Professional Documents
Culture Documents
II.
Rounding numbers
Use TCC Rounding Rules when rounding final answers. Remember: When
calculating milliliters, if amount is less than 1 ml , round to nearest hundredth,.
Example:
0.923 ml is rounded to 0.92 ml
0.926 ml is rounded to 0.93 ml
III.
1kg
VI.
VII.
Recommended Dosage
Total Daily Dosage
Divided Dosages- The dosage a child should receive each time the drug is administered
Deciding if Dosage is Safe
Standard Method
= 0.75 ml/dose
= 7.5 mg
X ml
X = 0.75ml
1.
16 kg
1
25 X 16
1
25 X 16 = 400 mg/day
400 mg 4= 100 mg/dose
Solution using ratio and proportion:
25mg
Kg
= Xmg
16kg
X = 400mg/day
400mg4 = 100mg/dose
1. Recommended dosage: Lanoxin elixir 8 mcg/kg/day in 2 equally divided doses
Childs weight: 15 kg.
What is the divided dosage?
Convert oz to lb
16 oz = 1lb
6 oz = 6/16 lb
6/16 lb = 0.375 lb (round to nearest 10th) = 0.4lb
b. 23 lb 6 oz = 23.4 lb
23.4 2.2 (2.2 pounds per kg) = 10.64 = 10.6 kg
c.
single dosage
Dimensional Analysis:
10mg
10.6kg
mg = kg
X
1
10mg X 10.6 = 106 mg
Ratio and Proportion:
10mg = Xmg
Kg
10.6kg
X = 10 X 10.6 = 106 mg
d.
c. How many ml of Gentamycin will the child receive for each dosage?
40mg = Xmg
Kg
18kg
X = 40 x 18 = 720mg/day
b. Determine the minimum and maximum single doses for this child.
Note: q8h = 3 times/24h (day)
Minimum single dose
maximum single dose
360mg 3 = 120 mg/dose
720mg 3 = 240 mg/dose
c. Is the ordered dose safe (within the recommended range)?
Yes. It is within the recommended range of 120-240mg/dose.
2. Order: Penicillin V (Pen-Vee K) 250 mg PO q6h
Recommended pediatric dosage: 25-50 mg/kg/day
Childs weight: 30 lb.
a. Determine the minimum and maximum recommended total daily dosages
for this child.
2. A 2500 gm infant in the NICU is being treated for seizures. The physician prescribes
phenobarbital q12h.
The recommended dosage of Phenobarbital: 10 mg/kg/day divided every 12 hours.
Calculate the single dosage.
4. The physician orders Carbamazepine (Tegretol) 200 mg po BID for a child with a
sezure disorder. The child weighs 25 kg. The recommended dose of Tegretol is 10
20 mg/kg/day PO divided every 12 hours.
Is the prescribed dosage too little, too much, or satisfactory?
5. The physician orders Midazolam 1.5 mg IV stat for a child who weighs 15 kg. The
recommended IV dose of Midazolam is 0.1 mg/kg/dose. Is the ordered dosage safe?
Practice Problems
10
7. The physician orders morphine sulfate 1.8 mg IM stat. The child weighs 79 lb. The
recommended dosage is 0.1 0.2 mg/kg. Is this dosage safe?
Practice Problems
11
12