Rx-Success

The doctor orders an adult dose of Phenergan (Promethazine) pr 12.5 mg every 6 hours as needed for nausea. Calculate the dose for a child who weighs 40 lbs and is 38 inches tall using the Nomogram Method.

First determine the BSA for this child. _____M²

a. 0.51

Incorrect. Remember, the BSA is where the line connecting the patient's height and weight crosses over the BSA column.

b. 0.61

Incorrect. Remember, the BSA is where the line connecting the patient's height and weight crosses over the BSA column.

c. 0.71

Correct

c. 0.99

Incorrect. Remember, the BSA is where the line connecting the patient's height and weight crosses over the BSA column.

Now identify the adult dose? Adult dose = __________mg.

a. 10.5

Incorrect. Remember, the adult dose can also be the doctor's order.

b. 12.5

Correct

c. 15.5

Incorrect. Remember, the adult dose can also be the doctor's order.

d. 15.8

Incorrect. Remember, the adult dose can also be the doctor's order.

Now that you know what the child's BSA is and the adult dose, you can plug it into the formula

Child's BSA in M²
1.73M²

x Adult Dosage

a. 3.2

Incorrect. Remember, to round correctly.

b. 4.5

Incorrect. Remember, to round correctly.

c. 5.1

Correct

d. 6.1

Incorrect. Remember, to round correctly.

The doctor orders an adult dose of Erythromycin 250 mg PO four times a day. Calculate the dose for a child who weighs 22lbs and is 30 inches tall using the Nomogram Method.

First determine the BSA for this child. _____M²

a. 0.20

Incorrect. Remember, the BSA is where the line connecting the patient's height and weight crosses over the BSA column.

b. 0.29

Correct

c. 0.32

Incorrect. Remember, the BSA is where the line connecting the patient's height and weight crosses over the BSA column.

d. 0.39

Incorrect. Remember, the BSA is where the line connecting the patient's height and weight crosses over the BSA column.

Now identify the adult dose? Adult dose = __________mg.

a. 150 mg

Incorrect. Remember, the adult dose can also be the doctor's order.

b. 200 mg

Incorrect. Remember, the adult dose can also be the doctor's order.

c. 250 mg

Correct

d. 300 mg

Incorrect. Remember, the adult dose can also be the doctor's order.

Now that you know what the child's BSA is and the adult dose, you can plug it into the formula

Child's BSA in M²
1.73M²

x Adult Dosage

a. 32 mg

Incorrect. Remember, to round correctly.

b. 40 mg

Incorrect. Remember, to round correctly.

c. 42 mg

Correct

d. 52 mg

Incorrect. Remember, to round correctly.

The doctor orders an adult dose of Ampicillin 1 g q 8 hr. Calculate the dose for a child who weighs 35 lbs and is 45 inches tall using the Nomogram Method.

First determine the BSA for this child. _____M²

a. 0.5

Incorrect. Remember, the BSA is where the line connecting the patient's height and weight crosses over the BSA column.

b. 0.6

Incorrect. Remember, the BSA is where the line connecting the patient's height and weight crosses over the BSA column.

c. 0.65

Incorrect. Remember, the BSA is where the line connecting the patient's height and weight crosses over the BSA column.

d. 0.7

Correct

Now identify the adult dose? Adult dose = __________mg.

a. 100 mg

Incorrect. Remember, the adult dose can also be the doctor's order.

b. 200 mg

Incorrect. Remember, the adult dose can also be the doctor's order.

c. 500 mg

Incorrect. Remember, the adult dose can also be the doctor's order.

d. 1000 mg

Correct

Now that you know what the child's BSA is and the adult dose, you can plug it into the formula

Child's BSA in M²
1.73M²

x Adult Dosage

a. 400 mg

Incorrect. Remember, to round correctly.

b. 405 mg

Correct

c. 425 mg

Incorrect. Remember, to round correctly.

d. 450 mg

Incorrect. Remember, to round correctly.

The doctor orders an adult dose of Benedryl (Diphenhydramine) 50 mg PO every 6 hours PRN. Calculate the dose for a 4 year old child using Fried’s Rule.

First determine the child's age in months. ______months

a. 40 months

Incorrect

b. 42 months

Incorrect

c. 44 months

Incorrect

d. 48 months

Correct

Now identify the adult dose? Adult dose = __________mg.

a. 25 mg

Incorrect. Remember, the adult dose can also be the doctor's order.

b. 50 mg

Correct

c. 75 mg

Incorrect. Remember, the adult dose can also be the doctor's order.

d. 100 mg

Incorrect. Remember, the adult dose can also be the doctor's order.

Pediatric Dose =

child's age in months
150

x Adult Dose

Using Fried's Rule, the child dose should be ______ mg.

a. 8 mg

Incorrect. Remember, multiply the child's age in months by the adult dose and divide by 150 months.

b. 16 mg

Correct

c. 24 mg

Incorrect. Remember, multiply the child's age in months by the adult dose and divide by 150 months.

d. 32 mg

Incorrect. Remember, multiply the child's age in months by the adult dose and divide by 150 months.

The doctor orders an adult dose of Morphine 2 mg IV every 4 hours PRN pain. Calculate the dose for a 2½ year old child using Fried’s Rule.

First determine the child's age in months. ______months

a. 30 months

Correct.

b. 40 months

Incorrect.

c. 44 months

Incorrect.

d. 48 months

Incorrect.

Now identify the adult dose? Adult dose = __________mg.

a. 2 mg

Correct.

b. 5 mg

Incorrect. Remember, the adult dose can also be the doctor's order.

c. 7 mg

Incorrect. Remember, the adult dose can also be the doctor's order.

d. 10 mg

Incorrect. Remember, the adult dose can also be the doctor's order.

Pediatric Dose =

child's age in months
150

x Adult Dose

Using Fried's Rule, the child dose should be ______ mg.

a. 0.4 mg

Correct.

b. 0.8 mg

Incorrect. Remember, multiply the child's age in months by the adult dose and divide by 150 months.

c. 1 mg

Incorrect. Remember, multiply the child's age in months by the adult dose and divide by 150 months.

d. 1.4 mg

Incorrect. Remember, multiply the child's age in months by the adult dose and divide by 150 months.

The doctor orders an adult dose of Tylenol (Acetaminophen) 500 mg PO PRN pain. Calculate the dose for a 7 year old child using Young’s Rule.

First determine the child's age in years. ____ years

a. 6 years

Incorrect

b. 7 years

Correct

c. 8 years

Incorrect

d. 9 years

Incorrect

Now identify the adult dose? Adult dose = __________mg.

a. 500 mg

Correct

b. 550 mg

Incorrect

c. 600 mg

Incorrect

d. 650 mg

Incorrect

Now that you know the child's age in years and the adult dose, you can plug it into the formula:

child's age in years
child's age in years + 12 years

x Adult Dose

a. 184 mg

Correct

b. 284 mg

Incorrect

c. 384 mg

Incorrect

d. 484 mg

Incorrect

The doctor orders an adult dose of 2 million units of Penicillin G potassium per day divided into 4 doses. Calculate the dose per day for a 10 year old child using Young’s Rule.

First determine the child's age in years. ____ years

a. 8 years

Incorrect

b. 9 years

Incorrect

c. 10 years

Correct

d. 11 years

Incorrect

Now identify the adult dose? Adult dose = __________ million units.

a. 2 million units

Correct

b. 3 million units

Incorrect

c. 4 million units

Incorrect

d. 5 million units

Incorrect

Now that you know the child's age in years and the adult dose, you can plug it into the formula:

child's age in years
child's age in years + 12 years

x Adult Dose

a. 800,500 units

Incorrect

b. 900,901 units

Correct

c. 900,950 units

Incorrect

d. 901, 900 units

Incorrect

The doctor orders an adult dose of Dilantin (Phenytoin) 100 mg tid. Calculate the dose for a child weighing 25 lbs using Clark’s Rule.

First determine the child's weight in pounds. ____lbs.

a. 20lbs.

Incorrect

b. 25lbs

Correct

c. 30lbs

Incorrect

d. 35lbs

Incorrect

Now identify the adult dose? Adult dose = __________mg.

a. 500 mg

Incorrect

b. 400 mg

Incorrect

c. 200 mg

Incorrect

d. 100 mg

Correct

Now that you know the child's weigh in pounds and the adult dose, you can plug it into the formula:

child's weight in lbs.
150 lbs.

x Adult Dose

a. 15 mg

Incorrect

b. 16 mg

Incorrect

c. 17 mg

Correct

d. 19 mg

Incorrect

The doctor orders an adult dose of Amoxicillin 500 mg q 8 hours. Calculate the dose for a child weighing 18 lbs using Clark’s Rule.

First determine the child's weight in pounds. ____lbs.

a. 18lbs.

Correct

b. 20lbs

Incorrect

c. 22lbs

Incorrect

d. 24lbs

Incorrect

Now identify the adult dose? Adult dose = __________mg.

a. 500 mg

Correct

b. 400 mg

Incorrect

c. 200 mg

Incorrect

d. 100 mg

Incorrect

Now that you know the child's weigh in pounds and the adult dose, you can plug it into the formula:

child's weight in lbs.
150 lbs.

x Adult Dose

a. 60 mg

Correct

b. 70 mg

Incorrect

c. 80 mg

Incorrect

d. 90 mg

Incorrect

The healthcare provider is caring for a pediatric patient that weighs 15 lbs with 2nd degree burns covering the back torso. The doctor orders fluid resuscitation for this patient. Calculate the correct amount of fluid for the 16 hours following the first 8 hours of fluid replacement.

First identify the TBSA burned % for the patient. _____ BSA %. Parklands Burn Formula.

a. 18%

Correct

b. 9%

Incorrect. According to the Lund-Browder Chart, the back torso is 18%.

c. 4.5%

Incorrect. According to the Lund-Browder Chart, the back torso is 18%.

d. 36%

Incorrect. According to the Lund-Browder Chart, the back torso is 18%.

Now identify the child's weight in kilograms (kg).

a. 4.58 kg

Incorrect. Remember the weight should be in kilograms, not pounds.

b. 5.52 kg

Incorrect. Remember the weight should be in kilograms, not pounds.

c. 6.82 kg

Correct

d. 7.82 kg

Incorrect. Remember the weight should be in kilograms, not pounds.

The question states the child weighs 15 lbs. You will need to convert it to kg using the conversion 1 kg = 2.2 lbs.

Now that you know the TBSA burned % and the child’s weight in kg, you can plug into the formula:

Fluid Requirements = TBSA burned (%) x Weight (kg) x

4 mL (RL)
1 kg

_____ mL

a. 391 mL

Incorrect

b. 400 mL

Incorrect

c. 491 mL

Correct

d. 491 mL

Incorrect

Now you will need to determine how much to administer in the first 8 hours.

a. 200 mL

Incorrect. During the 1st 8 hours ½ of the fluid should be administered.

b. 246 mL

Correct

c. 300 mL

Incorrect. During the 1st 8 hours ½ of the fluid should be administered.

d. 346 mL

Incorrect. During the 1st 8 hours ½ of the fluid should be administered.

Next you will need to determine how much to administer over the next 16 hours.

a. 200 mL

Incorrect. During the next 16 hours the 2nd half of volume is to be administered.

b. 245 mL

Correct

c. 291 mL

Incorrect. During the next 16 hours the 2nd half of volume is to be administered.

d. 300 mL

Incorrect. During the next 16 hours the 2nd half of volume is to be administered.

The healthcare provider is caring for a pediatric patient that weighs 25lbs and has 2nd degree burns covering the right arm and right leg. The doctor orders fluid resuscitation for this patient. Calculate the correct amount of fluid for the first 8 hours according to Parkland's burn formula.

First identify the TBSA burned % for the patient. _____ BSA %.

a. 18%

Incorrect. According to the Lund-Browder Chart, the right arm is 9% and the right leg is 14%. Therefore, the TBSA is 9% + 14% = 23%.

b. 20%

Incorrect. According to the Lund-Browder Chart, the right arm is 9% and the right leg is 14%. Therefore, the TBSA is 9% + 14% = 23%.

c. 23%

Correct

d. 36%

Incorrect. According to the Lund-Browder Chart, the right arm is 9% and the right leg is 14%. Therefore, the TBSA is 9% + 14% = 23%.

Now identify the child's weight in kilograms (kg).

a. 10.50 kg

Incorrect

b. 11.36 kg

Correct

c. 12.82 kg

Incorrect

d. 15.36 kg

Incorrect

The question states the child weighs 15 lbs. You will need to convert it to kg using the conversion 1 kg = 2.2 lbs.

Now that you know the TBSA burned % and the child’s weight in kg, you can plug into the formula:

Fluid Requirements = TBSA burned (%) x Weight (kg) x

4 mL (RL)
1 kg

_____ mL

a. 991 mL

Incorrect

b. 1045 mL

Correct

c. 1250 mL

Incorrect

d. 1545 mL

Incorrect

Now you will need to determine how much to administer in the first 8 hours.

a. 523 mL

Correct

b. 823 mL

Incorrect. During the 1st 8 hours ½ of the fluid should be administered.

c. 923 mL

Incorrect. During the 1st 8 hours ½ of the fluid should be administered.

d. 1023 mL

Incorrect. During the 1st 8 hours ½ of the fluid should be administered.

The healthcare provider is caring for a pediatric patient that weighs 40 lbs and has 2nd degree burns covering the legs bilaterally. The doctor orders fluid resuscitation for this patient. Calculate the correct amount of fluid for the first 24 hours post-burn according to Parkland’s burn formula providing the overall amount of fluid needed.

First identify the TBSA burned % for the patient. _____ BSA %.

a. 18%

Incorrect. According to the Lund-Browder Chart, each leg is 14%. Therefore, the TBSA is 14% + 14% = 28%.

b. 20%

Incorrect. According to the Lund-Browder Chart, each leg is 14%. Therefore, the TBSA is 14% + 14% = 28%.

c. 28%

Correct

d. 36%

Incorrect. According to the Lund-Browder Chart, each leg is 14%. Therefore, the TBSA is 14% + 14% = 28%.

Now identify the child's weight in kilograms (kg).

a. 10.50 kg

Incorrect

b. 11.36 kg

Incorrect

c. 15.82 kg

Incorrect

d. 18.18kg

Correct

The question states the child weighs 15 lbs. You will need to convert it to kg using the conversion 1 kg = 2.2 lbs.

Now that you know the TBSA burned % and the child’s weight in kg, you can plug into the formula:

Fluid Requirements = TBSA burned (%) x Weight (kg) x

4 mL (RL)
1 kg

The amount of fluid in 24 hours is ________ mL.

a. 1880 mL

Incorrect

b. 2036 mL

Correct

c. 2136 mL

Incorrect

d. 2236 mL

Incorrect

We have prepared a document with all the questions and answers, for this pediatric section. Please click on here to open the pdf document.