© 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! 2. Her mom requests some acetaminophen to bring the fever down and help with pain. The nurse's quick guide to I.V. Care must be taken to properly convert body weight from pounds to kilograms (1 kg= 2.2 lb) before calculating doses based on body weight. The first method of computing dosages uses the child’s weight. Drug Calculations for Nurses A Step by Step Approach, 3rd Edition Robert Lapham Heather Agar Any dose that is prescribed between these two numbers would be considered therapeutic and safe. (Cheat Sheet), 01.01 12 Points to Answering Pharmacology Questions, 01.02 54 Common Medication Prefixes and Suffixes, 01.03 Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin), 01.05 6 Rights of Medication Administration, 02.02 Dimensional Analysis (dosage calculations/med math), 02.06 Complex Calculations (dosage calculations/med math), 02.08 Interactive Practice Drip Calculations, 05.01 ACLS (Advanced cardiac life support) Drugs, 09.05 Insulin – Rapid Acting (Novolog, Humalog), 09.07 Insulin – Intermediate Acting (NPH), 11.01 Renin Angiotensin Aldosterone System, 11.02 Sympatholytics (Alpha & Beta Blockers), 11.06 ACE (angiotensin-converting enzyme) Inhibitors, 12.23 Anti-Infective – Penicillins and Cephalosporins, 12.30 Trimethoprim-Sulfamethoxazole (Bactrim), 14.03 Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists), 14.07 Parasympathomimetics (Cholinergics), 14.09 Parasympatholytics (Anticholinergics), 16.01 Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix), 17.02 Bismuth Subsalicylate (Pepto-Bismol), 19.01 HMG-CoA Reductase Inhibitors (Statins), 23.04 Meds for Postpartum Hemorrhage (PPH), 23.11 Phytonadione (Vitamin K) for Newborn, 24.06 Hydrocodone-Acetaminophen (Vicodin, Lortab), 26.02 Betamethasone and Dexamethasone in Pregnancy, 29.01 ACLS (Advanced cardiac life support) Drugs, 29.14 Sympatholytics (Alpha & Beta Blockers), 30.05 Plant Alkaloids Topoisomerase and Mitotic Inhibitors. She weighs 15 kg. The second formula used to calculate dosages is the body surface area (BSA) method. pediatric dosage calculations scribd. Answers at the end of study guide. For more information, visit www.nursing.com/cornell. 1. Marianne Belleza, R.N. This will help you to solve those issues. What principle are they based on? • Remember that a formula often used for working out how many tablets to take or for a drug taken This nursing test bank set includes 100+ questions broken down into four parts. Maths, statistics, physics & chemistry. You will be able to work on some examples and practice questions as you go too so be prepared for an interactive session and a chance to perfect your math skills. – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 5da67c-YjAwN The high safe dose range of this medication for the child who weighs 20 kg is 600mg. That Time I Dropped Out of Nursing School. Marianne is a staff nurse during the day and a Nurseslabs writer at night. Follow these four steps to easily calculate your patient's accurate drug dosage. While waiting for these test results the baby will be admitted and given IV antibiotics. The usual adult doe of the medication is 500mg. Often drug guides will give a range for what is considered safe. What’s beyond them? We even walk you through how to conquer the often intimidating med math and drug calculations! Review: Spend at least ten minutes every week reviewing all your previous notes. The bottle states dopamine 80… How can I apply them? Our 2nd scenario is A 10 year old boy called Jakob, who weighs 35 kg, has come to the ER with a wheeze. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! Pediatric Dosage Calculations. t.i.d. She is prescribed 225 mg of acetaminophen q 6 hours PRN pain/fever. The low safe dose range of this medication for the child who weighs 20kg is 200mg. Many nursing students panic in their drug calculation exams. 5 Steps to Writing a (kick ass) Nursing Care Plan, Dear Other Guys, Stop Scamming Nursing Students, The S.O.C.K. drug calculations; Let's talk about growth and development, baby! Exam Practice Questions - Set 1; Exam Practice Questions - Set 2 Sample Problems for Pediatric Dose Calculation Based on Weight and BSA 4. MedMath Mind Map Recite: Cover the note-taking column with a sheet of paper. Marianne is also a mom of a toddler going through the terrible twos and her free time is spent on reading books! How many ml’s would you give if Jakob was prescribed 70 mg. Now, let’s look at scenario 3. Log in to leave feedback . She has already started her antibiotics, but she is still fevering. Paediatric medications can be complex and full of a number of calculations just for one medication! Weight based calculations (pediatric dosage calculations) explained in this section. In this section are the practice problems and questions for drug dosage calculations. Safe dose = 1-2 mg/kg/day given once daily or divided q12 hours. Client safety is paramount. Safe nursing practice is always your number one priority. Anna weighs 8 lbs 4 ounces, There are 16 ounces in a pound so 4 ounces equals .25 of an pound, Safe dose = 100 mg/kg/day given once daily or every 12 hours, Safe dose = 25-200mg/kg/day given every 6 hours, 94 mg/4 doses = 23.5 round up to 24 mg/dose, 750 mg/4 doses = 187.5 round up to 188 mg/dose. The main thing to remember when giving any kind of medication to a child is that we have to take into account the age and the size of the child. If you do, you’ll retain a great deal for current use, as well as, for the exam. The pharmacy provides acetaminophen oral suspension 160 mg/5 ml. Determine body surface area (BSA) using the West… Body Surface Area is the most accurate way to calculate meds and it is usually used when prescribing chemotherapy. Example: Dopamine is infusing. At NURSING.com, we believe Black Lives Matter ✊, No Human Is Illegal , Love Is Love ️, Women's Rights Are Human Rights , Science Is Real , Water Is Life , Injustice Anywhere Is A Threat To Justice Everywhere ☮️. Hey guys, in this lesson we are going to briefly talk about how to calculate pediatric medication dosages and then I’ve made some scenarios for you to practice with. A lot of pediatric medications are provided in liquids/supsensions, This means there’s an extra step to calculate how much of the liquid/suspension to give, A 1 month old baby, named Anna, has been admited to hospital with a high fever, lethargy and poor feeding. Are you looking towards or preparing for becoming a medical assistant or nurse? It will test your knowledge on how to convert ounces to milliliters, teaspoons to milliliters using the pharmacy dispensed dose. Patient Positioning: Complete Guide for Nurses, Registered Nurse Career Guide: How to Become a Registered Nurse (RN), NCLEX Questions Nursing Test Bank and Review, Nursing Care Plans (NCP): Ultimate Guide and Database, Nursing Diagnosis Guide: All You Need to Know to Master Diagnosing. Pediatric Dosage Calculations Pediatric Dosage Calculations Most drugs in children are dosed according to body weight (mg/kg) or body surface area (BSA) (mg/m2). Convert body weight from pounds to kilograms 2. You may see other units like grams or units but the math you need to be able to do will be the same just with different units! Many nurses are weak with drug calculations of all sorts. She has been prescribed Ceftriaxone and Ampicillin. After computing the dosage, the nurse should: Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. Her mom requests some acetaminophen to bring the fever down and help with pain. Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences. Determine whether a dosage is safe 5. Level of Cognitive Ability: Analyzing; Applying Client Need: Physiological Integrity Integrated Process: Nursing Process—Implementation Content Area: Fundamentals of Care—Medications/IV Calculations Outlines Introduction Metric Conversions MG/KG Dose Conversion Flow Infusion Rates 3. Nursing competence in drug calculations has been a cause for concern (Duffin, 2000; Coombes, 2000). While waiting for these test results the baby will be admitted and given IV antibiotics. We are going to look at how we calculate doses, some basic rules to follow and then look at the practice scenarios. She is a registered nurse since 2015 and is currently working in a regional tertiary hospital and is finishing her Master's in Nursing this June. The point where the lines cross the column labeled SA (surface area) is the BSA expressed in square meters (m2). Go out and be your best self today! The pharmacy provides Prednisoline oral suspension 25mg/5 ml. Find out what's in your I.V. Care must be taken to properly convert body weig ht from pounds to kilograms (1 kg= 2.2 lb) before calculating doses based on body weight. mg/kg/dose; A lot of pediatric medications are provided in liquids/supsensions This means there’s an extra step to calculate how much of the liquid/suspension to give; Nursing Points General Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Caring for children who are ill challenges every nurse to function at the highest level of professional competence. Although most facilities have pharmacy calculate and deliver unit dose medications, and have IV pumps to calculate IV rates, the nurse remains responsible for the delivery of the correct dose of medications and IVs. Don’t get nervous about this — the calculations are very straight forward. Know the patient's weight in kg if your calculation is weight based. Giving medication is one of the most important nursing responsibilities. How many mL would the nurse administer per dose? CHAPTER 25 Pediatric and Adult Dosage Calculation Based on Weight Objectives After reviewing this chapter, you should be able to: 1. We are going to focus on mg/kg dosing here because it’s most common. She weighs 15 kg. Lecture Tutorial on Safe Dosage Calculations For example, for a child weighing 42 pounds, the conversion is set up as follows: = The fractions are then cross-multiplied: 2.2 lb x Xkg= 1 kg x 42 lb; the problem is solved for X. Divide each side by 2.2 and cancel the units that are in both the numerator and the denominator; = X= X= 19 kg. What is her weight in kilograms? Another variable to consider for children that doesn’t come up as often with adults is giving liquids and suspensions. She has already started her antibiotics, but she is still fevering. The Pharmacology Course is a one-stop-shop for all things medication related! As an outpatient department nurse, she is a seasoned nurse in providing health teachings to her patients making her also an excellent study guide writer for student nurses.
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