NUR 204-Pediatrics Practicum Medication Math Calculations 2022/2023

1. 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? 2. The physician has ordered acyclovir (Zovirax) for a client at a dose of 7.5 mg/kg given IV every eight hours. The client weighs 191.4 lb. How many milligrams will the client receive every eight hours? 3. A physician has ordered for a client to receive Bactrim 10 mg/kg/day in two divided doses. The client weighs 121 lb. Bactrim is available in a 80 mg/mL vial. How many mL should be prepared for a single dose? 4. The physician writes an order for a client to receive gentamicin 3 mg/kg/day given IV every eight hours. If the client weighs 225.3 lb, how many mg will be administered to the client in each dose? 5. The physician has ordered Abelcet for a client at a dose of 3.5 mg/kg/day to be administered in a single infusion. The client weighs 75 kg. Abelcet is available in a 5 mg/mL vial. How many mL will need to be prepared to be administered to the client in one dose? 6. Doctor orders 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? 7. Doctor orders 300 mg of Zmax 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? 8. 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? 9. Doctor orders 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? 10. 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? 11. Doctor orders 9 units/kg/hr Heparin infusion. The patient weighs 76 kg. You’re supplied with a Heparin bag that reads 50 units/mL. How many mL/hr will you administer? 12. 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? 13. A pediatric client is suffering from septic shock as a result of an MRSA infection. The client is very hypotensive and the physician has ordered norepinephrine (Levophed). If the maximum dose is 2 mcg/kg/min and the client weight 35 lbs, what is the maximum dose the nurse can administer in 1 minute? 14. Doctor orders 10 mcg/kg/min of a Dopamine infusion. The patient weighs 170 lbs. Dopamine is supplied as 500 mg/500mL. How many mL/hr will you administer? 15. Doctor orders Dobutamine 4 mcg/kg/min IV infusion. The patient weighs 198 lb. You are supplied with a bag of Dobutamine that reads 250mg/250 ml. How many mL/hr will you administer?