PEDIATRIC MEDICATION CALCULATIONS .

. 1) A 5year old Child is having seizures Order: Dilantin 62.5 mg, PO, bid Available: Dilantin oral suspension 125mg/ml How much Dilantin suspension would you give per dose?

. 2) Child is in congestive heart failure Order: Lasix 10mg, IV x 1. Child weighs 22lbs; Safe dosing range is 1mg/kg. Is the dose ordered safe?

. 3) Child has fever of 102.6 Order: Acetaminophen 240 mg, PO x 1. Available: Acetaminophen 80mg per ½ teaspoon How much acetaminophen would you give? In ml? In teaspoons?

. 4) Child is in congestive heart failure Order: Digoxin 0.05mg, PO q12h. Available: Pediatric Digoxin elixir 50mcg/ml. How much Digoxin would you give, in ml?

. 5) Child has strep pharyngitis Order: Amoxicillin/clavunate (augmentin) 0.25g, PO, q8h Available: Augmentin 250mg/ml How much Augmentin would you give, in ml?

. 6) Child has a staph infection. Order: Clindamycin 150mg, PO, q6h Child’s weight: 40lbs Pediatric does parameter: 8-25mg/kg/d in three or four divided doses Drug available: Clindamycin 75mg/ml, oral solution How many milligrams of Clindamycin would the Child receive per day? Is the dose ordered within dosing parameters?

. 7) Child has otits media. Order: Cefaclor (Ceclor) 0.25g, PO, q8h Childs’s weight: 66lbs. Pediatric Dose Parameter: 20- 40mg/kg/d in three divided doses, maximum 1 g qd. Drug available: Ceclor 250mg/5ml How many milligrams of Ceclor would you give per dose?

. 8) Child, 3- years- old has a fever of 102.6. Order: Acetaminophen 120mg, PO, Q4h x 4 doses/d, PRN for T >102.0. Child’s weight:15 kg Pediatric dose parameter:120-160mg, TID, maximum 480mg/d Drug available: Children's acetaminophen elixir: 80mg per ½ teaspoon Is the dose within safe pediatric dose parameters? How many milliliters of acetaminophen would you give per dose?

. 9) Child is having an allergic reaction to a prescribed antibiotic. Order: Diphenhydramine Hydrochloride (Benadryl) 50mg, PO, q6h Childs weight: 33lbs Safe dose range: Benadryl (PO) 5mg/kg/day Drug available: Pediatric Benadryl elixir: 12.5mg/5ml Is dose order within safe dosing range? How many ml will child receive with each dose?

. 10) Toddler has Otitis media and a fever. Order: Ibuprofen, 75mg, PO, q6h Childs weight: 22lbs. Safe dosage range: 5mg/kg/PO, q6h, maximum Drug available: Ibuprofen drops 100mg/5ml Is the dose within safe dosing range? How many ml will the child receive with each dose?

. 11) Child has history of rheumatic fever and requires Penicillin G Procaine, IM, once monthly for rheumatic fever prophylaxis Order: Pen G Procaine 1.2 million units, IM x 1. Safe dosage range: Children 1.2 million units IM, monthly Drug available: Penicillin G Procaine, powder: when Mixed according to manufactures advice each 1ml of reconstituted drug solution will contain 1 million units/ml. How many ml of PCN G Procaine will you draw up?

. 12) 10 year old boy with repaired TGA at birth is having dental work Order: Amoxicillin 1500 mg Childs weight: 77 lbs Dose required for Bacterial endocarditis prophylaxis: 50mg/kg in one (1) dose, ½ hour before dental work is performed Is dose ordered sufficient to cover bacterial endocarditis prophylaxis?

. 13) Infant (4 months old) with large VSD is in congestive heart failure. The cardiologist is starting the infant on Digoxin. It will be administered using the Pediatric Total Digitalizing Dosage (TDD) calculation Order: Digoxin, 0.15mg, in three (3) TDD doses, IV Child’s weight: 13.2 lbs Safe Dosing parameters:35-40 mcg/kg, IV, in TDD. Drug available: 0.5 mg/2 ml IV solution Is dose ordered within safe dosing parameters? What is the first TDD dose?

. 14) 4½ year old child has otitis media. Order: Cefdinir, 150mg PO q12h Childs weight: 33 lbs Safe dosing parameter: 7mg/kg/q12h Is the dose ordered within safe dosing parameters?

. 15) Child has narcotic induced respiratory depression Order: Naloxone HCL (Narcan) 0.32mg, IV, STAT x1 Childs weight: 32 lbs Safe dosing range: 0.01mg/kg, IM/IV, q2- 3min, prn Drug available: 1mg/ml Is dose ordered within safe dosing range? How much Narcan would you draw up for administration?

. 16) 2¾ year old child has suspected urosepsis. Order: Gentamycin, 80mg IV, q8h. Childs weight: 22lbs Safe dosing parameter:6-7.5mg/kg/day What is the safe dosing range for this child? Is the dose ordered within safe dosing parameters?

. 17) The safe dosage range for acetaminophen is 10-15 mg/kg q4h. What is the maximum safe dose for the following children? 33lbs? 46 lbs? 58 lbs? Acetaminophen is available in 100mg/5cc How much acetaminophen in ml would you give to a child weighing? 33lb 46lbs 58lbs

. 18) 10 year old Child has bacterial pneumonia Order: Cefadroxil 350mg, PO, q12h Child’s weight: 88 lbs Safe dosing parameter: 20mg/kg/day Drug available: Cefadroxil, suspension, 250 mg/teaspoon Is the dose ordered within safe dosing range? How much Cefadroxil would you give child per dose – In ml?

. 19) Child has cellulitis. Order: Cefotaxime 375mg, IV, q6h. Childs weight: 40lbs Safe dosing parameter: 50-180mg/kg/day, q6h Drug available: Cefotaxime IV, 500mg When mixed to manufactures recommendations, each 1 ml will equal 150mg/ml. Is the dose ordered safe? How much Cefotaxime will you give with each dose, in ml? How much Cefotaxime will the child receive per day?

. 20)The safe dosage range for Ibuprofen is 5-10mg/kg/dose,maximum of 4 doses qd, q6h. What is the maximum safe dose for the following children? 10lbs 17lbs 26lbs 35lbs Ibuprofen is available in 100mg/2.5ml. How much would you draw up for administration to the following children weighing? 10 lbs 17 lbs 26 lbs 35 lbs

. 21) Child has systemic bacteremia. Order: Oxacillin, 200mg, IV, q6h Child’s weight: 32 lbs Safe dosing range: 50-100mg/kg/ in 4 – 6 divided doses daily. Drug available: Oxacillin IV Solution, when mixed to manufactures recommendations each 1.5 ml will equal 250 mg. Is the dose ordered within safe dosing parameter? How much medication will you draw up for administration?

. 22) Child has urinary tract infection Order: Trimethoprim (TMP)/sulfamethoxazole (SMZ) (Septra) 60/300mg, PO, q12h.po Child’s weight: 33lbs Safe dosing range: TMP 8mg/ SMZ 40mg/kg/ in 2 divided doses Drug available: TMP 40mg & SMZ 200mg/1 teaspoon Is the dose ordered safe? How much in ml would you draw up with each dose?