Ordered: A diuretic, furosemide 15 mg IV initial dose, for a ...

[anshika]

Ordered: A diuretic, furosemide 15 mg IV initial dose, for a child with edema The child's weight is 14 kg.
 
  SDR: 1-2 mg per kg per dose every 6 to 12 hr The nurse plans to deliver the medication in a volume control device, filling the container up to 20 mL with Ringer's lactate Sol from an existing infusion, gently mixing it. It will be infused at the rate of 1 minute per mL. a. SDR for this child's weight (mental math):
  b. Evaluation: Safe to give or hold and clarify promptly?
  c. Dose to be prepared if safe: Estimate; more or less than drug concentration?DA:
 d. Flow rate if applicable (mental math):
  e. Evaluation:

Question 2

Ordered: amikacin sulfate 600 mg IV infusion q8h, for a child with an infection Pediatric SDR: 5-7.5 mg per kg q8h, not to exceed 1.5 g per 24 hr Child's weight: 40 kg Available: IV amikacin 1 g in 250 mL D5W
 
  a. SDR for this child:
  b. Decision: safe or unsafe order? State the reason.If safe to give, what flow rate should the nurse set on the pump?
 c. DA equation:
  d. Evaluation:

[k2629]

Answer to Question 1

a. SDR: 14-29 mg per dose
b. Evaluation: Safe to give. The order of 15 mg is within SDR for this child.
c. Dose: 0.75 mL
Estimate: Will give less than drug concentrationabout of drug concentration

Estimate of mL supports answer.
d. Flow rate:
Estimate: To deliver 20 mL total volume over 20 minutes would be 20 x 3 or 60 mL per hr for 20 minutes (60 min)
DA:
e. Estimate supports answer. Equation is balanced.

Answer to Question 2

a. 200 mg low safe dose
300 mg high safe dose
b. Unsafe. Order exceeds SDR. Hold medication and contact prescriber immediately for or-ders. Document.
c. N/A
d. N/A

[anshika]

Great answer, keep it coming

[scottmt]

Thanks for the timely response, appreciate it