drugs available: Ritalin 5 mg and 10 mg tablets
a. Which bottle of Ritalin would you use?
b. How many tablets would you give?

Accepted Answer

The answer of A child has ADHD. , Order: methylphenidate...

Question 7

A child has a systemic infection. , Order: tobramycin (Nebcin) 15 mg, IV, q6h , Child's weight: 12 kg , Pediatric dose parameter: 6 to 7.5 mg/kg/day in three or four divided doses , Drug available:  
a. How many milligrams of Nebcin would the child receive per day?
b. What is the dose parameter according to the child's weight?
c. Is the dose within safe dose parameters? Explain.
d. How many milliliters (IV) of Nebcin would be mixed into the IV fluids?

Accepted Answer

The answer of A child has a systemic infection. ,...

Question 8

A child has a severe respiratory infection. , Order: kanamycin (Kantrex) 50 mg, IV, q8h , Child's weight: 44 lb , Pediatric dose parameter: 15 mg/kg/day in two or three divided doses , Drug available:  
a. How many kilograms does the child weigh?
b. What is the dose parameter according to the child's weight?
c. Is the dose within safe dose parameters? Explain.
d. How many milliliters (IV) of drug would be mixed into the IV fluids?

Accepted Answer

The answer of A child has a severe respiratory infection....

Question 9

A child has congestive heart failure. , Order: digoxin (Lanoxin) 0.25 mg, IV, loading dose (LD) , Child's weight: 35 lb, or 16 kg , Pediatric dose parameter: 0.015 to 0.035 mg/kg over 5 min, LD , Drug available:  
a. What is the dose parameter according to the child's weight?
b. Is the dose within safe dose parameters? Explain.
c. How many milliliters of Lanoxin would you give the child?

Accepted Answer

The answer of A child has congestive heart failure. ,...

Question 10

A child has a systemic infection. , Order: oxacillin 200 mg, IV, q6h , Child's weight: 13 kg , Pediatric dose parameter: 50 to 100 mg/kg/day in four to six divided doses , Drug available: 250 mg/1.5 mL after reconstitution  
a. What is the dose parameter according to the child's weight?
b. Is the dose within safe dose parameters? Explain.
c. How many milliliters of diluent would you mix with oxacillin?
d. How many milliliters (IV) of oxacillin would be mixed into the IV fluids?

Accepted Answer

The answer of A child has a systemic infection. ,...

Question 11

A child has narcotic-induced respiratory depression. , Order: naloxone HCl (Narcan) 0.32 mg, IM, stat. , Child's weight: 32 kg , Pediatric dose parameter: 0.01 mg/kg, IM/IV, q2 to 3 min, prn , Drug available:  
a. What is the dose parameter?
b. How many milliliters of Narcan would you give the child?

Accepted Answer

The answer of A child has narcotic-induced respiratory depression. ,...

Question 12

A child has postoperative vomiting. , Order: ondansetron 0.15 mg/kg/dose in 50 mL of D₅W over 30 minutesPatient weight: 47 lb , Drug available: Ondansetron 40 mg/20 mL multiple dose vial a. How many kilograms does the patient weigh? b. What is the total dose of ondansetron? c. How many milliliters should you add to the D₅W?

Accepted Answer

The answer of A child has postoperative vomiting. , Order:...

Question 13

, Order: clofarabine 63 mg in 250 mL D₅W over 2 hours , Child's height and weight: 4 ft 6 in and 86 lb , Pediatric dose parameter: 52 mg/m²with range of 11.25 mg/m² to 70 mg/m² per day , Drug available: clofarabine 20 mg in 20 mL for injection a. What is the child's BSA (m²)? b. What is the dose according to the child's BSA? c. Is the dose with in safe dose parameters? Explain. d. How many milliliters would you give per dose?

Accepted Answer

The answer of , Order: clofarabine 63 mg in 250...

Question 14

A child has HIV. , Order: atovaquone (Mepron) 300 mg PO daily with meal , Child's age and weight: 18 months old and 22 lb , Pediatric dose parameter: 30 mg/kg with a range of 10 to 40 mg/kg , Drug available: Mepron suspension 750 mg in 5 mL.
a. What is the child's weight in kilograms?
b. What is the dose?
c. Is the dosage within safe dosage parameters? Explain.
d. How many milliliters would you give per dose?

Accepted Answer

The answer of A child has HIV. , Order: atovaquone...

Question 15

A child has HIV. , Order: fosamprenavir (Lexiva) 500 mg PO bid , Child's age and weight: 3 years old and 34 lbPediatric dosage parameter: Daily dose not to exceed 1400 mg/day , Drug available: fosamprenavir suspension 50 mg/mL
a. How many milliliters of fosamprenavir should be given per dose?
b. Is the total drug dosage within safe parameters? Explain.

Accepted Answer

The answer of A child has HIV. , Order: fosamprenavir...

Question 16

A child has appendicitis. , Order: piperacillin and tazobactam (Zosyn) 3.6 g/450 mg IV q8h, dilute in 50 mL and infuse over 30 minutes , Child's age and weight: 8 years old and 36 kg , Pediatric dose parameter: 100 mg/kg , Drug available: Zosyn 4 g/500 mg reconstitute with 20 mL sterile water.
a. Is the drug dosage correct? Calculate dosage based upon piperacillin only.
b. How many mL of Zosyn should be given per dose?
c. What will be the total amount of fluid to be infused?

Accepted Answer

The answer of A child has appendicitis. , Order: piperacillin...

Question 17

A child 10 years old had surgery; nausea and vomiting has occurred because of narcotics used for pain. , Order: ondansetron (Zofran) 2 mg, po, 30 minutes before narcotic administration, q8h, prn , Drug available:  How many milliliters should the child receive 30 minutes before the administration of the narcotic?

Accepted Answer

The answer of A child 10 years old had surgery;...

Question 18

A child has a serious fungal infection. , Order: fluconazole (Diflucan) 100 mg PO, per day for 10 days , Child's weight, age: 55 lb; 7 years old , Pediatric dose: 6 to 12 mg/kg/day , Drug available:  
a. How many kilograms does the child weigh?
b. Is the total drug dosage within safe parameters? Explain.
c. How many milliliters should the child receive per dose?

Accepted Answer

The answer of A child has a serious fungal infection....

Quiz 7: Pediatrics

A child has attention deficit hyperactivity disorder (ADHD). , Order: methylphenidate HCl (Ritalin) 7.5 mg, PO, daily in AM , Drugs available: Ritalin 5 mg and 10 mg tablets a. Which bottle of Ritalin would you use? b. How many tablets would you give?

A child has ADHD. , Order: methylphenidate HCl (Ritalin) 15 mg, PO, daily , Drugs available: Ritalin 5 mg and 10 mg tablets a. Which bottle of Ritalin would you use? b. How many tablets would you give?

A child has narcotic-induced respiratory depression. , Order: naloxone HCl (Narcan) 0.32 mg, IM, stat. , Child's weight: 32 kg , Pediatric dose parameter: 0.01 mg/kg, IM/IV, q2 to 3 min, prn , Drug available: a. What is the dose parameter? b. How many milliliters of Narcan would you give the child?