2016先进科技成果推荐汇总表.pptVIP

Pediatric Medication Administration UNRS 314 Jan Bazner-Chandler CPNP, CNS, MSN, RN Review 1 teaspoon = 5 mL / cc 1 tablespoon = 15 mL / cc 1 ounce = 30 mL /cc Remember the clock! grains to grams to milligrams. How to calculate medication dose using ration / proportion. 16 oz = 1 pound (body weight) IV Fluid Calculation Adult (Review) Step # 1 Total number of milliliters ordered = ml / hr number of hours to run Step # 2 Milliliters per hour x tubing drip factor = gtt/min Minutes Pounds to Kilograms Pounds to kilograms = pounds 2.2 In pediatrics you need to carry out to the hundredths (do not round especially in the infant or small child) Kilogram Example 20 pounds 5 ounces First need to convert 5 ounces to a fraction of a pound 5 divided by 16 = 0.31 20.31 pounds divided by 2.2 = 9.23 kilograms Notes medication would be calculated based on 9.23 kilograms. DO NOT ROUND to 9.2 New Calculations Mg / kg dosing based on weight (kg) Safe dosing ranges IV pediatric infusion rates IV administration of meds per volutrol or syringe pump. 24 hour fluid calculation Calculations of pounds to kilograms If a child weighs 84 lbs, what is the weight in kg? 84lb : x kg 84 divided by 2.2 = 39.18 kg If a child weights 6 lbs 6 ounces what is the weight in kg? 6 ounces = 0.37 pounds 16 ounces 6.37 pounds divided by 2.89 = kg Medication dosage For a dosage of medication to be safe, it must fall within the safe range as listed in a Drug Handbook, PDR or other reliable drug reference. Dosage based on mg/kg and Body Surface Area The dose of most pediatrics drugs is based on mg/kg body weight or Body Surface Area (BSA) in meters squared. For testing purposed mg / kg will be used. BSA method of calculations may be seen in NICU, ICU and high acuity areas. Safe Medication Dose Calculate daily dose ordered (Physician orders) Calculate the low and high parameters of safe range (from drug book) Compare the patient’s daily dose to the safe range to see if it fa