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Excretion
o Most medications are excreted through the renal system. If renal development is impaired or renal function is decreased, or if the child has only one functioning kidney, that will affect the dosage that the child receives. This will also affect the types of medications given to the child.
VOLUME
V (Volume to be administered) = DO (Dosage ordered) x V (volume dosage on hand is in) DOH (Dosage on hand) Amoxil 350 mg PO every 6 hours x 10 days. Available is Amoxil 500 mg in 10ml. How many mLs should be administered? 350mg X 10ml V=0.7 X 10 Administer 7 ml 500
VOLUME
V (Volume to be administered) = DO (Dosage ordered) x V (volume dosage on hand is in) DOH (Dosage on hand)
Physician orders Tylenol 800 mg PO now X 1. You have 180mg/5 ml. What is the dose you will give?
VOLUME
V (Volume to be administered) = DO (Dosage ordered) x V (volume dosage on hand is in) DOH (Dosage on hand) Physician orders Tylenol 800 mg PO now X 1. You have 180mg/5 ml. What is the dose you will give? 800mg X 5 = 4.44 X 5 22.2 ml 180mg
VOLUME
V (Volume to be administered) = DO (Dosage ordered) x V (volume dosage on hand is in) DOH (Dosage on hand)
Order reads: Pediaphrophen (ibuprophen) 10 mg/kg PO q 4 hours. The label reads 100 mg/2.5 ml. The child weighs 35 pounds. How many milliliters will you administer?
VOLUME
Order reads: Pediaphrophen (ibuprophen) 10 mg/kg PO q 4 hours. The label reads 100 mg/2.5 ml. The child weighs 35 pounds. How many milliliters will you administer? 35lbs/2.2=15.9 kg 10 x 15.9=159 159 x 2.5=1.59 x 2.5 = 3.97ml = 4.0 ml 100
60 gtt/mL set- micro set 60 gtt/min = 1 cc 10 gtt/mL set- macro set 10 gtts/min = 1cc 15 gtt/mL set-macro set 15 gtts/min = 1 cc 20 gtt/mL set-macro set 20 gtts/min = 1 cc
If large volumes of fluid must be administered (125 ml/hour or more) a macro drip set is usually used. Micro drip sets are unable to deliver large volumes per hour because their drop size is so small. If the IV volume is <50ml/hour, then a micro drip set is to be used.
Practice Questions:
Weight: 60 lb = 27.3 kg Recommended: 75-100 mg/kg/day divided q 8 hours Calculation 27.3 kg x 75 mg/kg/day = 2047.5 mg/day 27.3 kg x 100 mg/kg/day = 2730 mg/day Divided q8 2047.5 mg/day 2730 mg/day (3 doses/day) 3 doses/day 3 doses/day Single dose range: 682.5 to 910 mg/dose q 8 hours Dose is safe AND therapeutic.