Medication Calculation Review Calculate the correct dose to administer. 1. Order: Synthroid 0.075mg PO daily Supply: Synthroid 150 mcg tablets Give: _______________tablets 2. Order: Keflex 500 mg PO 4 times a day Supply: Keflex 250mg/5mL Give: _______________mL 3. Order: Amoxicillin 400mg PO Q6 hours Supply: Amoxicillin 250mg/5mL Give:_______________mL 4. Order: Tylenol 350mg Supply: Tylenol 160mg/5mL Give: ____________mL 5. What is the dosing range (mg) for Acetaminophen for a patient that is 22 kg? What is the amount range (ml)? Supplied as Tylenol 160mg/5mL? Safe dosing range: 10-15 mg/kg/dose Q4-6 hours ___________________________________________ 6. Same for 3.4 kg patient. ___________________________________________ 7. What is the dosing range (mg) for Ibuprofen for a patient that is 40 kg? What is the amount range (ml)? Supplied as Ibuprofen 100mg/5mL? Supplied as 200mg tablets? Safe dosing range: 5-10mg/kg Q4-8H, max single dose 400mg, max daily dose 1200mg/day _____________________________________________ How often can this patient safely receive the high dose (10mg/kg)? ____________________________________________ 8. Order: Ketorlac 20mg IV Q 6 PRN. Supply: Ketorlac 30mg/mL Give: ________________mL 9. Order: Promethazine 35mg IV Q 4 hours PRN nausea Supply: Promethazine 50mg/mL Give: _________________mL 10. Order: Morphine 5 mg IV Q3 hours PRN pain Supply: Morphine 2mg/1mL Give: ______________mL 11. Order Morphine 5mg IV Q 3 hours PRN pain Supply: Morphine 10mg/1mL Give:______________mL 12. Order Filgrastim 300mg SQ x 1 for neutropenia Supply: Filgrastim 480mg/1.6 mL Give: _______________mL 13. Order Decadron 1.8 mg Supply: 4 mg/ml Give: _______________ ml 14. Order Pepcid 4 mg Supply: 40 mg/5 ml Give: _________ ml 15. Order Miralax 4.25 gm Supply: 17 gm/packet Give: _____________ 16. Order Heparin Flush 250 Units Supply: 100 U/ml Give ___________ ml 17. Order Lasix 9 mg IV Supply: 10 mg/ml Give: ____________ ml 18. Order Ativan1.2 mg Supply: 2 mg/ml Give: _________ ml 19. Order: Fluid bolus of normal saline 10ml/kg. to be infused over 30 minutes. Calculate the total volume of fluid bolus to be administered for the following weights: 7.45kg: ___________________ 34kg: _____________________ 57kg: ____________________ 20. Order: Fluid bolus of normal saline 20 ml/kg to be infused over 30 – 60 minutes. Calculate the total volume of fluid bolus to be administered for the following weights: 12.7kg: _________________ 28kg: ___________________ 72kg: ___________________ Maintenance Fluid Requirements: 5 kg patient: 24 hour requirement: Hourly requirement: 12 Kg patient: 24 hour requirement: Hourly requirement: 19 Kg patient: 24 hour requirement: Hourly requirement: 26 Kg patient: 24 hour requirement: Hourly requirement: 30 Kg patient: 24 hour requirement: Hourly requirement: Maintenance IV fluid Calculations: Hourly Maintenance Fluid requirement: 4 ml/kg/hr for the 1st 10 kg 2 ml/kg/hr for the 2nd 10 kg 1 ml/kg/hr for the remaining kg of weight Daily (24H) Maintenance Fluid requirement: 100 ml/kg/24-hours for 1st 10 kg 50 ml/kg/24-hours for 2nd 20 kg 20 ml/kg/24-hours for remaning kg of weight