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:
Child development varies and is hard to predict
One of the reasons I went to Cambodia was to interview a feral child—the boy shown here—who ...
A child may have varying degrees of scoliosis
Child Development: Principles and Perspectives
A karyotype shows this child has three copies of chromosome 21.