Pediatric Practice Math Problems (KH) Name _____________________________

PLEASE SHOW YOUR WORK

1. Order: Give drug IV piggyback for a child weighing 66 lbs at a dosage of 50 mg/kg/day in
divided doses q 6 h.
How many mg would each dose contain? ____________

2. Order: Tetracycline elixir qid for child weighing 50 lbs at a dosage of 8mg/kg/day in equally
divided doses.
a. How many mg would one dose contain? ____________
b. Tetracycline is supplied at 50 mg / 7 mL. How many mL should be administered? _____

3. Order: Quinidine for an adult patient weighing 110 lbs at a dosage of 25 mg / kg / day q 6h.
a. How many mg in a dose? _____________
b. Quinidine is supplied as 300 mg tablets. How many tablets will you give? ______

4. Order: Ampicillin IVPB for a child weighing 55 lbs at a dosage of 20 mg / kg / day in 4 equally
provided doses.
a. How many mg per dose? ____________
b. Ampicillin is supplied as 250 mg in 1.5 mL. Give ___________ mL.

5. Order: Pronestyl orally for a patient who weighs 198 lb. at a dose of 25 mg / kg / day given at 6
hour intervals.
a. Give __________ mg.

6. Order: Garamycin 35 mg IV q 6h for a child weighing 42 lb.

a. The recommended dose is 6 – 7.5 mg / kg / day in equally divided doses.
b. Is the order in the safe range? _________________
c. Garamycin is supplied as 80 mg / mL. Give _________ mL.

7. Order: Tylenol suspension ½ tsp po q4h prn for fever for a child weighing 32 lb.
a. Tylenol is supplied as 325 mg / 10 mL
b. Recommended dose is 25 – 35 mg / kg / day q4h prn
c. How many mg of Tylenol in a ½ teaspoon? _____________
d. Is this a safe dose? ______________________

8. Order: Gantrisin 1 g q 4 h po. The patient weighs 198 lb.

a. The recommended dose is 40 – 50 mg / kg / day
b. Is the order a safe dose? _______________
9. Order: Erythromycin 300 mg po q6h for a 75 lb patient.
a. Safe range is 30 – 50 mg/kg/day.
b. Is the order a safe dose? ___________

10. Order: Theophylline loading dose 200 mg po for a 66 lb child.

a. Drug handbook states “po loading dose should not exceed 5 mg / kg”.
b. Is the order a safe dose? ______________________

11. Order: Cefadyl qid IM for a child who weighs 32 lb.

a. The drug book recommends Cefadyl 40 mg/kg/day in divided doses
b. Give ___________ mg per dose.
c. Cefadyl is provided as 250 mg / 2.5 ml
d. How many mL would you give? _________

12. Order: Ceclor 20 mg/kg/day for an infant who weighs 12 lb 3 oz in divided doses q8hours.
a. Give __________ mg per dose.
b. Ceclor is provided as 100 mg / 2 mL.
c. How many mL would you give? ______________

13. The suggested dose or erythromycin is 40 mg /kg/day q6h

a. A neonate weighing 3000 g would receive ___________ mg per dose?
b. Erythromycin is provided as 10 mg / mL
c. How many mL would you give? _________________

14. Order: Claforan IM q8h for a child weighing 8 kg.

a. The drug guide recommends Claforan 100 mg / kg/ day as a safe dose..
b. Give _________ mg per dose.
c. Claforan is provided as 250 mg / 5 mL
d. How many mL would you give? _________

15. Order: Cefadyl 5 mg qid IM for a child weighing 44 lb.

a. The drug book recommends 1-3 mg / kg/ day.
b. Is this order safe? _________________

16. Order Ancef 200 mg IV q 4h for a child weighing 22 lbs.

a. The recommended dose is 80 – 160 mg / kg / day
b. Is the dose safe? _______________
c. Ancef is provided as 1 g in 10 mL
d. How many mL would you draw up? ____________
e. You are to add the Ancef to 10 mL of IV fluid and infuse over ½ hour.
f. How fast would you set the IVAC at? ______________
17. Order: Gentamicin 8 mg / kg /day q6h for a child weighing 72 lb.
a. Give __________ mg per dose.
b. Gentamicin is provided as 80 mg / 2 mL.
c. How many mL would you draw up/ _____________
d. The Gentamicin is to be added to 15 mL of IV fluid and infused over 60 minutes.
e. How fast would you set the IVAC? _______________________

18. Synthroid is ordered 175 mcg po every morning for an 8-year old weighing 29.5 kg.
a. Drug book states po dose is 4-5 mcg / kg / day
b. Is this dose safe? _________________

19. Order: Neupogen 5 mcg/kg/day IV once daily.

a. Patient weighs 73 kg
b. Give _____________ mcg.
c. Neupogen is provided as 300 mcg / 1 mL
d. How many mL would you give? ____________.

20. Order: Tylenol 1 grain per year.

a. You are instructing a mother on how much Tylenol give to her 5 year old child.
b. How many mg would you instruct her to give? _______________
c. Tylenol is provided as 160 mg / 5 mL
d. How many mL would you instruct her to draw up? ___________

21. Order: Tylenol 0 – 3 months 80 mg per dose

a. You are instructing a mother of a 3 month old infant to give Tylenol.
b. Tylenol is provided as 100 mg / 0.8 mL
c. How many mL would you instruct her to give? __________________

22. Child weighs 62 pounds. Calculate 24 hour fluid needs

23. Child weighs 9 lb 5 oz. Calculate 24 hour fluid needs

24. Child weighs 75 pounds. Calculate 24 hour fluid needs

25. A child is receiving IV fluids at 120 ml / hr.

a. Physician order is for replacement for NG drainage mL / mL over 4 hours

b. The output at 0800 is 145 mL
c. How fast would you run the IV over the next 4 hours? _________________