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6:37 PM 86% 5. The physician orders Omnicef 70 mg po twice a day for a child wei

ID: 246690 • Letter: 6

Question

6:37 PM 86% 5. The physician orders Omnicef 70 mg po twice a day for a child weighing 22 lb. The recommended dosage for Omnicef is 14 mg/kg/24 h twice a day for 10 days for skin infections. It is available as 125 mg/5 mL. a. Child's weight is kg. b. Is the order safe? Prove your answer. milliliters are needed to deliver the ordered dose? c. If the dose is S&T;, how many 6. The physician orders Cipro 300 mg q12 h po for a child weighing 30.3 kg. You have Cipro 250 mg/5 mL. The recommended oral dosage is 20 to 30 mg/kg/24 h q12 h. a. Child's weight iskg. b. What is the S&T; 24-hour dosage range for this child? c. What is the single dose range for this child? to deliver the ordered dose? How many milliliters are needed 0

Explanation / Answer

5. Ordered dosage: 70 mg
Weight: 22 lb
Recommended dosage: 14 mg/kg/24 h = 14 × 9.98 / 24 hr = 139.72 mg / 24 hr
Available dosage: 125 mg/ 5 ml = 25 mg/ ml
A. Child’s weight: 9.98 kg
B. The recommended dosage is 139.72 mg that is approximately 140 mg for a day. The ordered dosage is 70 mg twice a day so it equals to 140 mg per day. It is safe and appropriate to the recommended dosage.
C. Amount to give: (ordered dosage / available dosage) × volume
(70 / 25) × 1 = 2.8 ml
Answer: 2.8 ml


6. Ordered dosage: 300 mg
Weight: 30.3 kg
Available dosage: 250 mg / 5 ml = 50 mg per ml
Recommended dosage: 20 to 30 mg/kg/24 h
A. Child’s weight: 30.3 kg
B. 24 hours dosage range: 20 to 30 × 30.3 per 24 h = 606 to 909 mg per 24 h
C. Single dose: It is for q12H so 606/2 to 909/2 = 303 to 454.5 mg
D. Amount to give: (Ordered dosage / available dosage) × volume
(300 / 50) × 1 = 6 ml
Answer: 6 ml q12H