Author Question: A 3-year-old previously was diagnosed with febrile seizures. This child has been coughing, and now ... (Read 32 times)

crazycityslicker · **on:** Jun 28, 2018

A 3-year-old previously was diagnosed with febrile seizures. This child has been coughing, and now has become febrile with a temperature of 102.8F. The mother knows she needs to give her child acetaminophen. This child weighs 32 pounds.

The safe dose of acetaminophen is 1015mg/kg/dose. The dose of acetaminophen for this child is: (Round dose to the nearest tenth.) ___________________ ________ Fill in the blank(s) with correct word

Question 2

A child with a history of seizures arrives in the Emergency Department in status epilepticus. The nurse's initial response is to:

1. Take vital signs.
2. Maintain patent airway.
3. Establish an intravenous line.
4. Perform rapid neurological assessment.

morrie123456 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

145218 mg
Rationale:
This child weighs 32 pounds, which divided by 2.2 equals 14.5 kg. 14.5 kg multiplied by 10 mg/kg (the lower end of the safe dose) equals 145 mg of acetominophen. 14.5 mg multiplied by 15 mg/kg (the higher end of the safe dose equals 217.5 mg of acetominophen, which can be rounded to 218 mg.

Answer to Question 2

2
Rationale:
1. Taking vital signs is important, but airway always comes first.
2. Airway is always the priority of care.
3. Once the airway is secure, then securing an IV is vital.
4. A rapid neurological assessment is appropriate once the airway is secure.