Order: Potassium chloride (KCl) 0.9 mEq to be added to each IV q8h for an infant weighing 6 lb. The safe dosage range is 1 to 4 mEq/kg/24 hr, not to exceed 40 mEq/day.
The safe pediatric rate is 0.5 to 1 mEq/kg/hr, not to exceed 10 mEq/hr. KCl 0.45 mL was withdrawn from a vial labeled 2 mEq/mL and further diluted to a total volume of 10 mL NS in a Buretrol. The IV infusion pump is infusing at 22 mL/hr. What is your course of action? ___________________ ___________
a. Continuesafe dose and rate
b. Hold IVdilution incorrect in Buretrol
c. Hold IVincorrect dose
d. Restart infusion pump at l0 mL/hr
Question 2
Order: Synthroid 0.1 mg q AM IV for a child weighing 59 lb. The safe dosage range for this child is 4 to 5 mcg/kg/day p.o. Any IV dose should be 75 of an oral dose. A vial of Synthroid 200 mcg/5 mL is available.
Calculate the volume of Synthroid to be further diluted and determine if it is a safe dosage. _______________
a. 2.5 mL
b. 5 mL
c. 10 mL
d. Hold and clarify order-underdose
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