Question

Order: Tylenol suspension 1/2 tsp PO q4h prn for fever for a child weighing 25 lb. The medication is supplied as 325 mg/ 10 ml oral solution. The recommended dose is 10 – 15 mg/kg/day q4h prn. a. In milligrams, what is the ordered daily dose? Round your answer to the nearest 10th. Use numeric response only in answer box, do not include units. mg b. What is the maximum safe daily dose for this patient? Round to the nearest tenth if needed, Use numeric response only in answer box, do not include units. mg/day c. Is the order safe? Write yes or no. d. If this order is safe, calculate the amount to administer per dose, use appropriate unit abbreviation and round to the nearest hundredth if needed, if the order is not safe, write: contact provider

Answer 1

a) The ordered daily dose of Tylenol suspension for a child weighing 25 lb is 113.6 mg/day to 170.4 mg/day. b) The maximum safe daily dose for this patient is 756 mg/day. c) The ordered dose is less than the maximum safe dose, so the order is safe. d) The amount to administer per dose is 18.93 mg.

Step-by-step explanation:

The ordered daily dose of Tylenol suspension for a child weighing 25 lb is calculated by converting the weight to kilograms and then multiplying it by the recommended dose range of 10-15 mg/kg/day. To convert pounds to kilograms, divide the weight by 2.2.

a) In this case, the child weighs 25 lb, so the weight in kg is 11.36 kg. The ordered daily dose is then calculated by multiplying the weight in kg by the minimum and maximum recommended dose:

• Minimum dose: 11.36 kg * 10 mg/kg = 113.6 mg/day
• Maximum dose: 11.36 kg * 15 mg/kg = 170.4 mg/day

Therefore, the ordered daily dose is 113.6 mg/day to 170.4 mg/day.

b) The maximum safe daily dose for this patient is 756 mg/day. This is calculated by multiplying the maximum dose of 170.4 mg/day by the weight of the child (11.36 kg) and rounding to the nearest tenth.

c) To determine if the order is safe, compare the ordered daily dose (113.6 mg/day) to the maximum safe daily dose (756 mg/day). If the ordered daily dose is less than or equal to the maximum safe daily dose, the order is safe. In this case, the ordered dose is less than the maximum safe dose, so the order is safe.

d) To calculate the amount to administer per dose, divide the ordered daily dose by the number of doses per day. In this case, the medication is ordered every 4 hours, so there are 6 doses per day:

Amount per dose: 113.6 mg/day / 6 doses = 18.93 mg/dose

Therefore, the amount to administer per dose is 18.93 mg.