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Pediatric Medication Calculations
CPNP, CNS, MSN, RN
How many mL in 4 teaspoons?
In pediatrics you need to carry out to the hundredths (do not round)
Amoxicillin Suspension comes:
250 mg per 5 mL you want to give 215 mg
5 ml = x ml
727 mL / 24 hours or 30 mL per hour
1681 mL / 24 hours or 70 mL / hour
Fluid calculations can be rounded. You cannot administer a fraction of a mL.
0.5 mg / kg / day divided twice daily (maximum 40 mg / day)
1 mL x mL
10x 0.5 mL of Pepcid
Safe dose is 30 to 50 mg/kg/day
Safe range is 510 to 859 mg/day or 170 to 286 per dose.
If the order is to give the drug q 8 hours you would need to divide the safe range by 3 or multiple the q 8 hour dose x 3.
Drawing up the medication:
1 gram / 10 mL or 95 mg / 1 mL
95 mg = 280 mg280
1 mL x mL 95x = 2.94 mL or 2.9 mL
DO NOT ROUND UP TO 3 mL
The flush: evidence based practice has demonstrated that in an effort to get the IV medication from the volutrol to the patient the line needs to be flushed with 20 mL of IV fluid after the medication is into the IV line.
What does this mean?