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Prednisolone oral suspension 10mg every 8 hours. The child weighs 40l The safe dose range is 0.14−2mg/kg/d ay divided t.i.d ( 3x/ day) or q.i.d (4x/day) a) What is the child's weight in kilograms? b) Is this a safe dose? c) If yes, and the medication is available in 5mg/5ml, how much will the nurs administer per dose?

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la) To convert the child's weight from pounds to kilograms, we can use the conversion factor
\displaystyle 1 \text{ lb} = 0.4536 \text{ kg}.

Weight in kilograms =
\displaystyle 40 \text{ lb} * 0.4536 \text{ kg/lb} = 18.14 \text{ kg}

b) To determine if the given dose is safe, we need to check if it falls within the safe dose range. The safe dose range is given as
\displaystyle 0.14 - 2 \text{ mg/kg/day} divided
\displaystyle t.i.d (3 times a day) or
\displaystyle q.i.d (4 times a day).

Safe dose range for the child =
\displaystyle 0.14 \text{ mg/kg/day} * 18.14 \text{ kg} - 2 \text{ mg/kg/day} * 18.14 \text{ kg}

Safe dose range for the child =
\displaystyle 2.5376 \text{ mg/day} - 36.28 \text{ mg/day}

The prescribed dose of prednisolone oral suspension 10 mg every 8 hours is within the safe dose range of
\displaystyle 2.5376 \text{ mg/day} - 36.28 \text{ mg/day} for the child.

c) If the medication is available in a concentration of 5 mg/5 ml, we can calculate the amount the nurse should administer per dose.

The prescribed dose is 10 mg every 8 hours, which means 3 times a day.

Amount of medication per dose = Total prescribed dose per day / Number of doses per day

Amount of medication per dose =
\displaystyle (10 \text{ mg} * 3) / 3

Amount of medication per dose =
\displaystyle 10 \text{ mg}

Therefore, the nurse should administer 10 mg of prednisolone oral suspension per dose, which corresponds to 10 ml since the concentration is 5 mg/5 ml.


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