SAFE DOSAGES BY BODY WEIGHT (DAILY ORDERED) Ordered for a 10-year-old patient on the pediatric floor who weighs 45 kg is Tobramycin sulfate 80 mg IVPB every 8 hours.  The recommended dosing range for Tobramycin is 3 to 6 mg/kg/day. Peak and trough levels have been WNL.  Is the daily dose within the recommended range? (Write IS or IS NOT)   =    Daily dose                                      in range                

During a well-child visit, the nurse evaluates the emotional development of a 7-year-old. Which finding is most consistent with Erikson’s stage of “Industry vs. Inferiority”?  

A nurse is educating parents about the maturation of the immune system in school-age children. Which statement by the parent indicates they understand the teaching?

CALCULATING DOSAGES A child has a urinary tract infection and is to receive 150 mg Amoxicillin po q 6 hr. The label reads 130 mg/5 mL. How many milliliters will you prepare for this child?  Show your calculations on your scrap paper. Round to tenths.                         = ___________ml

A nurse is educating a parent about safety measures for their 18-month-old toddler. Which statement by the parent indicates a need for further education?

 IV FLOW RATES 1 Liter of lactated ringer’s is to be administered over 6 hours, your tubing drop factor is 15 gtts/mL.  What should be the rate of flow in drops per minute?     = ___________gtts/minute

SAFE DOSAGES BY BODY WEIGHT (PRN) Zofran 4 mg IV push every 6 hours as needed is ordered for post-op nausea/vomiting for 7-year-old Patricia who weighs 27 kg.  The recommended dose in the pediatric drug book is 0.1 to 0.15 mg/kg/dose.  Is this single dose in the recommended range?  (write IS or IS NOT) Single dose____________ in range

SAFE DOSAGES BY BODY WEIGHT (DAILY ORDERED) 9-year-old Robert has epilepsy and has been prescribed 150 mg of Valproic acid (Depakote) every 8 hours to control his seizures. Robert weighs 46 kg.  The recommended daily dose for Valproic acid (Depakote) is 10 to 60 mg/kg/day.  Is the ordered dose in the recommended range? (Write IS or IS NOT) Daily dose                   in range

SAFE DOSAGES BY BODY WEIGHT (PRN) 3-year-old Tina’s mother asks the nurse how much Motrin she can give her every 6 hours for his fever.  Tina weighs 26 kg.  The nurse tells Tina’s mother to give 2 teaspoons every 6 hours.  The recommended dosing range for Motrin is 5 to 10 mg/kg/dose.  Motrin is dispensed as 100mg/5mL.  Is the single dose ordered for Tina in the recommended therapeutic range? (Write IS or IS NOT) Single dose                                        in range

 PEDIATRIC IV DAILY FLUID MAINTENANCE USING FORMULAS For the first 10 kg of body weight=100 mL/kg For the next 10 kg of body weight=50 mL/kg For each kg above 20 kg of body weight= 20 mL/kg 5-year-old Jack is scheduled for an appendectomy later today and is currently NPO.  Jack weighs 27 kg.  What would Jack’s daily (24 hours) IV maintenance fluid needs be in milliliters?