Ordered: doxycycline suspension 100 mg bid PO on admission day, ...

[natalie2426]

Ordered: doxycycline suspension 100 mg bid PO on admission day, for a 10-year-old child with Haemophilus influenzae Child's weight: 40 kg Available:
 
  a. SDR (refer to label):
  b. Child's estimated weight in pounds:
  c. Child's actual weight in pounds:
  d. SDR for this child:
  e. Decision: safe or unsafe order? If unsafe, state the reason.If safe to give, how many milliliters should the nurse prepare?
 f. Estimated dose:
  g. DA equation:
  h. Evaluation:
  Shade in the medicine cup to the nearest measurable dose. Indicate with an arrow on the syringe the additional amount to be added.

Question 2

Ordered: cefaclor 0.4 g PO q8h, for a child with otitis media Child's weight: 30 kg. Use a calculator. Available:
 
  a. SDR (refer to label):
  b. SDR for this child:
  c. Decision: safe or unsafe order? If unsafe, state the reason.If safe to give, how many milliliters should the nurse prepare?
 d. Estimate:
  e. DA equation:
  f. Evaluation:
  Shade in the medicine cup to the nearest measurable dose. Indicate with an arrow on the syringe the additional amount to be added.

[zogaridan]

Answer to Question 1

a. 2 mg per lb divided into 2 doses on the first day followed by 1 mg per lb on subsequent days
b. 80 lb (40 kg x 2)
c. 88 lb (40 kg x 2.2)
d. 176 mg per day  2 doses = 88 mg bid
e. Unsafe order. Ordered dose is an overdose. Hold medication and notify prescriber promptly. Document.
f. N/A
g. N/A
h. N/A

Answer to Question 2

a. 40 mg kg per day in 3 divided doses for otitis media
b. 1200 mg per day (40 mg x 30 kg)
c. Safe. 0.4 g = 400 mg q 8h; 400 x 3 = 1200 mg
d. Estimate: More than 5 mL
e. mL =
f. Equation is balanced. Estimate supports answer.

[natalie2426]

Great answer, keep it coming

[Zebsrer]

Thanks for the timely response, appreciate it