Appendix G. Pediatric Dosage Calculations

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Questions

Question 1

What are the two primary methods for dosing most drugs in children as described in the appendix?

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Question 2

What conversion factor is provided for converting body weight from pounds to kilograms?

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Question 3

Why does the appendix state that a drug order written as 'mg/kg/d' requires clarification?

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Question 4

According to the appendix, why are medication orders written in 'mL' rather than 'mg' not acceptable for pediatric dosing?

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Question 5

What dosing method is commonly used for chemotherapeutic drugs in children?

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Question 6

Based on Example 1, calculate the final dose in mL for a 1-year-old child weighing 22 lb who needs amoxicillin for otitis media. The required dose is 40 mg/kg/day divided BID, and the suspension concentration is 400 mg/5 mL.

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Question 7

For a 5-year-old weighing 18 kg who requires ceftriaxone for meningitis at 100 mg/kg/day, what is the total daily dose in mg?

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Question 8

Based on Example 2, calculate the final volume in mL of ceftriaxone to be given to a 5-year-old weighing 18 kg. The dose required is 100 mg/kg/day given once daily, and the drug concentration is 40 mg/mL.

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Question 9

For a 4-year-old child with leukemia weighing 37 lb and measuring 97 cm tall, what is the first step in calculating a dose of vincristine based on body surface area (BSA)?

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Question 10

Using the data from Example 3 (weight 16.8 kg, height 97 cm), what is the calculated Body Surface Area (BSA)?

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Question 11

A child with a BSA of 0.67 m² requires vincristine at a dose of 2 mg/m². What is the total dose in milligrams?

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Question 12

A dose of 1.34 mg of vincristine is required for a child. If the drug is supplied in a 1 mg/mL concentration, what volume should be administered?

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Question 13

A child weighs 44 lbs. What is the child's weight in kilograms (kg)?

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Question 14

What is the primary reason that diagnostic information is helpful when calculating pediatric drug doses?

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Question 15

A child needs 150 mg of a medication. The available concentration is 125 mg/5 mL. How many mL should be administered?

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Question 16

Calculate the dose in mLs of amoxicillin for otitis media for a 1-year-old child weighing 33 lb. The dose required is 40 mg/kg/day divided BID, and the suspension comes in a concentration of 400 mg/5 mL.

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Question 17

Calculate the dose in mL of ceftriaxone for meningitis for a 6-year-old weighing 20 kg. The dose required is 100 mg/kg/day given IV once daily, and the drug comes prediluted in a concentration of 40 mg/mL.

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Question 18

Calculate the dose in mL of vincristine for a 5-year-old with leukemia weighing 44 lb and who is 100 cm tall. The required dose is 2 mg/m², and the drug comes in a 1 mg/mL concentration.

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Question 19

Before calculating a weight-based dose for a child whose weight is provided in pounds, what is the mandatory first step?

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Question 20

In Example 1, a 1-year-old child weighs 22 lb. What is this weight converted to kilograms (kg)?

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Question 21

In Example 1, for a 10 kg child requiring amoxicillin at 40 mg/kg/day, what is the total daily dose in milligrams (mg)?

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Question 22

In Example 1, if the total daily dose of amoxicillin is 400 mg and it is to be given BID (twice a day), what is the amount for a single dose?

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Question 23

A child weighing 12 kg needs a drug at a dose of 30 mg/kg/day, given in three divided doses (TID). What is the single dose in mg?

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Question 24

In Example 3, a 4-year-old child weighs 37 lb. What is this weight converted to kilograms, rounded to one decimal place?

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Question 25

A child weighs 15 kg and is 90 cm tall. Using the BSA formula from the appendix (sqrt(kg * cm / 3600)), what is the child's Body Surface Area?

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Question 26

What is the reason that an order for a chemotherapeutic drug requires an 'extra verification step'?

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Question 27

A child weighing 25 kg is prescribed a drug at 10 mg/kg/dose. What is the total dose in mg for one administration?

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Question 28

A total daily dose of a drug is 600 mg. If the drug is to be administered QID (four times a day), what is the single dose in mg?

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Question 29

The appendix gives an example of calculating a ceftriaxone dose for meningitis. Why is this information about the indication (meningitis) important?

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Question 30

What is the final step in the amoxicillin calculation in Example 1, after the single dose in mg has been determined?

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Question 31

A child weighing 55 lb needs a medication. What is this weight in kilograms?

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Question 32

A single dose of 250 mg is needed. The medication is supplied as a 125 mg/5 mL suspension. What volume in mL should be administered?

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Question 33

A child is 110 cm tall and weighs 20 kg. What is the child's Body Surface Area (BSA) in m², calculated using the formula from the appendix?

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Question 34

Which of the following orders requires clarification from the prescriber to avoid a medication error?

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Question 35

A child weighs 14 kg and needs a medication at 25 mg/kg/day, divided BID. What is the total amount of medication in mg the child will receive in one day?

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Question 36

In Example 3, what is the indication for the vincristine being administered?

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Question 37

An 88 lb child needs a dose of medication. What is the child's weight in kilograms?

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Question 38

A child weighing 16 kg needs a medication at 50 mg/kg/day, given in two divided doses. What is the single dose in mg?

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Question 39

A dose of 300 mg is required. The medication comes in a 250 mg/5 mL concentration. What is the required volume in mL?

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Question 40

Which of the calculation examples provided in the appendix uses Body Surface Area (BSA) as the basis for dosing?

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Question 41

What is the reason a dose of amoxicillin for a 1-year-old child in Example 1 is divided BID?

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Question 42

A child is prescribed a medication at a dose of 75 mg/kg/day, to be given once daily. The child weighs 10 kg. What is the total dose in mg to be administered?

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Question 43

A child is 120 cm tall and has a BSA of 0.8 m². The required dose of a medication is 1.5 mg/m². What is the total dose in mg?

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Question 44

What is the second step in the calculation for amoxicillin in Example 1?

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Question 45

A child weighing 77 lbs requires a medication. What is the child's weight in kilograms?

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Question 46

What is the third step in the calculation for amoxicillin in Example 1?

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Question 47

A total daily dose of a medication is 1000 mg, to be given in four divided doses (QID). What is the amount of a single dose?

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Question 48

A child weighing 11 lbs needs a medication. What is this weight in kilograms?

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Question 49

A dose of 500 mg is required. The concentration is 200 mg/5 mL. What is the required volume in mL?

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Question 50

According to the appendix, which type of order for a pediatric medication is considered confusing and requires clarification?

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