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Author Question: The mother of a 3-year-old child who weighs 15 kg tells the NP that she has liquid acetaminophen at ... (Read 26 times)

ishan

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The mother of a 3-year-old child who weighs 15 kg tells the NP that she has liquid acetaminophen at home but does not know what dose to give her child. The NP should tell the mother:
 
  a. to give 1 teaspoon every 4 to 6 hours as needed.
  b. to throw away the old medication and get a new bottle.
  c. that she may give 5 to 7.5 mL per dose every 4 to 6 hours.
  d. to find out whether she has a preparation made for infants or children.

Question 2

A child who weighs 22 lb, 2 oz needs a medication. The NP learns that the recommended dosing for this drug is 25 to 30 mg per kg per day in three divided doses. The NP should order:
 
  a. 100 mg daily.
  b. 100 mg tid.
  c. 300 mg daily.
  d. 300 mg tid.



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jordangronback

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Answer to Question 1

D
Acetaminophen drops for infants are three times as concentrated as the oral liquid for children. The drops have been pulled from the market, but many parents may still have old preparations on hand. The NP should first determine which preparation this mother has before giving dosage recommendations. If the mother has the oral liquid for children, answers A and C would both be acceptable because the concentration is 160 mg per 5 mL. The mother should not be counseled to throw away the medication until the NP has more information.

Answer to Question 2

B
The NP should first convert the child's weight to kg, which is about 10 kg. The dose is then calculated to be 250 to 300 mg per day in three divided doses, which is 83 to 100 mg per dose given tid.





 

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