Pediatric Practice Problems 2 UNRS 314

Name ____________________ Number _____________

1. Order: Give drug IV piggyback for a child weighing 66 lbs at a dosage of 50 mg/kg/day in divided doses q 6 h. How many mg would each dose contain? ________375 mg____ 2. Order: Tetracycline elixir qid for child weighing 50 lbs at a dosage of 8mg/kg/day in equally divided doses. a. How many mg would one dose contain? _____90.92 or 91 mg_______ b. Tetracycline is supplied at 50 mg / 7 mL. How many mL should be administered? __12.7 mL 3. Order: Quinidine for an adult patient weighing 110 lbs at a dosage of 25 mg / kg / day q 6h. a. How many mg in a dose? ___312.5 or 313 mg / dose b. Quinidine is supplied as 300 mg tablets. How many tablets will you give? _1 tablet 4. Order: Ampicillin IVPB for a child weighing 55 lbs at a dosage of 20 mg / kg / day in 4 equally provided doses. a. How many mg per dose? __125 mg b. Ampicillin is supplied as 250 mg in 1.5 mL. Give ___0.75 mL. 5. Order: Pronestyl orally for a patient who weighs 198 lb. at a dose of 25 mg / kg / day given at 6 hour intervals. a. Give ___562.5 or 562 mg. 6. Order: Garamycin 35 mg IV q 6h for a child weighing 42 lb. a. The recommended dose is 6 7.5 mg / kg / day in equally divided doses. b. Is the order in the safe range? ______yes c. Garamycin is supplied as 80 mg / mL. Give __0.44 mL. 7. Order: Tylenol suspension tsp po q4h prn for fever for a child weighing 32 lb. a. Tylenol is supplied as 325 mg / 10 mL b. Recommended dose is 25 35 mg / kg / day q4h prn c. How many mg of Tylenol in a teaspoon? ___2.5 mL d. Is this a safe dose? _____yes 8. Order: Gantrisin 1 g q 4 h po. The patient weighs 198 lb. a. The recommended dose is 40 50 mg / kg / day b. Is the order a safe dose? ____no to high 9. Order: Erythromycin 300 mg po q6h for a 75 lb patient. a. Safe range is 30 50 mg/kg/day. b. Is the order a safe dose? _____yes

10. Order: Theophylline loading dose 200 mg po for a 66 lb child. a. Drug handbook states po loading dose should not exceed 5 mg / kg. b. Is the order a safe dose? _____no to high 11. Order: Cefadyl qid IM for a child who weighs 32 lb. a. The drug book recommends Cefadyl 40 mg/kg/day in divided doses b. Give ____144 mg per dose. c. Cefadyl is provided as 250 mg / 2.5 ml d. How many mL would you give? ___1.44 or 1.4 mL 12. Order: Ceclor 20 mg/kg/day for an infant who weighs 12 lb 3 oz in divided doses q8hours. a. Give _____37_____ mg per dose. b. Ceclor is provided as 100 mg / 2 mL. c. How many mL would you give? _______0.74 mL _______ 13. The suggested dose or erythromycin is 40 mg /kg/day q6h a. A neonate weighing 3000 g would receive ____30 mg/dose____ b. Erythromycin is provided as 10 mg / mL c. How many mL would you give? ______3 mL______ 14.Order: Claforan IV q8h for a child weighing 8 kg. a. The drug guide recommends Claforan 100 mg / kg/ day as a safe dose.. b. Give _____266 mg / dose____ mg per dose. c. Claforan is provided as 250 mg / 5 mL d. How many mL would you give? ____5.32 mL or 5.3 mL_____ 15. Order: Cefadyl 5 mg qid IM for a child weighing 44 lb. a. The drug book recommends 1-3 mg / kg/ day. b. Is this order safe? ______to low___________ 16. Order Ancef 200 mg IV q 4h for a child weighing 22 lbs. a. The recommended dose is 80 160 mg / kg / day b. Is the dose safe? __ yes _______ c. Ancef is provided as 1 g in 10 mL d. How many mL would you draw up? ______ 2 mL ______ e. You are to add the Ancef to 10 mL of IV fluid and infuse over hour. f. How fast would you set the IVAC at? _________60 mL / hr _____

17. Order: Gentamicin 8 mg / kg /day q6h for a child weighing 72 lb. a. Give ____65 mg/ dose ______ mg per dose. b. Gentamicin is provided as 80 mg / 2 mL. c. How many mL would you draw up/ ______1.62 or 1.6 mL _______ d. The Gentamicin is to be added to 15 mL of IV fluid and infused over 60 minutes. e. How fast would you set the IVAC? _______35 mL per hour________________ 18. Synthroid is ordered 175 mcg po every morning for an 8-year old weighing 29.5 kg. a. Drug book states po dose is 4-5 mcg / kg / day b. Is this dose safe? __________no to high _______ 19. Order: Neupogen 5 mcg/kg/day IV once daily. a. Patient weighs 73 kg b. Give ______365 mcg _______ mcg. c. Neupogen is provided as 300 mcg / 1 mL d. How many mL would you give? ____1.2 mL________. 20. Order: Tylenol 1 grain per year. a. You are instructing a mother on how much Tylenol give to her 5 year old child. b. How many mg would you instruct her to give? _______5 grains or 300 mg________ c. Tylenol is provided as 160 mg / 5 mL d. How many mL would you instruct her to draw up? _____9.4 mL ______ 21. Order: Tylenol 0 3 months 80 mg per dose a. You are instructing a mother of a 3 month old infant to give Tylenol. b. Tylenol is provided as 100 mg / 0.8 mL c. How many mL would you instruct her to give? _______0.64 or 0.6 mL___________ 22. Child weighs 62 pounds. Calculate 24 hour fluid needs 1663 mL / day or 69 or 70 mL / hour 23. Child weighs 9 lb 5 oz. Calculate 24 hour fluid needs 4.23 kg x 100 = 423 mL / day or 17.6 or 18 mL / hr 24. Child weighs 75 pounds. Calculate 24 hour fluid needs 1781 / day or 74 mL / hour 25. A child is receiving IV fluids at 120 ml / hr. a. Physician order is for replacement for NG drainage mL / mL over 4 hours b. The output at 0800 is 145 mL c. How fast would you run the IV over the next 4 hours? ______145 mL over 4 hours___________

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Worth 1 extra credit point