Pediatric Medication Math Practice Worksheet Complete the problems. Show all work using dimensional analysis. Label the answer. Round gtts to the nearest whole number; round everything else to the nearest tenth (one decimal point). 1. Calculate the maintenance fluid requirements per day for Laura whose weight is 21.78 lbs. a. If Laura was NPO and needed to receive all these maintenance fluids IV, what would you expect the order to read for her IV rate? 2. Calculate the maintenance fluid requirements per hour for Monica whose weight is 6.6 kg. 3. Xavier is 32 kg. Calculate his daily fluid requirement. a. What would Xavier’s IV rate be ordered at if he were NPO? © 2022. Grand Canyon University. All Rights Reserved. 4. Calculate the maintenance fluid requirements per day for Travis whose weight is 39.6 lbs. a. If Travis was NPO and needed to receive all these maintenance fluids IV, what would you expect the order to read for his IV rate? b. The IV set delivers 10 gtts/mL. How many drops/min should be administered? 5. Calculate the maintenance fluid requirements per hour for Gina whose weight is 55 kg. a. The power goes out and your IV set delivers 60 gtts/mL. How many drops/min should be administered? 6. The doctor orders a normal saline bolus STAT at 150 mL over 30 minutes. Your IV pump is on order but has not yet arrived. You have a 60 gtts/mL IV infusion set to begin the IV fluid administration now. a. How many gtts/min will you set the IV rate? © 2022. Grand Canyon University. All Rights Reserved. b. The IV pump arrives. How many mL/hr will you now set the IV pump for in order to administer the correct amount of fluid over the correct amount of time? 7. Cefapime 600 mg IV is in 150 mL of solution and ordered to be infused over 15 minutes. a. At what rate in mL/hr will you set your IV pump? b. The pump breaks down and you have an IV set that delivers 10 gtts/mL. How many gtts/min should be administered? 8. Jacob is to receive Ampicillin 200 mg IV q6h. He weighs 35.2 lbs. The safe dose for Ampicillin is 25-100 mg/kg/day. a. How much Ampicillin is Jacob receiving per day? b. Is this a safe dose for Jacob? Why or why not? © 2022. Grand Canyon University. All Rights Reserved. c. The medication is provided in a concentration of 500 mg/5 mL. How many mL would you draw up in order to administer the dose of 200 mg? 9. Maggie has Rocephin 750 mg IV q12h ordered. The instructions state to mix 1 gm powder to 9.6 ml NS for a concentration of 100 mg/mL. How much Rocephin would you draw up for Maggie? 10. Javier has meningitis. He has Ampicillin 820 mg IV q8h ordered. He weighs 25 kg. The safe dose for Ampicillin is 100-200 mg/kg/day (meningitis dose). a. How much Ampicillin is Javier receiving per day? b. Is this a safe dose for Javier? Why or why not? © 2022. Grand Canyon University. All Rights Reserved. c. The medication is provided in a concentration of 1 gm powder to be mixed with 10 mL NS. How many mL would you draw up in order to administer the ordered dose? 11. Mariano is receiving Cefazolin 60 mg/kg/day. It is ordered to be given BID. He weighs 5 kg. a. How much Cefazolin is Mariano receiving per dose? b. The reference states to dilute 1 g Cefazolin vial with 10 mL NS. How much medication would you draw up for Mariano’s 0600 dose? 12. Phillip is 40 lbs. He is to receive 10 mg/kg/dose Tylenol q4h prn for pain/fever. Available concentration is 80 mg/0.8 mL. a. How many mg of Tylenol will Phillip receive per dose? b. How many mL will you draw up to give Phillip? 13. The safe dose of Morphine Sulfate is 0.05-0.1 mg/kg/dose. Kelly weighs 3.6 kg. What is the safe range of Morphine for Kelly? © 2022. Grand Canyon University. All Rights Reserved. 14. Paul is getting Ativan 1 mg q 4h for anxiety. Paul is 10 kg. Safe dose for Ativan is 0.05 mg/kg/dose. a. Is Paul receiving a safe dose? Why or why not? b. What should you do next? 15. Tanya is on a Morphine PCA for acute Sickle Cell Crisis. Tanya gets itchy so you have an order for Naloxone (Narcan) at 1-3 mL/hr IV continuous. The available concentration for Narcan is 0.4 mcg/mL. a. How much Narcan will Tanya receive if you set the pump at 2 mL/hr? b. The power goes out and you have 60 gtts/mL IV tubing set. How many gtts/min will your Narcan be set at? 16. Jude has cellulitis. He is recieving Gentamicin 31.5 mg IV q6hr. He weighs 46 lbs. The safe dose of Gentamicin is 6-7.5 mg/kg/day in 3-4 divided doses. a. How much Gentamicin is Jude receiving per day? b. What is the safe range for Jude? Is this a safe dose for Jude? Why or why not? © 2022. Grand Canyon University. All Rights Reserved. c. The medication is provided in a concentration of 10 mg/mL. How many mL would you draw up in order to administer the ordered amount? © 2022. Grand Canyon University. All Rights Reserved.
