Pediatric Dosage Calculation Quiz 3

Pediatric dosage calculation Quiz # 3 1. A 10-year-old client is being treated with haloperidol (Haldol) for Tourette's syndrome. If the client weighs 55 lb and the physician orders for the client to have 0.05 mg/kg/day orally, what is the client's daily dose in milligrams? Answer: __1.25mg____________________? 2. A patient is receiving Aminophylline IV at 20 mL/hr. The IV contains 2g Aminophylline in 250 mL of IV fluid. How many mg/hr is the patient receiving? Answer: ___160mg_________ 3. The client is receiving lanoxin q8h. The client’s weight is 7.2 Kg. Safe dose range for this drug is 0.03 to 0.06 mg/Kg/day. 0.1 What is the maximum safe dose the client should receive q8h? 1 4. The physician ordered: Phenergan 1 mg/kg of body weight. How many mg should the nurse administer to a child weighing 45 lbs? Answer___20.5MG/KG______________________ 5. The primary health care provider ordered Cefazolin 350 mg IV every 4 hours. The child weighs 31 lbs. The safe dosage range for this medication is 25-75 mg/kg/day. Is this a safe dose for this patient?__no______________ What is the safe dose range?____352mg-1056mg_________________ 6. The primary health care provider ordered Digoxin 0.92 mg daily for a child that weighs 16 lbs. The safe dosage for this medication is 8-12 mcg/kg/day. Is this a safe dosage for this child?_____NO_______________ What is the safe dose range?____58.2-87.3___________________________________ 7. The pediatrician ordered Zofran 2 mg for a child that weighs 13.6 kg. The safe dosage of this drug is 0.15 mg/kg. Is this a safe dose to administer?_____yes_________________ 13.6*0.15=2.04 8. The pediatrician ordered Benadryl for a child that weighs 98 lbs. The safe dose range for Benadryl is 5 g/kg/day. What is the safe dosage for this child?___223____________________ 9. The physician orders cidofovir for a client to be given 5 mg/kg IV every week for two weeks. If the client weighs 110 lb., and cidofovir is available in a 75 mg/mL vial, how many mL would the nurse need for the two-week period? Answer: __6.6ml____________ 10. Doctor orders 300 mg of Azithromycin once a day for a child that weighs 72 lbs. The safe dose range for this medication is 10-12 mg/kg/day. Is this a safe dose for this patient? Answer:_no it is less therapeutic _______________ 11. Doctor orders 200 mg of Ibuprofen every 8 hrs. The child weighs 49 lbs. The safe dosage range for this medication is 5-10 mg/kg/dose. What is the safe dosage range for this particular child? Answer: ___111.4-223mg___________________ 12. A 10-year-old client is being treated with imipramine (Tofranil) for enuresis. If the client weighs 65 lb and the maximum daily dose should not exceed 2.5 mg/kg/day, what is the maximum dose of imipramine (Tofranil) the client can receive at bedtime? Answer: ___73.8mg________________ 13. Doctor orders 9 units/kg/hr Heparin infusion. The patient weighs 76 kg. Available is a Heparin bag that reads 50 units/mL. How many mL/hr will the nurse administer? Answer:________14mL/hr________ 14. The child with bacterial meningitis has an order for ampicillin 1 g IV q.6h. The patient weighs 25 kg. The drug reference manual states the following about the dosage of ampicillin for children older than 1 month of age: 200 – 400 mg / kg / day in divided doses q.6h. (Not to exceed 12 g / day). The maximum dose of ampicillin for this patient is _2.5mg____________ g q.6h. 15. The physician orders gabapentin 200 mg t.i.d. orally for an 8 year old. The patient weighs 88 lb. The reference manual states: PO (Children 5 – 12 years): 10 – 15 mg / kg / day in three divided doses initially. What is the maximum safe initial recommended dose for this child? ____200mg_____ mg / dose