Calculate the correct dosage for each of following children and write the prescription following the provided format if indicated. Please make up the patient’s name and DOB but do not change the age of the patient provided.
Dosage Calculations and Pediatric Scenarios Worksheet
Part 1
Instructions: Calculate the correct dosage for each of following children and write the prescription following the provided format if indicated. Please make up the patient’s name and DOB but do not change the age of the patient provided.
1.A 4-month-old weighing 12 pounds needs amoxicillin (400mg/5ml) for otitis media (dosed at 80 mg/kg). Calculate the dose.
Patient Name:
Date of Birth (DOB):
Drug:
Sig:
Dispense amount:
Refills:
Signature: (can type out signature)
Date:
2.A 1-year-old who weighs 22 pounds needs amoxicillin clavulanate (dosed at 80 mg/kg) for otitis media. Amoxicillin Clavulanate strength is 600mg/42.9mg/5ml. Calculate the dose.
Patient Name:
Date of Birth (DOB):
Drug:
Sig:
Dispense amount:
Refills:
Signature: (can type out signature)
Date:
3.A 32-pound 3-year-old needs cefdinir (250mg/5ml) for otitis media. Calculate the dose.
Patient Name:
Date of Birth (DOB):
Drug:
Sig:
Dispense amount:
Refills:
Signature: (can type out signature)
Date:
4.A 9-month-old who weighs 18 pounds has a fever of 103ºF. What dose of acetaminophen (160mg/5ml – dose at 10mg/kg/dose) would you recommend?
Drug:
Sig:
5.What dose of ibuprofen (100mg/5ml – dose at 5mg/kg/dose) would you recommend for the same child?
Drug:
Sig:
6.A 20-pound 1-year-old needs sulfa trim (200mg/40mg/5ml) for UTI. Base your dosing on 10mg/kg/day. Calculate the dose.
Patient Name:
Date of Birth (DOB):
Drug:
Sig:
Dispense amount:
Refills:
Signature: (can type out signature)
Date:
7.A 5-year-old asthmatic child who weighs 40 pounds needs prednisolone (Prelone) for an exacerbation of his asthma. Recommended dose is 1-2mg/kg/day daily or BID x3-10 days (Epocrates, 2020). Prednisolone strength: 25mg/5ml Dose at 2mg/kg/day not to exceed 60 mg/day Calculate the dose.
Patient Name:
Date of Birth (DOB):
Drug:
Sig:
Dispense amount:
Refills:
Signature: (can type out signature)
Date:
Part 2
Instructions: Read the scenarios and answer the corresponding questions.
Scenario 1
Jimmy is a 6-month-old boy who has been vomiting and having diarrhea for 3 days. He is seen in your office today and weighs 16 pounds (7.27kg) and is 24 inches in length. His head circumference is 44.5 cm. Last week, he was in your office for a well-child visit and weighed 17.5 pounds (7.95kg).
1.How much weight, in grams, has Jimmy lost?
2.What percentage of dehydration does this represent?
3.What signs and symptoms would you expect to see?
4.What type of oral fluids would you suggest?
5.What instructions would you give Jimmy’s mom about offering fluids and calling the office, or taking the child to the emergency room?
6.Plot his measurements on the appropriate growth charts and document his percentiles for weight, length, and head circumference here:
Scenario 2
Janice is a 3-year-old who has been vomiting and has had diarrhea for 3 days. She weighed 33 pounds and was 35-inches tall at a well-child check-up 2 weeks ago. Today, she weighs 26.5 pounds.
1.Calculate Janice’s degree of dehydration.
2.What do you expect Janice to look like?
3What would be your first fluid treatment?
4.Janice responds well to your therapy. What would your next step be?
5.Plot her height, weight, and BMI on the appropriate growth chart and document the percentiles here. What is your assessment of her overall growth?
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