Quiz 5, p 2 . Ordered: Cefaclor 0.4g po q12h, for a child with otitis media. Ava
ID: 94268 • Letter: Q
Question
Quiz 5, p 2 . Ordered: Cefaclor 0.4g po q12h, for a child with otitis media. Available: CECLOR Label reads: Usual dose-Children: 20 mg/kg a day (40 mg per kg in otitis media) in 2 divided doses. Directions for mixing: add 31 mL of water in 2 portions in the dry mixture in the bottle. Shake well. Each 5 mL (t) will then contain Cefaclor 187 mg Child's weight: 66 lbs. a. Estimated weight in kilograms:L Child's weight in kilograms to the nearest hundredth:- arest hundredth: 30 b. in2 dwdd doiet c. SD for child with otitis media (refer to label reads, see above): d. SD (individual or divided) for this child of this weight e. Decision: subtherapeutic, safe or unsafe order? (Circle one). f. Calculate the highest milliliter volume the nurse could prepare for a safe dose? DA equation: 6. A child whose BSA is 0.9 m2 has orders for mercaptopurine 63 mg IV. The recommended dose is70//day. a) b) DA equation: Bodly Surtac fArea In2 What does the acronym BSA mean? What is the recommended daily dose for this child? 70ma c.) Is the ordered dose subtherapeutic, safe, or unsafe? (Circle one).Explanation / Answer
5.a)The given weight of the child is 66lbs. Therefore, the weight in kg is, 66* 0.453= 29.9kg, is the estimated weight.
b)Rounding off to the nearest hundredth it is 30kg.
c)As seen from the label it is clear that the SD for otitis media is 40mg per kg of the patients body weight.Which is divided into two doses i.e. 20 mg/kg twice a day.
d)So the SD for this child is= 20mg/kg*30kg=600 mg, to be taken twice a day.
e) The drug is safe to order only if 31ml/ 2=15.5 ml is added to each part and 5ml is consumed conatining 187 mg of the drug.
f) However the ordered dosage is 0.4 g for 12 h but the required dosage per day is 0.04. Thus it is unsafe.
6.a) BSA is an Acronym for Body Surface Area, it is measured in m^2.
b)The recommended daily dose is 70 mg/m^2/day.
Therefore, for the child the daily dose should be
70*BSA= 70*0.9= 63 mg/day.
c)The ordered dosage is same as the recommended dosage, hence it is safe.
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