Pediatric Practice Problems 2 Name ____________________ Number _____________

UNRS 314

1. Order: Give drug IV piggyback for a child weighing 66 lbs at a dosage of 50 mg/kg/day in divided doses q 6 h.
How many mg would each dose contain? ________375 mg____

2. Order: Tetracycline elixir qid for child weighing 50 lbs at a dosage of 8mg/kg/day in equally divided doses.
a. How many mg would one dose contain? _____90.92 or 91 mg_______
b. Tetracycline is supplied at 50 mg / 7 mL. How many mL should be administered? __12.7 mL

2. Order: Quinidine for an adult patient weighing 110 lbs at a dosage of 25 mg / kg / day q 6h.
a. How many mg in a dose? ___312.5 or 313 mg / dose
b. Quinidine is supplied as 300 mg tablets. How many tablets will you give? _1 tablet

3. Order: Ampicillin IVPB for a child weighing 55 lbs at a dosage of 20 mg / kg / day in 4 equally provided doses.
a. How many mg per dose? __125 mg
b. Ampicillin is supplied as 250 mg in 1.5 mL. Give ___0.75 mL.

4. Order: Pronestyl orally for a patient who weighs 198 lb. at a dose of 25 mg / kg / day given at 6 hour intervals.
a. Give ___562.5 or 562 mg.

5. Order: Garamycin 35 mg IV q 6h for a child weighing 42 lb.

a. The recommended dose is 6 – 7.5 mg / kg / day in equally divided doses.
b. Is the order in the safe range? ______yes
c. Garamycin is supplied as 80 mg / mL. Give __0.44 mL.

6. Order: Tylenol suspension ½ tsp po q4h prn for fever for a child weighing 32 lb.
a. Tylenol is supplied as 325 mg / 10 mL
b. Recommended dose is 25 – 35 mg / kg / day q4h prn
c. How many mg of Tylenol in a ½ teaspoon? ___2.5 mL
d. Is this a safe dose? _____yes

7. Order: Gantrisin 1 g q 4 h po. The patient weighs 198 lb.

a. The recommended dose is 40 – 50 mg / kg / day
b. Is the order a safe dose? ____no to high

8. Order: Erythromycin 300 mg po q6h for a 75 lb patient.

a. Safe range is 30 – 50 mg/kg/day.
b. Is the order a safe dose? _____yes

9. Order: Theophylline loading dose 200 mg po for a 66 lb child.

a. Drug handbook states “po loading dose should not exceed 5 mg / kg”.
b. Is the order a safe dose? _____no to high

10. Order: Cefadyl qid IM for a child who weighs 32 lb.

a. The drug book recommends Cefadyl 40 mg/kg/day in divided doses
b. Give ____144 mg per dose.
c. Cefadyl is provided as 250 mg / 2.5 ml
d. How many mL would you give? ___1.44 or 1.4 mL

11. Order: Ceclor 20 mg/kg/day for an infant who weighs 12 lb 3 oz in divided doses q8hours.
a. Give _____37_____ mg per dose.
b. Ceclor is provided as 100 mg / 2 mL.
c. How many mL would you give? _______0.74 mL _______

12. The suggested dose or erythromycin is 40 mg /kg/day q6h

 a. A neonate weighing 3000 g would receive ____30 mg/dose____
b. Erythromycin is provided as 10 mg / mL
c. How many mL would you give? ______3 mL______

13. Order: Claforan IV q8h for a child weighing 8 kg.

a. The drug guide recommends Claforan 100 mg / kg/ day as a safe dose..
b. Give _____266 mg / dose____ mg per dose.
c. Claforan is provided as 250 mg / 5 mL
d. How many mL would you give? ____5.32 mL or 5.3 mL_____

14. Order: Cefadyl 5 mg qid IM for a child weighing 44 lb.

a. The drug book recommends 1-3 mg / kg/ day.
b. Is this order safe? ______to low___________

15. Order Ancef 200 mg IV q 4h for a child weighing 22 lbs.

a. The recommended dose is 80 – 160 mg / kg / day
b. Is the dose safe? __ yes _______
c. Ancef is provided as 1 g in 10 mL
d. How many mL would you draw up? ______ 2 mL ______
e. You are to add the Ancef to 10 mL of IV fluid and infuse over ½ hour.
f. How fast would you set the IVAC at? _________60 mL / hr _____

16. Order: Gentamicin 8 mg / kg /day q6h for a child weighing 72 lb.

a. Give ____65 mg/ dose ______ mg per dose.
b. Gentamicin is provided as 80 mg / 2 mL.
c. How many mL would you draw up/ ______1.62 or 1.6 mL _______
d. The Gentamicin is to be added to 15 mL of IV fluid and infused over 60 minutes.
e. How fast would you set the IVAC? _______35 mL per hour________________

17. Synthroid is ordered 175 mcg po every morning for an 8-year old weighing 29.5 kg.
a. Drug book states po dose is 4-5 mcg / kg / day
b. Is this dose safe? __________no to high _______

18. Order: Neupogen 5 mcg/kg/day IV once daily.

a. Patient weighs 73 kg
b. Give ______365 mcg _______ mcg.
c. Neupogen is provided as 300 mcg / 1 mL
d. How many mL would you give? ____1.2 mL________.

19. Order: Tylenol 1 grain per year.

a. You are instructing a mother on how much Tylenol give to her 5 year old child.
b. How many mg would you instruct her to give? _______5 grains or 300 mg________
c. Tylenol is provided as 160 mg / 5 mL
d. How many mL would you instruct her to draw up? _____9.4 mL ______

20. Order: Tylenol 0 – 3 months 80 mg per dose

a. You are instructing a mother of a 3 month old infant to give Tylenol.
b. Tylenol is provided as 100 mg / 0.8 mL
c. How many mL would you instruct her to give? _______0.64 or 0.6 mL___________

21. Child weighs 62 pounds. Calculate 24 hour fluid needs

1663 mL / day or 69 or 70 mL / hour

22. Child weighs 9 lb 5 oz. Calculate 24 hour fluid needs

4.23 kg x 100 = 423 mL / day or 17.6 or 18 mL / hr
 23. Child weighs 75 pounds. Calculate 24 hour fluid needs
1781 / day or 74 mL / hour

24. A child is receiving IV fluids at 120 ml / hr.

a. Physician order is for replacement for NG drainage mL / mL over 4 hours

b. The output at 0800 is 145 mL
c. How fast would you run the IV over the next 4 hours? ______145 mL over 4 hours___________

PLEASE SHOW YOUR WORK