Pediatric Medication Practice QuestionsFor 4109ANSWER KEY

Pediatric Medication Practice QuestionsFor 4109ANSWER KEY 1.Amoxicillin 250 mg PO every 8 hours is ordered for a 20 kg patient.The formulary hasa therapeutic dose 20-40 mg/kg in three divided doses every 8 hours.Amoxicillin issupplied 125 mg/5ml liquid suspension.How many mls would you give and is this asafe dose?Yes, this is a safe dose.The range is 400-800 mg/dose (133 to266/dose).The nurse should draw up 10 mls. 2.Morphine 5 mg. IV every 4 hours PRN pain is ordered for your post-op patient who is 20kg.The formulary has a therapeutic dose as Morphine 0.1-0.2 mg./kg every 3-4 hours.Morphine is stocked in the Pyxis machine in 2 mg./ml single dose vials.How many mlsand would you administer and is this a safe dose?2.5 mlsTherapeutic dose is 2-4 mg, this dose is too high. 3.Furosemide oral solution 10 mg PO BID is ordered for a child who weighs 16 lb.Therecommended pediatric dosage is 0.5-2mg/kg BID.The medication is supplied as10mg/ml.What is the minimum single dose for this child?What is the maximum singledose for this child?Is the ordered dose safe?16/2.2=7.2Minimum dose = 3.6/kg bidMaximum dose = 14.4 mg/kg bidYes, it is safe 4.In the above question, if the dose ordered is safe how many mls would you give?1 mg 5.Dilantin 100mg IV ordered TID for a child who weighs 20kg.Recommended dosing is5mg/kg/day in 2-3 divided doses.If the dosage ordered is safe?If the order is not safe,explain why not and what should you do?No it is not safe.The ordered dose is toohigh; 300 mg/day is equal 15/mg/kg/day. 6.Ancef 1000mg IV TID ordered.The pharmacy sent up a vial (powder) to e reconstitutedwith sterile water.After reconstitution, the vial is 250 mg/ml.How many mls should thenurse draw up?4 ml 7.According to the formulary Ancef should be diluted to a concentration of 100 mg/ml tobe administered into a peripheral IV.Referring to the above question, how much shouldthe nurse dilute the Ancef in order to give it safely?10 ml 8.Order:Lanoxin 0.15 mg PO Q12 hours maintenance dose for a 9 year-old child whoweighs 70 lbs.The recommended maintenance dose of Lanoxin is 7-10 mcg/kg/daydivided into 2-3 equal doses.What is the recommended minimum and maximum dailydosage for this child?Is the prescribed order safe?70 lb = 70/2.2=31.87mcg x 31.8 = 222.6 mcg/day minimum10 mcg x 31.8 = 318 mcg/day maximumConvert mcg to mg = 318/1000=0.318 (0.32) mg/day 9.In the above order who many mls would you administer if the medication is supplied 50mcg/ml?3 mlsG:CoursesUndergraduateExamPediatric Medication Practice Questions Answer Key 10.Phenobarbital 65 mg IV stat.You have available a concentration of 60 mg/ml.Howmany mls would you administer?1.08 mls 11.Order:Order:Clindamycin 250 mg in 30 mls of NSS, IV every 12 hours. The pumpyou are using requires a 20 mls flush. The medication is to be given over 1 hour. Whatrate would you set the pump at?Math:Volume of medication + the volume of flush = volume to be infusedFor setting the pump:VTBI divide by time30 cc medication + 20 cc flush = 50 cc total VTBIPump set at :50cc/hr 12.Order:Amoxicillin 400 mg in 30 cc of NSS. IV every 12 hours.The pump you are usingrequires a 20 cc flush.The nurse knows that this medication should be given over 30minutes.Math:30 cc + 20 cc = 50 cc VTBIPump set at 100 cc/hr (because to deliver 50 cc in half an hour, you set the pumpfor 2xVTBI)