PRACTICE MATH/MED TEST

PEDIATRICS

1) Jordyn is a 15 Kg 2 ½ yr old with a fever and is ordered to receive Acetominophen 200 mg po Q 4 hr for a fever >101. The SDR for Acetominophen is 10-15 mg/Kg/dose Q 4hrs. Calculate the SDR for this child.

2) The Acetominophen you are going to give to Jordyn comes in multiple forms. The liquid form concentration is 160mg/5ml. How many ml’s will you prepare to deliver the correct dose of 200mg?

3) For discharge instructions, convert the dose in #2 from ml’s to teaspoons.

4) Benjamin is a 4 yr old with asthma who needs an Albuterol Neb. For wheezing, bronchospasm and an O2 sat of 88%. The physician has ordered Albuterol 2.5 mg via neb Q 4 hrs. The concentration of the Albuterol is 5.0 mg/1 ml. How many ml.’s will Benjamin receive?

5) George is a 35 Kg 8 yr old who is ordered to receive Ancef 1 Gram IV Q 8hrs. The SDR for Ancef is 50-100mg/Kg/day. Determine the SDR for George.

6) Is George’s dose of Ancef within SDR?

7) What is your nursing action?

8) Mary is a 40 Kg 10yr old receiving D5 ½ with 20 mEq KCL @ 60 ml/hr. Determine the rate for the IV pump in ml/hr using a pediatric microdripper.

9) Kara is a 12yr old who is ordered to receive Percocet i tab po Q 4-6hr for post-op pain. Kara weighs 45 Kg. [Children weighing < 50 Kg are considered within the pediatric safe dose range. Over 50Kg is considered adult dosing.] Since Percocet is a combination drug containing Oxycodone 5 mg and Acetominophen 325mg, you have to compute the SDR for both:

Oxycodone SDR for children = 0.05-0.15 mg/kg/dose

Acetominophen SDR for children = 10-15 mg/kg/dose

10) Are both the Oxycodone and the Acetominophen within SDR?

11) What is your nursing action?

12) Will is a 30Kg 6yr old who is ordered to receive Gentamicin 80 mg IV Q 8hr. Using your PDA, determine the SDR for Gentamicin for this child. Calculate the SDR for Will.

13) Gentamicin comes in a concentration of 80mg/30 ml. How many ml’s will you give Will?

14) Using your PDA, determine what length of time you will run this dose of Gentamicin.

15). Determine the rate at which you will run the pump (microdripper).