10. Doctor's order: Regular insulin 10 units/hr IV Available: Regular insulin 50 units in 500 mL NS The concentration is _0.1 unit/mL The IV flow rate to deliver this dosage is: mL/h Pediatric calculations Calculate the child’s weight in kilograms, determine the safe recommended dosage or range, determine the safety of the order, and calculate the drug dose. 1. Order: Maintenance dose of Digoxin elixir 0.075 mg q 12h po for a 33 lb, 18-month-old child. Manufacturer’s recommendation for maintenance dose: children under 2 years of age is 0.01-0.02 mg/kg daily in divided doses q 12h. Available: Digoxin elixir 0.05 mg/mL. Is the order safe: ______Yes_____ If safe, administer _____1.5______mL 15 kg range: 0.15-0.3 mg/day, 0.075-0.15 mg/dose 2. Lasix 20 mg IM stat for a 7-year-old weighing 44 lbs. Manufacturer’s recommended initial dose for is 1-2 mg/kg Available: Lasix 40 mg/mL Is the order safe: ___Yes__________ If safe, administer ___0.5_______mL 20 kg range: 20-40 mg/dose 3. Order: Gentamycin 6 mg/kg/day in three divided doses IM for an 18-month-old who weighs 24 lb. Manufacturer’s recommended dosage: 2-2.5 mg/kg q 8h. Available: Gentamycin multi-dose vial 40 mg/mL Is the order safe: ____Yes________
10. Doctor's order: Regular insulin 10 units/hr IV Available: Regular insulin 50 units in 500 mL NS The concentration is _0.1 unit/mL The IV flow rate to deliver this dosage is: mL/h Pediatric calculations Calculate the child’s weight in kilograms, determine the safe recommended dosage or range, determine the safety of the order, and calculate the drug dose. 1. Order: Maintenance dose of Digoxin elixir 0.075 mg q 12h po for a 33 lb, 18-month-old child. Manufacturer’s recommendation for maintenance dose: children under 2 years of age is 0.01-0.02 mg/kg daily in divided doses q 12h. Available: Digoxin elixir 0.05 mg/mL. Is the order safe: ______Yes_____ If safe, administer _____1.5______mL 15 kg range: 0.15-0.3 mg/day, 0.075-0.15 mg/dose 2. Lasix 20 mg IM stat for a 7-year-old weighing 44 lbs. Manufacturer’s recommended initial dose for is 1-2 mg/kg Available: Lasix 40 mg/mL Is the order safe: ___Yes__________ If safe, administer ___0.5_______mL 20 kg range: 20-40 mg/dose 3. Order: Gentamycin 6 mg/kg/day in three divided doses IM for an 18-month-old who weighs 24 lb. Manufacturer’s recommended dosage: 2-2.5 mg/kg q 8h. Available: Gentamycin multi-dose vial 40 mg/mL Is the order safe: ____Yes________
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