Medicating Children Calculation of Medications: Dosages are calculated using childs weight (written as mg/ kg) Example 1: The

doctor orders morphine 2 mg for a two-year-old child who weighs 12 kg. The recommended dose for morphine is 0.1-mg/ kg/dose. Did the doctor order the appropriate dose? Example 2: Five-year-old Bobby weighs 44 pounds, the doctor asks how many kilograms does this child weigh? Example 3: The doctor orders Phenobarbital (100 mg/ 2 ml) for a 10-year-old girl who weighs 30 kg. The recommended loading dose is 10 20 mg/kg/dose. The doctor orders 500 mg to be given IV over 30 minutes. Is this an appropriate dose? How much medication would you give? Step 1: To calculate the appropriate dose multiply 12 (kg) X 0.1 (mg) = 1.2 mg. No, the doctor did not order the appropriate dose. Step 1: Divide 44 pounds by 2.2 to get kilogram weight, 44 2.2 = 20 kilograms. Step 1: Find the therapeutic range, 30 (kg) X 10 (mg) = 300 mg 30 (kg) X 20 (mg) = 600 mg 500 mg is within the therapeutic range; yes this is an appropriate dose. Step 2: Find how many ml of the medication to give. Medication comes 100 mg / 2 ml, need to give 500 mg. 100 mg: 2 ml = 500 mg: X 100 X = 1000 X = 10ml

Pediatric Intravenous Fluids Fluid Administration: Fluid pumps are used on all pediatric patients to reduce the risk of fluid overload. Infusion volumes and IV site assessments are recorded every one or two hours depending on hospital policy. The amount of fluid (ml / hour) or IV rate infused is based on the childs weight: A TKO (to keep open) rate in Pediatrics is usually 5 15 ml per hour. Please memorize following calculations for the quiz! Calculation of Daily Maintenance Fluids: 0 -10 kg 100 ml/kg 10 - 20 kg 1000 ml + 50 ml for each kg > 10 20 70 kg 1500 ml + 20 ml for each kg > 20 Over 70 kg 2500 ml / 24 hr (adult requirement) An eight-kilogram child would need: 8 X 100 = 800 ml in a twentyfour hour period. To find an hourly IV rate, you would need to divide 800/24 = 33.3 or 33 ml per hour. A twelve-kilogram child would need: 1000 + 50 (2) = 1100 ml in a twenty-four hour period. To find an hourly IV rate, you would need to divide 1100/24 = 45.8 or 46 ml per hour.