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Pediatric Safe Dosage Calculations

The document contains 20 scenarios describing medication orders with patients' weights and recommended dosage ranges. For each scenario, the safe dosage range per day or per dose is calculated based on the provided weight and dosage range. Most orders are outside the recommended safe ranges and the nurse would not administer the medications for safety reasons due to the doses being too high or low.

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Tiffany Florent
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0% found this document useful (0 votes)
198 views3 pages

Pediatric Safe Dosage Calculations

The document contains 20 scenarios describing medication orders with patients' weights and recommended dosage ranges. For each scenario, the safe dosage range per day or per dose is calculated based on the provided weight and dosage range. Most orders are outside the recommended safe ranges and the nurse would not administer the medications for safety reasons due to the doses being too high or low.

Uploaded by

Tiffany Florent
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

1.

The prescriber orders Garamycin 50 mg IV every 8 hours for a patient


weighing 68 Ibs. The safe dosage range is 3-6 mg/kg/day. What is the safe
range/day? mg (tenth)? Would the nurse administer this medication and
why?________________________
2. The prescriber has ordered Tobramycin sulfate 65 mg IV every 8 hours.
Your patient weighs 30 kg. The safe dose range is 6-7.5 mg/kg/day in 3 divided
doses. What is the safe range/dose? ________________________mg
(whole)? Would the nurse administer this medication and
why?________________________
3. The prescriber orders Furosemide 40 mg PO once daily for a patient
weighing 56 Ibs.
The safe dose range is 2-4 mg/kg/day. What is the safe range/day?
_________________________mg (whole)? Would the nurse administer this
medication and why?________________________
4. The prescriber orders Glycopyrrolate 1000 mcg IV pre-op for a surgical
patient weighing 72 Ibs. The recommended dosage is 0.04mg/kg.
What is the recommended dose? ______________________________mcg
(whole)? Would the nurse administer this medication and
why?________________________
5. The prescriber has ordered Dicloxacillin 300 mg every 6 hours for a patient
weighing 48 lbs. The safe dosage range is 25-50mg/kg/day in 4 divided doses.
What is the safe range/dose? _________________________mg (whole)? Would
the nurse administer this medication and why?________________________
6. The prescriber has ordered Valporic Acid 600 mg PO BID.
The safe dose range is 25-50 mg/kg/day in 2 divided doses. The patient weighs 78
Ibs. What is the safe range/day? _______________________mg (tenth)? Would
the nurse administer this medication and why?________________________
7. The prescriber has ordered Panadol (Acetaminophen) 200 mg PO every 6
hours for temp. above 101F. Dose range is 40-60 mg/kg/day in 4 divided doses.
The patient weighs: 30 Ibs.
What is the safe range/day? __________________mg (tenth); Would the nurse
administer this medication and why?________________________
8. The prescriber has ordered Cefazolin 200mg PO every 12 hours. Dose range
is 20-40 mg/kg/day in 2 divided doses. The patient weighs 80 Ibs.
What is the safe range/day? _______________________mg (tenth)? Would the
nurse administer this medication and why?________________________
9. The prescriber has ordered Garamycin 120 mg IV every 8 hours. Dose range
is 1-2 mg/kg/ dose. The patient weighs 150 Ibs. What is the safe range/day?
_______________________mg (whole)? Would the nurse administer this
medication and why?________________________
10. The prescriber has ordered Digoxin 0.25 mg PO once daily. Dose range is
2.5-5 mcg/kg/day. The patient weighs 150 Ibs.
What is the safe range/dose____________mg (hundredth)? Would the nurse
administer this medication and why?________________________
11. The prescriber has ordered Mecasermin 2 mg subcutaneous every 12 hours
for a patient weighing 90 lbs. Dose range is 0.08-0.16 mg/kg/day in 2 divided
doses. What is the safe range/dose? _______________________mg (tenth)?
Would the nurse administer this medication and
why?________________________
12. The prescriber has ordered Hydroxyzine 30 mg IM every 12 hours.
Dose range is 0.5-1 mg/kg/dose. The patient weighs 50 Ibs. What is the safe
range/dose? _______________________mg (tenth)? Would the nurse administer
this medication and why?________________________
13. The prescriber has ordered Digoxin 0.125 mg PO once daily for a patient
weighing 102
Ibs. The dose range is 2.5-5 mcg/kg/day. What is the safe range/dose?
_______________________mg (hundredth)? Would the nurse administer this
medication and why?________________________
14. The prescriber has ordered Acetaminophen 320 mg PO every 6 hours for a
patient weighing 48 Ibs. Dose range is 40-60 mg/kg/day in 4 divided doses.
What is the safe range/day? __________________mg (tenth)? Would the nurse
administer this medication and why?________________________
15. The prescriber has ordered Tobramycin sulfate 110 mg IV every 8 hours for
a patient weighing 65 kg. Dose range is: 6-7.5 mg/kg/day in 3 divided doses. What
is the safe range/dose? ________________________mg (whole)? Would the nurse
administer this medication and why?________________________
16. The prescriber has ordered Cefazolin 800 mg PO every 12 hours for a
patient weighing 110 Ibs. Dose range is 20-40 mg/kg/day in 2 divided doses.
What is the safe range/day? _______________________mg (tenth)? Would the
nurse administer this medication and why?________________________
17. The prescriber has ordered Ampicillin 600 mg IV once daily for a patient
weighing 44 Ibs.
Dose range is 100-200 mg/kg/day. What is the safe range/dose
_______________________mg? Would the nurse administer this medication and
why?________________________
18. The prescriber has ordered Valporic Acid 480 mg PO BID for a patient
weighing 135 Ibs. Dose range is 25-50 mg/kg/day in 2 divided doses.
What is the safe range/day? _______________________mg (tenth)?
19. The prescriber has ordered Mecasermin 3 mg subcutaneous every 12 hours
for a patient weighing 60 kg. Dose range is 0.08-0.16 mg/kg/day in 2 divided
doses.
What is the safe range/dose _______________________mg (tenth)? Would the
nurse administer this medication and why?________________________
20. The prescriber has ordered Hydroxyzine 80 mg IM every 12 hours. Dose
range is 0.5-1 mg/kg/dose. The patient weighs 32 Ibs.
What is the safe range/dose_______________________mg (tenth)? Would the
nurse administer this medication and why?________________________

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