TB, a 4-year-old male child (38lbs) arrives to the urgent care with a mild fever, nausea,...

TB, a 4-year-old male child (38lbs) arrives to the urgent care with a mild fever, nausea, and vomiting that began the previous day. The patient was prescribed ibuprofen, pharmacy to dose. Please determine the dose, route, and frequency for this patient. Round to the nearest whole number

2. BB, a 6-year-old female child (3’5’’, 46lbs) arrives to the urgent care with a mild fever, nausea, and vomiting that began the previous day. The patient was prescribed acetaminophen 5 grain suppository. Directions: use 1 PR q4-6h prn temperature > 102. How many milligrams per kilogram (mg/kg) will the child receive per dose? Round to the nearest whole number.

Solutions

Expert Solution

question 1:

Ibuprofen is the drug use for reducing fever, pain. It should be taken after the advised by the doctor only. But in case of emergency, the parents can use the ibuprofen chart of dose which is internationally accepted.

For 4 years of a child with 38 lbs needed: Available for children in oral suspension 100mg/5ml and chewable table 50mg/1 tablet

Dose: 150 mg/day or 7.5 ml/day.

Route: Oral

Frequency: 3 times a day or 8 hourly so if 5o mg x TID (chewable tablet) or 2.5 ml x TID (oral suspension)

Question 2:

First change the grain to mg and weight of the child from lb to kg. Because according to the question they want to solve in mg and kg.

Let's change first grain to mg

1 grain = 60 mg

5 grain = 60 x 5 mg = 300 mg

Again change from lb to kg

1 kg= 2.2 lb

1 lb = 1/2.2 kg = 0.45 kg

46 lb = 0.45x 46 = 20.7 kg

So the patient will recieve

= 5 grain/46 lb

= 300 mg/ 20.7 kg/dose

= 14.5/kg/dose

So the patient will get 300 mg/20.7 kg/dose or 14.5/kg/dose PR(per rectal) q4- 6h

Nightingale answered 1 year ago

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