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【正文】 Safety related to Administration methods UNRS 314 Jan BaznerChandler CPNP, CNS, MSN, RN Pediatric dosages calculated by weight ? Most drug books use weight in kilograms, patients are often weighed in pounds: ? To convert pounds to kilograms lb = 1 kg. ? x = weight in lb ? Divide pounds by to get weight in kg Calculation ? If a child weighs 88 lbs, what is the weight in kg? ? 88lb : x kg ? 88 divided by = 40 kg ? If a child weights 6 lbs what is the weight in kg? ? 6 lb divided by = kg Medication dosage ? For a dosage of medication to be safe, it must fall within the safe range as listed in a Drug Handbook, PDR or other reliable drug reference. Safe Medication Dose ? Calculate daily dose ordered (Physician orders) ? Calculate the low and high parameters of safe range (from drug book) ? Compare the patient’s daily dose to the safe range to see if it falls within the safe zone Calculation ? A child is 2 years and weighs 36 lbs is receiving Amoxicillin 215 mg po tid for a bilateral otitis media (ear infection). ? Patient weight in kg = kg ? Davis drug guide: PO (children) 40 kg: to mg / kg q 8 hours. ? x = mg q 8hours ? x = mg q 8 hours ? Safe range: 110 to 218 mg of Amoxicillin Q 8 hours ? Is the dose safe? How much medication do you give? ? Amoxicillin suspension es 250 mg per 5 ml. ? 250 mg / 5 ml = 215 mg / x ml ? Give cc po every 8 hours Safe Dose Ranges ? Read the medication ranges carefully ? Some are the dose range for 24 hours ? Some are the dose range
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