Question 1

Ordered: 800 mg Cefotaxime sodium (Claforan) IV q6h per volume control device to be administered over 30 minutes for a 57-pound child
SDR: 25 to 50 mg per kg q6h
Available: 1 g vial diluted to a total of 20 mL with sterile water for injection
a. Estimated weight in kilograms
b. Exact weight in kilograms to the nearest tenth
c. SDR for this child
d. Ordered dose for this child and total for day
e. Amount of drug in milliliters to be administered

Accepted Answer

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Question 2

Ordered: Methotrexate sodium 0.25 g for child with lymphoma who weighs 80 lb and is 125 cm tall. SDR: 200 to 500 mg per m² every 2 to 4 weeks for lymphoma BSA formula for m²: $\sqrt{\frac{\text { Height in centimeters } \times \text { weight in kilograms }}{3600}}$ a. BSA for this child (calculate formula) b. SDR for this child c. Ordered dose d. Evaluation and decision

Accepted Answer

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Question 3

Ordered: Aminophylline IV in D₅W at 0.7 mg per kg per hr for a 1-year-old child with asthma. Child's weight is 12 kg. The IV 250 mg aminophylline per 250 mL started just a short time earlier is flowing at 5 mL per hr when you enter the room to care for the child. SDR: 0.6 to 0.7 mg per kg per hr a. SDR of mL per hr for this child b. Ordered flow rate in mg per hr c. Ordered flow rate in mL per hr d. Current flow rate in mL per hr e. Evaluation and decision

Accepted Answer

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Question 4

Ordered: Synthroid (levothyroxine sodium) 0.15 mg po every morning for a child with hypothyroidism who weighs 40 lb
SDR: 4 to 5 mcg per kg per day po  
a. Estimated weight in kilograms
b. Exact weight in kilograms to the nearest tenth
c. SDR for this child (to the nearest tenth of a mg)
d. Dose ordered
e. Evaluation and decision
f. Amount to be administered (if applicable)

Accepted Answer

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Question 5

Ordered: Midazolam 1 mg IV injection stat for a child in status epilepticus who weighs 44 lb
SDR: 0.05 to 0.1 mg per kg. Up to 0.6 mg per kg may be needed.
a. Estimated weight in kilograms
b. Exact weight in kilograms to the nearest tenth
c. SDR for this child
d. Ordered dose
e. Evaluation and decision

Accepted Answer

The answer of Ordered: Midazolam 1 mg IV injection stat...

Question 6

Ordered: Doxorubicin HCl 18 mg daily for 3 days for a child with a neoplasm SDR: 30 mg per m² once each day for 3 days Child's body surface area (BSA): 0.6 m² a. SDR for this child b. Ordered dose c. Evaluation and decision

Accepted Answer

The answer of Ordered: Doxorubicin HCl 18 mg daily for...

Question 7

Ordered: Lidocaine HCL IV infusion 20 mcg per kg per min for a child with ventricular tachycardia who weighs 15 kg
SDR: 20 to 50 mcg per kg per min
Directions for dilution: Add 6 mg per kg of Lidocaine to a compatible solution to make a total of 100 mL.
Infusing when you arrive on duty: Lidocaine HCl IV at 20 mL per hr
a. SDR in mcg per min, mcg per hr, and mg per hr
b. Ordered flow rate in mg per hr
c. Evaluation and decision: Is the order safe?
d. Ordered flow rate in mL per hr (to the nearest whole number) using the concentration of 6 mg per kg in 100 mL of solution
e. Evaluation and decision regarding existing flow rate

Accepted Answer

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Question 8

Ordered: Augmentin oral suspension 0.1 gram qid po, for a 5 year-old child with tonsillitis who weighs 20 kg
SDR: 20 to 40 mg per kg per day in 4 divided doses  
a. SDR for this child
b. Evaluation and decision (state reason[s])
c. Estimate and calculate the dose if safe.

Accepted Answer

The answer of Ordered: Augmentin oral suspension 0.1 gram qid...

Quiz 12: Childrens Dosages

Ordered: Doxorubicin HCl 18 mg daily for 3 days for a child with a neoplasm SDR: 30 mg per m2 once each day for 3 days Child's body surface area (BSA): 0.6 m2 a. SDR for this child b. Ordered dose c. Evaluation and decision

Ordered: Augmentin oral suspension 0.1 gram qid po, for a 5 year-old child with tonsillitis who weighs 20 kg SDR: 20 to 40 mg per kg per day in 4 divided doses a. SDR for this child b. Evaluation and decision (state reason[s]) c. Estimate and calculate the dose if safe.

Ordered: Doxorubicin HCl 18 mg daily for 3 days for a child with a neoplasm SDR: 30 mg per m² once each day for 3 days Child's body surface area (BSA): 0.6 m² a. SDR for this child b. Ordered dose c. Evaluation and decision