Author Question: Ordered: A bronchodilator, Aminophylline, 8 mg per hr continuous infusion, for a child who received ... (Read 146 times)

futuristic · **on:** Jul 3, 2018

Ordered: A bronchodilator, Aminophylline, 8 mg per hr continuous infusion, for a child who received an appropriate loading dose, on a pump based upon frequent and current serum theo-phylline levels for a child with asthma.

Obtain a serum theophylline concentration level 4 hours after infusion is started and call prescriber. SDR: 0.8 mg per kg per hr for continuous infusion after appropriate loading dose. Child's weight is 40 kg. Remove 20 mL from a 500 mL D5W IV and add the Aminophylline. Total mL will remain ap-proximately 500 mL. a. SDR for this child:
b. Evaluation: Safe to give or hold and clarify promptly with prescriber?
c. Flow rate if applicable:DA:
d. Evaluation:

Question 2

Ordered: An anticholinergic, Scopolamine 300 mcg IV stat for a child with nausea and vomiting SDR: 6 mcg per kg per dose up to a maximum of 0.3 mg per dose. May repeat every 6-8 hr. The child's weight is 40 kg.

Dilute with an equal volume of sterile water for injection (SWI) and administer by direct IV in-jection over 2 minutes using the syringe calibrations shown. a. SDR for this child:
b. Safe to give or hold and contact prescriber promptly?
c. Total amount of diluted medication in mL to be administered:
d. Total minutes to administer if applicable:
e. mL per min to be administered:
f. Total seconds to administer medication:
g. Total seconds per calibration to administer:

Kedrick2014 · **Reply #1 on:** Jul 3, 2018

Answer to Question 1

a. SDR: 0.8 mg x 40 kg = 32 mg per hr
b. Evaluation: Hold and clarify promptly with the prescriber: Is an underdose.
c. N/A
d. N/A

Answer to Question 2

a. SDR: 6 mcg x 40 kg = 240 mcg dose (0.3 mg) is maximum safe dose.
b. Evaluation: Safe to give
c.
d. mL per min = 0.6 mL per min
e. = 0.6 mL per min
f. 2 min = 60 x 2 or 120 seconds
g.