Exam 7 pharm
A 5-year-old with leukemia is prescribed vincristine 1.5 mg/m2 . His BSA is 0.6 m2 . The medication is supplied as 1 mg/mL. How many mL are needed to supply this dose?
0.9 ml
Order for a 12-year old child based on the usual adult dose of 100mg. The medication is available in 10, 25 and 50mg tables. What is the approximate dose the child should receive?
1 of the 50mg tablet
Order is for a child who is 40" tall and weighs 66lb. The normal adult dose is 100mg tid. The medication is available 20mg/5ml. How many mg should the child's dose be? What is the approximate volume the child should receive?
11 mL
Order for a 90lb child based on the usual adult dose of 500mg. Supply is 100mg/5ml. What volume of medication is to be given to the child per dose?
12 mL
Order is for a 45-lb child based on the usual adult dose of 450mg. Stock solution is 25mg/ml. What is the child's dose in mg? What is the child's dose in ml? How many ml is needed for 1 full day?
120mg/6ml/36ml/6 oz
The physician orders phenobarbital elixir 60 mg PO two times a day (BID). The pharmacy fills the prescription with phenobarbital elixir 20 mg/5mL. The nurse should administer how many mL per dose?
15 ml
Child weighs 50 pounds. The usual adult dose is 65mg q8h. Stock solution is 12.5mg/5ml. How many mg should the child be given per dose? What is the volume of medication for each dose? How many mg will the child receive in one day?
15mg per dose/6ml in each dose/45mg in one day
Recommended dose is 10mg/kg IV qd X4d for a 150# man. Stock solution is 50mg/ml in 10ml vials. How many ml will the patient need per dose?
19.6 ml
A physician orders GARAMYCIN 4 mg/kg/day divided into three 50 mL piggybacks to be administered q8h to a 150-pound adult. The stock strength available is GENTAMICIN 40 mg/mL in 20-mL multi-dose vials. How many mL should be added to each piggyback?
2.2 ml
Recommended dose is 3mcg/kg/day. Patient weighs 80lb. Stock solution is 50mcg/ml. How many ml should be administered per dose?
2.5 ml
A 36-pound child prescribed Tegretol (carbamazepine) 15 mg/kg/day, taken in four doses. Tegretol Suspension is 20 mg/mL. What is the volume of one dose of medication?
2.9 ml
Order is for a 50lb child based on the usual adult dose of 1500mg daily, given tid in equally divided doses. The medication is available in 250mg/5ml. What volume of medication should the child receive per dose?
3.2 ml
Order: meperidine 1.5mg/kg diluted in 120ml of water po every four hours for a 60lb child. Stock solution is 10mg/ml. What volume of medication should be added to 120ml of water per dose?
3.3 ml
An adult weighs 164 lb and is 59 tall with a BSA of 1.9 m2 . The physician ordered Oncovin 2 mg/m2 for chemotherapy treatment of a malignant tumor. Oncovin is supplied as 1 mg/mL. What volume should the patient receive per dose?
3.8 mL
Order: 50mg/kg/day in four equally divided doses. Child weighs 25 pounds. Stock solution is 125/m5ml. How many ml are required per dose?
5 ml
Recommended dose is 5mg/kg for a 77lb patient. Stock solution is 100mg/ml. What volume should be administered per dose?
5 ml
An oncologist prescribes doxorubicin 45 mg/m2 IV every 40 days. How many mL need to be withdrawn from a 100 mL multi-dose vial with a reconstituted strength of 2 mg/mL for a female with a BSA of 1.8 m2 ?
54 ml
Order: Tylenol suspension—15mg/kg for a child weighing 40lb. Supply: Tylenol 160mg/5ml. How many ml will you need for one dose?
6.4 mL
Order: 20mg/kg qid X 5d for a 30lb child. Stock solution is 40mg/ml. How many ml are needed per dose?
6.8 ml
Doctor order a drug for a child who weighs 50lb. The usual adult dose is 100mg. Your supply is 20mg/5ml. How many ml will be given per dose?
7.7 mL
A physician orders medication for a child weighing 45lb and is 30" tall based on the usual adult dose of 250mg qid. How many mg should the child receive per dose?
75 mg
A physician wrote an order for an 8 month old infant. The adult dose is 200mg bid. The stock solution is ranitidine 15mg/ml. How many mg should the infant receive?
8 mg
Recommended dose is 0.1mg/kg q6-8h prn. The child weighs 100lb. Stock solution is 5mg/ml. What volume of medication should the child receive per dose?
8.6 ml
A 79 lb child has a prescription for azithromycin oral suspension 10 mg/kg/day for the first day and then 5 mg/kg/day for 4 subsequent days.
9ml the 1st day/4.5ml every day after the 1st day/27ml over 5 days
______________ is a method of estimating a child's dose from an adult dose using weight in pounds.
Clark's rule
What method of estimating a child's dose if all you are given is the child's age and the adult dose?
Young's Rule
Which formula would you use to calculate the dose for a 12-year old child who needed to be dosed based on a typical adult dose?
Young's rule
A _____________ is used to calculate BSA
nomogram
Body surface area is calculated from ___________ and __________ and is expressed in square meters.
weight and height