Dosage Calculations and Pediatric
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?
NRP543 Management Of Pediatric And Adolescent Populations
Week 2 Assignment
Child Morbidity and Mortality Presentation
Assignment Content
Develop a 10- to 15-slide Microsoft® PowerPoint® presentation with detailed speaker notes for each slide that addresses the child morbidity or mortality issue chosen in Week 1 (breastfeeding, SIDS, immunizations, early childhood caries, bully behavior, fall prevention, obesity, passenger/young driver safety, safe sex, sports participation).
Refer to the the Child Morbidity and Mortality assignment.
Address the following in your presentation:
Summarize the topic you selected, including your findings from the research.
Define the relevance of the topic as it relates to children’s health and clinical FNP practice.
Discuss treatment options, including any involved risks and benefits.
Consider potential financial barriers or benefits related to the recommended treatment options. How will you address these barriers?
What community resources are available in your state of practice to help with financial barriers, including services for uninsured and underinsured pediatric patients?
Provide your recommended patient education plan addressing and managing the issue.
Include a minimum of 2 academic resources that support your findings.
NRP543 Management Of Pediatric And Adolescent Populations
Week 3 Assignment
Immunization Counseling Paper
Assignment Content
Controversy has always existed surrounding the concept of required immunizations. In practice, you may frequently engage in conversations with parents and guardians who are trying to better understand their options with the goal of choosing the safest treatment plan for their child. Confusion exists regarding what is required for entry into public school and what is recommended by the CDC.
Respond to the following scenario by creating a 750-word summary:
Mrs. Clara Baker comes to you with her son Isaac, a five-year-old who is preparing to enter public school. Isaac has never been vaccinated before, and she knows he will need some vaccines for school, but she has been hesitant to have him vaccinated in the past. Isaac is a healthy five-year-old without any significant past medical history. He was born full-term via vaginal delivery in the hospital, where he did receive his first hepatitis B vaccine before being discharged the next day. He has had regular well child checks since birth, but until now Clara has refused all vaccinations.
Address the following:
How will you, as the FNP, counsel Mom about immunization recommendations and safety?
What immunizations would you recommend for Isaac today?
What education would you provide Mom regarding common reactions and unexpected adverse events?
What would your recommendation for follow-up be?
NRP543 Management Of Pediatric And Adolescent Populations
Week 4 Assignment
i-Human Emma Ryan Lab and Reflection
Assignment Content
i-Human simulates a patient situation you may encounter in a clinical setting. This is an opportunity to practice your skills in taking a history, performing a physical exam, and developing a diagnosis and treatment plan.
Access i-Human Patients using the link in the Course Content section.
Part I
Complete the health history assessment available at the beginning of the Emma Ryan case.
Part II
Complete the patient encounter for Emma Ryan by completing the following steps:
Interview Emma Ryan to obtain her complete patient history.
Document your findings in i-Human.
Complete a health assessment and focused physical exam based on current evidence.
Document your health assessment and focused physical exam findings and develop a problem list and diagnosis for Emma Ryan.
Review the i-Human Patients Case Player Instructions, which includes helpful tips for completing the patient simulation.
Note: Scores will be recorded in I-Human Patients; there is nothing to submit in the classroom for this portion of the assignment. Your I-Human Patients Lab score will be determined strictly based on completion. Use the lab to complete the patient stimulation to the best of your ability since you will use this experience to complete the associated Reflection assignment. The detailed summary of your lab is an excellent opportunity to review techniques that will help advance best practices associated with health assessments.
Read 1 of the recommended evidence-based practice academic articles provided at the end of the case or locate and read an academic article from the University Library that relates to the conditions presented in the Emma Ryan case.
Write a 350-word summary of how you can utilize the findings from the article to improve your clinical decision-making skills.
Include the following in your analysis:
Are there techniques identified in the article that can be used to improve your clinical skills? If so, explain.
Now that the final diagnosis has been revealed, identify, and provide the rationale for your top 3 differential diagnoses for Emma. How would you rule each in/out?
Explain how you can apply the information you learned from your patient encounter and the evidence-based practice article in the clinical setting.
Format your summary using APA guidelines.
NRP543 Management Of Pediatric And Adolescent Populations
Week 5 Assignment
Dermatology
Dermatology Assignment
Part I: Name that Rash
Rash options
A. Tinea Capitis
B. Candidiasis rash
C. Scalp psoriasis
D. Tinea Versicolor
E. Pityriasis Rosea
F. Impetigo
G. Urticaria
H. Tinea Corporis
I. Tinea pedis
J. Pityriasis Alba
K. Seborrhea Capitis
L. Roseola Infantum
M. Atopic dermatitis
N. Tinea Manuum
O. Fifth Disease
P. Seborrhea Dermatitis
Q. Alopecia
R. Measles
S. Molluscum contagiosum
T. Verruca (viral warts)
U. Diaper dermatitis
1.Numerous pale pink, macular and papular oval lesions presenting in a Christmas tree pattern on the back of an adolescent
2. Multiple discrete, poorly outlined, hypopigmented patches on the face
3.Honey colored crusts on erythematous base to nose, philtrum, and cheek
4. Scaly, hypopigmented discrete oval macules and patches on the upper back
5. Patchy hair loss and scaly lesions with raised borders on the scalp
6. Small, firm, pink to flesh colored discrete papules to upper chest and left axilla; some papules are umbilicated
7. Erythematous, dry-scaling papules and plaques to bilateral popliteal fossae of adolescent
8. Moist, bright red diaper rash with sharp borders and satellite lesions
9.Erythematous, flaky, thick, yellow greasy scales on scalp of infant
10.Intense red eruption on bilateral cheeks with circumoral pallor; with lacy maculopapular eruption on the trunk of a toddler
Part 2: Diagnosis and Treatment/Management Plan
List your diagnosis from the corresponding image above and list the treatment / management plan for that diagnosis.
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2.
3.
4.
5.
6.
7.
8.
9.
10.
Part 1: Name that Rash
In this part of the assignment, you will identify 10 rashes from pictures.
Part 2: Diagnosis and Treatment/Management Plan
In this part of the assignment, you will list your diagnosis from the corresponding image you identified in Part 1, then list the treatment/management plan for that diagnosis in a minimum of 50 words each.
NRP543 Management Of Pediatric And Adolescent Populations
Week 6 Assignment
Clinical Management Presentation
Develop a 15- to 20-slide presentation, using Microsoft® PowerPoint® with detailed speaker notes, on the clinical management of the pediatric condition, problem, or disease selected from the approved list and approved by your faculty.
Refer to the Clinical Management Presentations instructions document.
Include the following in your presentation:
Analyze the etiology, pathophysiology, and general clinical manifestation of symptoms of the disease based on relevant literature.
How might age or overall health status alter the normal clinical manifestation of the disease?
Evaluate the patient’s overall social and medical history, clinical symptoms, and clinical assessment from the perspective of the previously cited literature.
Evaluate the diagnostic work-up and clinical findings, which include the rationale for each diagnostic test and expected findings, and recommend a diagnosis based on the findings.
Develop a plan of care based on the diagnosis, including age-appropriate modifications of the proposed therapy and dose modifications based on clinical guidelines.
Create a patient/parent education plan that shows an understanding of the recommended anticipatory guidance and the patient’s developmental age, parental role, health literacy of the patient/family, cultural sensitivity, and health belief models.
Analyze the current condition and how it may relate to underlying health issues, the proposed plan of care, and possible side effects or complications.
Include an example of patient/family engagement in the plan of care (for example, utilization of the teach-back method).
Analyze how the principles of Watson’s theory of human caring are integrated into the patient/parent education.
NRP543 Management Of Pediatric And Adolescent Populations
Week 7 Assignment
Polly Davis Lawful Practice Case Study
DOB: 9/7/2016
Polly Davis is a 5-year-old, Caucasian female who is brought to you by her father Jeremiah today for concerns of crying with urination and repeated complaints of “pain down there,” which seems to be getting worse. Jeremiah is a single father who works nights at a local warehouse. Polly’s grandmother used to babysit Polly each night while her dad worked, but she passed away two months ago. Since that time, Polly’s uncle has been watching Polly overnight. Jeremiah has noticed that Polly has become unusually clingy, crying when he leaves for work. He reports that recently she has been soiling herself, which is a new finding. On exam, you notice significant vulvovaginitis with some purulent vaginal discharge; there also appears to be some hymenal tearing along with some suspicious bruising on her buttocks. You suspect Polly is being sexually abused.
Prepare a 700- to 1,000-word case summary discussing the following:
What are your immediate concerns for Polly? How would you address these concerns?
What are the reporting requirements for pediatric abuse in your state? If you are required to report suspected pediatric abuse, who do you report your suspicions to? What is the required timeline for reporting?
How would you conclude this visit? In addition to referring Polly to the ER, what other types of referrals might you need to consider as her primary care provider?
How would you document this visit?
NRP543 Management Of Pediatric And Adolescent Populations
Week 8 Assignment
Comprehensive SOAP Note for Two-Year-Old Well Child Check
Write a comprehensive SOAP note for a two-year-old well child check. Use the PEDS comprehensive written SOAP note template provided. Assume all findings are within normal limits.
Complete the SOAP Note for Two-Year-Old Well Child Check Template.
Ensure you include the following:
A full subjective and objective assessment
Appropriate Ht/Wt percentiles
Developmental history and current developmental state (milestones)
At least 3 differential diagnoses to consider (think about why we recommend well child checks)
A final diagnosis indicating normal findings
Your assessment and plan, including education and anticipatory guidance.
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