Question

i need help with 3,6 & 9. for #6 the strength of the drug is 250mg/cap.

Dosages Case Study 12.1 Read the Case Study and answer the questions. Answers can be found in Appendix A. An 8-year-old boy is admitted to the hospital with a diagnosis of sickle cell crisis and pneumonia. He complains of pain in his legs and abdomen, wheez- ing, and pain in his chest. He has a history of asthma and epilepsy and is allergic to peanuts, tomatoes, and aspirin. He is 40 inches tall and weighs 55 pounds. Vital signs are T 102°F; B/P 90/66; P 112; R 30. Chest X-ray confirms right upper-lobe pneumonia, and the throat culture is positive for Group A strep- His orders include the following: methylprednisolone 1 mg/kg IM now, then 1 mg/kg PO daily in the A.M. • Flovent HFA (fluticasone propionate) inhala- tion aerosol 2 puffs B.I.D. Folic Acid 1 mg PO daily Depakene (valproic acid) 30 mg/kg PO b.i.d. • Tylenol (acetaminophen) 12 mg/kg PO q4h prn temp over 101°F • montelukast 5 mg PO qhs • albuterol 2 mg PO T.I.D. tococcus. • Bed Rest • Diet as tolerated, encourage PO fluids • IV D5 NS @ 110 mL/h • morphine sulfate 0.025 mg/kg/h IV / penicillin G 100,000 units/kg/day divided q6h, infuse via pump in 100 mL D5W, over 1 hour Figure 12.11 to answer the Use the labels in . following questions: 1. Calculate the child's 24-hour fluid requirement. add you 2. How many milliliters of diluent will to the Pfizerpen vial to obtain a strength of: Singulair 4 mg De t acept seal over bue pening an miing Deia U ige latant cominer (Mentelkast Sedun) DEWABLE TALETS for Peatre Pets ars of Age NDC 0074-6114-13 100 Sprinkle Capsules NDC 0006-071154 MEROLECOLMC వి

Answer 1

3.Given

Medication:Penicillin G

Order:100,000 units/kg/day (that is 1kg=100,000)

The child weighs 55lbs =24.9 kg or 25kg on rounding off (0.454×55)

So when 1kg=100,000units

Then 25kg=??units

Cross multiply and divide

=100,000×25÷1

=2,500,000 units /day

Frequency:6 hourly (4 times a day )

So 1 dose= 2,500,000÷4

=625,000 units/dose

Time:1 hour

Total volume:100ml

Drop factor:15 gtt/min (standard rate)

Flow rate =Total volume ×drop factor ÷Time (hr)×60

=100×15÷1×60

=100÷4

=25gtt/min

Ans:The infusion has to be set a patient 25gtt/min

6.Given

Medication:Valproic acid

Available:250mg/capsule

Order:30mg/kg

So for a weight of 25kg =??mg

Cross multiply and divide

=30×25÷1

=750mg

So it 750mg per oral twice a day

Route:Oral

Frequency:Twice a day

As 1 capsule =250mg

Therefore 750mg=3(750÷250)

Ans:3 capsules per dose and total 6 capsules in two divided doses

9.Given

Medication:Tylenol

Available:160mg/5ml

Order :12mg/kg

So 25 kg=300mg(12×25)

When 160mg=5 ml

Then 300mg=??ml

Cross multiply and divide

=300×5÷160

=1500÷160

=9.3 ml

Ans:Tge child will receive a dose of 9.3 ml per dose