PEDIATRIC MEDICATION TEST Please answer all the questions. Round off where appropriate.

Be prepared to hand in on lab orientation day. . 1. 2. 3. 4. 5. A physicians order reads Nafcillin 120 mg IVSS (label 50mg/0.5mL). How much will you give? Five minutes after the initiation of a blood transfusion, your patient demonstrates an abnormally high temperature of 38.8 C (102 F). What would be your initial response? Physicians order reads Phenobarbital Elixir 35 mg PO. Label states 20mg/5mL. How much will you give? Physicians order reads add 8mEg NaCl to liter IV fluid. NaCl label states 2.5 mEq/mL. How many mLs of NaCl will you add to a 500 mL bottle? Your physicians order reads Gentamicin 30 mg IVSS every 8 hours. The Gentamicin dosages are 37.5mg/kg/day. The patient weighs 10 kg. How many mg/kg/day is the child receiving? Is the dose appropriate for this patient? Physicians order reads Lasix 22 mg IVSS. Label states 20mg/2mL. How much will you give? Physicians order reads Morphine Sulfate 1.2mg I.V. Label states 1mg/mL. How much will you give? The morphine sulfate IV dosage is 0.1 - 0.2mg/kg/dose. The patient weighs 8 kg. How many mg/kg/dose is the child receiving? Is the dose appropriate for this patient? Physicians order reads Lanoxin 0.09 mg p.o. Label reads 0.05mg/mL. How much will you give? Child is receiving maintenance fluid of 63 mL/hour. How much fluid is the child receiving in a 24 hour period? Physicians order reads Tylenol Elixir 80 mg p.o. Label states 120mg/5mL. How many mL will you give? A one-month-old needs 1.8 mL of Phenobarbital p.o. What would be the most appropriate method of delivery? a. b. c. d. 12. 13. 14. 15. by spoon mixed in formula by syringe medicine cup

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Physicians order states give Amoxil 175 mg p.o. every 8 hours. Label states 125mg/5mL. How much will you give per dose? Order reads Cephalexin 600 mg IVSS q 8 hours. The usual dose is 75-125 mg/kg/day. The patient weighs 17 kg. How many mg/kg/day is the child receiving? Is this dose appropriate? Physicians order reads Prednisone 22.5mg. p.o. You have 5 mg tablets are available. How many tablets will you give? Oral Lasix is ordered on a 6-year-old boy who weighs 23 kg. The order is for 100mg BID. The drug book states that the acceptable range is up to 1 6 mg/kg/day. Is this within the acceptable range?

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Order reads Ranitidine 50mg IVSS q 6 hours. Ranitidine dosage is 3 6 mg/kg/day. The patient weighs 21kg. How many mg/kg/day is the child receiving? Is this the correct dose for this patient? Physicians order reads Ampicillin 275 mg IVSS q 8. Your patient is a 4-year-old female who weighs 19 kg. You look up the dosage range in your drug book and it states that IM/IV range is 25-100 mg/kg/day divided q 8 hr. Is this within the acceptable range? Physicians order reads Acetaminophen with Codeine Elixir 3.75 ml q 4 hours. Your patient is 8 months old and weighs 9 kg. How many mg per kg per dose of codeine is your patient receiving? Acetaminophen with codeine elixir is supplied: 120mg of acetaminophen and 12 mg of codeine per 5 mL. Your patient is 4-months-old and weighs 4.75 kg. You are to give Fer-in-sol drops 0.35mL q 8 hours. The drops are supplied as 25mg/mL of elemental iron. How many mg/kg/day of elemental iron is your patient receiving?

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Note: Students who experience difficulties calculating pediatric dosages, IV rates, and dilution factors will need to quickly remediate their math problems. Your clinical instructor will work with you. Because of the serious consequences associated with medication errors in pediatrics, the ability to accurately calculate medications is a critical math skill that must be mastered by all students.