1. Manage Pain/Fever: Acetaminophen (10.22 mL) Q4h PRN, ibuprofen (4.36 mL) Q6h PRN. Monitor.
2. Prevent Infection: Cefuroxime (26.21 mL) BID for 10 days. Educate on use, signs.
3. Ensure Follow-up: Schedule, contact info, stress importance.
Dosage:
- Cefuroxime: 654 mg
- Acetaminophen: 327 mg
- Ibuprofen: 218 mg
Importance of Dosage: Safety, effectiveness, tailored treatment, error prevention.
Discharge Plan:
Priority Goal 1: Manage Pain and Fever
Rationale: Addressing pain and fever is crucial for Gabriel's comfort and recovery.
Nursing Interventions:
1. Administer acetaminophen 160 mg (5 mL) P-O Q4h PRN fever or pain.
2. Administer ibuprofen 100 mg (5 mL) P-O Q6h PRN fever and pain (up to 3 days).
3. Monitor temperature and pain levels regularly.
Priority Goal 2: Prevent Infection
Rationale: Gabriel's fracture and right ear infection require prevention of infection.
Nursing Interventions:
1. Administer cefuroxime 30 mg/kg P-O BID (calculate dosage below) for 10 days.
2. Instruct the mother on hand hygiene and proper administration of antibiotics.
3. Educate on signs of infection and when to contact the pediatrician.
Priority Goal 3: Ensure Follow-up Care
Rationale: Follow-up appointments with the pediatrician and orthopedics are crucial for monitoring and further treatment.
Nursing Interventions:
1. Schedule and provide clear instructions for follow-up appointments.
2. Give mother contact information for pediatrician and orthopedics.
3. Emphasize the importance of attending appointments for comprehensive care.
Dosage Calculation:
Cefuroxime Dosage:
Weight: 48 lbs = 21.8 kg
Dosage: 30 mg/kg
Cefuroxime needed = 30 mg/kg × 21.8 kg = 654 mg per dose
Cefuroxime comes in oral suspension 125 mg/5 mL.
Cefuroxime dosage in mL = 654 mg / 125 mg/5 mL ≈ 26.208 mL per dose
Acetaminophen Dosage:
Weight: 48 lbs = 21.8 kg
Dosage: 15 mg/kg
Acetaminophen needed = 15 mg/kg × 21.8 kg = 327 mg per dose
Acetaminophen comes in 160 mg/5 mL.
Acetaminophen dosage in mL = 327 mg / 160 mg/5 mL = 10.21875 mL per dose
Ibuprofen Dosage:
Weight: 48 lbs = 21.8 kg
Dosage: 10 mg/kg
Ibuprofen needed = 10 mg/kg × 21.8 kg = 218 mg per dose
Ibuprofen comes in 100 mg/5 mL.
Ibuprofen dosage in mL = 218 mg / 100 mg/5 mL = 4.36 mL per dose
Explanation of Exact Dosage:
Precise dosage ensures a therapeutic effect and avoids under/overdosing. Accurate measuring tools are essential to prevent errors. Regular intervals maintain consistent drug levels, optimizing pain relief, fever reduction and infection treatment.