Question

In: Nursing

The physician orders Keflex 250 mg oral every 6 hours for a child weighing 40 lb....

The physician orders Keflex 250 mg oral every 6 hours for a child weighing 40 lb. The Keflex is available in a 250 mg/ 5 mL concentration. The recommeneded dose is 50 to 100 mg/kg24h divided in four doses.

a. what is the child's weight in kg?

b. what is the safe dose range for this child every 24 hours?

c. Is the order safe ?

SHOW WORK

Expert Solution

a. what is the child's weight in kg?

1 LB is equal to 0.453592 kg

40 lb is equal to 18.1437kg

The child weight is kg is: 18

b. what is the safe dose range for this child every 24 hours?

Dose Forms Discontinued in US [oral susp not benefit. as brand; see generic] contaminations, bacterial [25-50 mg/kg/day PO separated q6-12h]

Max: 4000 mg/24h; Info: measurement, length fluctuate by disease compose, seriousness; may give 50-100 mg/kg/day PO separated q6h for extreme contamination otitis media [75-100 mg/kg/day PO partitioned q6h]

Max: 4000 mg/24h pharyngitis, streptococcal [>1 yo]

Dosage: 40 mg/kg/day PO partitioned q12h x10 days; Max: 500 mg/measurement group procured pneumonia, bacterial

[>3 mo]

Dosage: 75-100 mg/kg/day PO partitioned q6-8h x7-10 days

UTI, uncomplicated

[>15 yo]

Dosage: 500 mg PO q12h x7-14 days skin/skin structure diseases, bacterial

[25-50 mg/kg/day PO partitioned q12h] *endocarditis prophylaxis, dental

[50 mg/kg PO x1]

Begin: 30-60min preceding system; Max: 2000 mg/dosage

renal dosing [adjust measurements frequency]

CrCl 30-50: give q8h; CrCl 10-29: give q12h; CrCl <10: give q24h; HD: give measurements after dialysis, no supplement; PD: no supplement

c. Is the order safe ?

The dose looks it is not safe. Because the maximum pediatric dose of keflex is 100 mg except UTI. This drug dose may consider safe only if the child suffering from UTI.

Nightingale answered 2 years ago

A 55 lb child was ordered for ibuprofen 300mg every 6 hours as needed for pain....

A 55 lb child was ordered for ibuprofen 300mg every 6 hours as needed for pain. Is this a safe dose (standard is 5-10mg/kg/dose)? What is the maximum dose that this child should receive per dose in mg and mLs?

A physician orders gentamicin, 2.5 mg/kg thru an IV bag every 8 hours for an infection....

A physician orders gentamicin, 2.5 mg/kg thru an IV bag every 8 hours for an infection. The vial of medication is labeled 40.0 mg/mL gentamicin. If the patient, a child, weighs 60.5 lbs, how many milliliters will you give in a single dose (1 eight hour period)? (1.00 lb = 453.59 g)

A pediatrician orders Cephalexin 12.5 mg/ kg by mouth (po) every 12 hours (bid). The child...

A pediatrician orders Cephalexin 12.5 mg/ kg by mouth (po) every 12 hours (bid). The child weighs 33 pounds (lbs). The pharmacist provides you with Cephalexin oral suspension 100 mg/mL. How many milliliters (mL) of Cephalexin will you administer bid? (1 kg = 2.2 lbs) HLEP! I NEED ANSWER ASAP!

The physician orders 600 mg of Rocephin . oral suspension, to be given once per day....

The physician orders 600 mg of Rocephin . oral suspension, to be given once per day. The medications label indicates that is 125 mg per 5 ml. what amount of medication should the nurse pour to administer the correct dose? ______ml (numerical answers only. Place before the decimal and round to the nearest hundredth as appropriate

You have Erythromycin liquid 400mg/5ml. The physician orders Erythromycin oral suspension 600mg by mouth every 6...

You have Erythromycin liquid 400mg/5ml. The physician orders Erythromycin oral suspension 600mg by mouth every 6 hours. How many ml will you give?

The prescriber orders Tylenol 10mg/kg every 6 hours as needed for a 40 lbs five year...

The prescriber orders Tylenol 10mg/kg every 6 hours as needed for a 40 lbs five year old child. If the bottle is labeled Tylenol 160mg/5mL, how milliliter(s) would you advise the mother to give the child per dose?

The physician ordered furosemide 2.5 mg/kg q8h for a child who weighs 28 lb. The safe...

The physician ordered furosemide 2.5 mg/kg q8h for a child who weighs 28 lb. The safe dosage range is 3 to 6 mg/kg q8h, How many milligrams of furosemide should the nurse administer for each dose? Round to the nearest whole number.

The physician orders heparin 5,000 units subcutaneous every 12 hours for a patient with a DVT....

The physician orders heparin 5,000 units subcutaneous every 12 hours for a patient with a DVT. The heparin is available in 20,000 units per 1 milliliter concentration. How many mililiters would the nurse administer with each dose. Round to the nearest hundredth. Show work

1) The client is to receive 250 mg of cefazolin, IM, every 12 hours. The directions...

1) The client is to receive 250 mg of cefazolin, IM, every 12 hours. The directions for reconstitution of cefazolin for injection are on the drug label in the form of a table. Directions read: “Use 2 mL sterile water as a diluent. Resulting solution contains approximately 125 mg/mL, with an approximate available volume of 2 mL.” What is the final concentration of the prepared cefazolin solution for IM administration? 2) The physician orders Penicillin G Sodium 500,000 units. The...

The physician orders Ibuprofen .3mg PO every 6hrly PRN for pain. Pharmacy dispenses oral suspension 100mg/5ml....

The physician orders Ibuprofen .3mg PO every 6hrly PRN for pain. Pharmacy dispenses oral suspension 100mg/5ml. how much should the nurse administer?