63-274 Level 2 Lab Pediatric Calculation Practice QuestionsANSWERS

  1. Doctor’s order: Digitoxin elixir 0.048 mg po, qd for a 1-month-old infant weighing 9 pounds.

Recommended daily dose: 10 to 12 mcg/kg/day for a child under 2 years

Digitoxin elixir is available as 100 mcg / mL

a)Is the ordered individual dose safe?

Low: 10 mcg 9 lbs 1 kg 10 x 9 90 = 40.9 mcg/dose

kg/day 2.2 lbs 2.2 2.2

Recommended Weight Conversion

Dose

High: 12 mcg 9 lbs 1 kg 12 x 9 108 = 49.09 mcg/dose

kg/day 2.2 lbs 2.2 2.2

Recommended Weight Conversion

Dose

Doctor’s Order: 0.048 mg1000 mcg 1 day = 48 mcg = 48 mcg/dose

day 1 mg dose dose

Ordered Conversion

Dose

Compare:Recommended Ordered dose Recommended

Low dose High Dose

40.9 mcg 48 mcg 49.1 mcg

Answer: The ordered dose fits within the recommended range therefore it is safe.

b)Is the ordered daily dose safe?

Answer: There is only one dose per day thus the ordered daily dose is the same as the ordered individual dose and it is safe.

c)How many mL will you administer to this child?

0.048 mg 1 mL 1000 mcg 0.048 x 1000 48 = 0.48 mL

dose 100 mcg 1 mg 100 100 dose

Ordered Available Conversion

Dose Drug

Answer: I will administer 0.48 mL of digitoxin elixir to this child.

Reference: Modified from BostonReedCollege,Pharmacy Technician Training Program. Practice Problems - Dosage Calculations. Retrieved January 29, 2007 from: Jan07

2. Doctor’s order: Versed 1 mg IM stat preoperatively for a child weighing 30.8 pounds. Therecommended dosage of Versed is 0.05 to 0.1 mg/kg per dose preoperatively.

Versed is available in 10 mg per mL vials.

a)Is the ordered individual dose safe?

Low: 0.05 mg 30.8 lbs 1 kg 0.05 x 30.8 1.54 = 0.7 mg/dose

kg/dose 2.2 lbs 2.2 2.2

Recommended Weight Conversion

Dose

High: 0.1 mg 30.8 lbs 1 kg 0.1 x 30.8 3.08 = 1.4mg/dose

kg/dose 2.2 lbs 2.2 2.2

Recommended Weight Conversion

Dose

Compare: Recommended Ordered dose Recommended

Low dose High Dose

0.7 mg 1 mg 1.4 mg

Answer: The ordered dose fits within the recommended range therefore it is safe.

b)Is the ordered daily dose safe?

Answer: There is only one dose per day thus the ordered daily dose is the same as the ordered individual dose and it is safe.

c)How many mL will you administer to this child?

1 mg 1 mL 1 = 0.1 mL / dose

dose 10 mg 10

Ordered Available

Dose Drug

Answer: I will administer 0.1 mL of versed to this child.

Reference: Modified from BostonReedCollege,Pharmacy Technician Training Program. Practice Problems - Dosage Calculations. Retrieved January 29, 2007 from: Jan07

3. Doctor’s order: Fentanyl 0.025 mg IV preoperatively for a child weighing 26 pounds. The recommended dosage of fentanyl IV preoperatively is 1 to 2 mcg/kg/dose.

Fentanyl is available as 0.05 mg/mL.

d)Is the ordered individual dose safe?

Low: 1 mcg 26 lbs 1 kg 26 = 11.8 mcg/dose

kg/dose 2.2 lbs 2.2

Recommended Weight Conversion

Dose

High: 2 mcg 26 lbs 1 kg 2 x 26 52 = 23.6 mcg/dose

kg/dose 2.2 lbs 2.2 2.2

Recommended Weight Conversion

Dose

Doctor’s Order: 0.025 mg1000 mcg 1 day 0.025 x 1000 = 25 mcg/dose

dose 1 mg dose

Ordered Conversion

Dose

Compare: Recommended Recommended Ordered

Low dose High Dose Dose

11.8 mcg 23.6 mcg 25 mcg

Answer: The ordered dose does not fit within the recommended range therefore it

Isnotsafe.

e)Is the ordered daily dose safe?

Answer: There is only one dose per day thus the ordered daily dose is the same as the ordered individual dose and it is notsafe.

f)How many mL will you administer to this child?

Answer: Zero. I will clarify this dose of fentanylwith the doctor.

Reference: Modified from BostonReedCollege,Pharmacy Technician Training Program. Practice Problems - Dosage Calculations. Retrieved January 29, 2007 from: Jan07

4. Doctor’s order: Codeine 20 mg p.o. q3h p.r.n., painfor a child who weighs 88 pounds.

Recommended daily dose: 0.5 mg/kg/dose, not to exceed 6 doses per day.

Codeine liquid is available as 15 mg/mL.

a)Is the ordered individual dose safe?

Recommended: 0.5 mg 88 lbs 1 kg 0.5 x 88 44 = 20 mg/dose

kg/dose 2.2 lbs 2.2 2.2

Recommended Weight Conversion

Dose

Compare:Recommended Ordered

Dose Dose

20 mg 20 mg

Answer: The ordered dose is the same as the recommended individual dose, therefore it is safe.

b)Is the ordered daily dose safe?

24 hours 1 dose 24 = 8 doses

day q3h 3

Answer: The number of doses per day exceeds the recommended, thus it is not a safe daily dose.

c)How many mL will you administer to this child?

Answer: Zero, until I clarify the frequency of administration of this dose with the

doctor.

d) If the ordered frequency is every 4 hours, how many mL will you

administer?

20 mg 1 mL 20 4 = 1.3 mL

dose 15 mg 153

Ordered Available

Dose Drug

Answer: If the child has pain, I will administer 1.3mL of codeine.

Reference: Modified from BostonReedCollege,Pharmacy Technician Training Program. Practice Problems - Dosage Calculations. Retrieved January 29, 2007 from: BMcLaughlin Jan07