Hey guys I need help with a pediatric drug dosage problem. I am fine with most of the problem, except for the last question (#7 in bold) when the "antibiotic is not running" Below is one example :
Andy weighs 10 kg. He is to receive three 20cc feedings during your shift. The doctor orders an IV med that requires a 2 ml fractional dose and an 18 ml dilution.
1. What are the fluid requirements for 3/4 maintenance for 24 hours? And for your eight hours shift?
2. Is it a safe dose? What is the safe dose range?
3. What is Jeffery's po intake for your shift?
4. What IV flow rate (ml/hr), for the pump, will be needed
to achieve 3/4 maintenance fluids for you shift?
5. what is the fractional dose
6. what is the hour the antibiotic running?
7.What IV flow rate (ml/hr) will be needed to achieve 3/4 maintenance fluids the second day when the antibiotic is not running?
- As per my understanding, I would subtract the time the antibiotic is running. In this case it would be 7 hrs rather than 8.
My question is- what happens when the antibiotic IS RUNNING? Do I add the flush, dilution and fractional dose without subtracting any hours?
The other option is no antibiotic in the shift - for which I understand not to subtract any fractional, dilution or flush from the fluid maintenance, nor subtract any hours.
I need help, as this my last chance to pass the exam. Thanks in advance!
Apr 1, '13
by Esme12, ASN, BSN, RN Senior Moderator
Quote from Ashley, PICU RN
I didn't notice that! Maybe it's a trick question. We don't know Jeffrey's po intake because we only have orders for Andy. It makes the question a lot simpler then.
Something's missing.....in the question
Last edit by Esme12 on Apr 1, '13