如何对待和处分违纪的学Title.pptVIP

Safety related to Administration methods UNRS 314 Jan Bazner-Chandler CPNP, CNS, MSN, RN Pediatric dosages calculated by weight Most drug books use weight in kilograms, patients are often weighed in pounds: To convert pounds to kilograms 2.2 lb = 1 kg. 2.2 x = weight in lb Divide pounds by 2.2 to get weight in kg Calculation If a child weighs 88 lbs, what is the weight in kg? 88lb : x kg 88 divided by 2.2 = 40 kg If a child weights 6 lbs what is the weight in kg? 6 lb divided by 2.2 = 2.72 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. 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 falls within the safe zone Calculation A child is 2 years and weighs 36 lbs is receiving Amoxicillin 215 mg po tid for a bilateral otitis media (ear infection). Patient weight in kg = 16.36 kg Davis drug guide: PO (children) 40 kg: 6.7 to 13.3 mg / kg q 8 hours. 16.36 x 6.7 = 109.6 mg q 8hours 16.36 x 13.3 = 217.5 mg q 8 hours Safe range: 110 to 218 mg of Amoxicillin Q 8 hours Is the dose safe? How much medication do you give? Amoxicillin suspension comes 250 mg per 5 ml. 250 mg / 5 ml = 215 mg / x ml Give 4.3 cc po every 8 hours Safe Dose Ranges Read the medication ranges carefully Some are the dose range for 24 hours Some are the dose range for q 8 hours Some are the dose range for q 12 hours Fluid Control Crucial in the pediatric population Units often have policies that children under certain ages with IV fluids / IV medication be placed on an infusion pump. Key concepts Fluid overload must be avoided Time over which a medication should be administered is critical information Minimal dilution (end concentration of medication) is important for medications such as aminoglycosides. Collecting therapeutic blood level