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Questions and Answers
What is the daily maintenance fluid requirement for a school-age child who weighs 35 kg?
1800 mL/day
What is the daily maintenance fluid requirement for a preschool-age child who weighs 18 kg?
1400 mL/day
What is the daily maintenance fluid requirement for a toddler who weighs 13.5 kg?
1175 mL
How many mL of clindamycin should be administered to a toddler who weighs 30 lb?
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What is the daily maintenance fluid requirement for an infant who weighs 6 kg?
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How many mL of furosemide should be administered to an infant who weighs 12 lb?
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What is the mL/hr rate for an adolescent weighing 57 kg receiving dextrose 5% in water (D5W) 20 mL/kg IV over 4 hr?
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What is the daily maintenance fluid requirement for a school-age child who weighs 22 kg?
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What is the weight in kg of an infant who weighs 13 lb 8 oz?
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How many mL of morphine should be administered to a newborn who weighs 3 kg?
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What is the mL/hr rate for an infant weighing 8 kg receiving 0.9% sodium chloride 6 mL/kg IV over 2 hr?
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What is the weight in kg of an infant who weighs 9 lb 4 oz?
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What should a nurse offer an infant after administering liquid medication?
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What is the maximum amount of mL for an intramuscular injection in infants?
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What is the daily maintenance fluid requirement for an adolescent who weighs 57 kg?
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How many mL of dexamethasone should be administered to a school-age child who weighs 50 lb?
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How many mL of famotidine should be administered to a child who weighs 41 lb?
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What gauge needle should be used for an IM injection in a 2-month-old infant?
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What should a nurse have a preschooler do during immunizations?
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What is the weight in kg of a preschool-age child who weighs 44 lb?
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What is the weight in kg of an adolescent who weighs 120 lb?
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What is the mL/hr rate for a school-age child who weighs 22 kg receiving 0.9% sodium chloride 15 mL/kg IV over 8 hr?
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What is the mL/hr rate for a toddler who weighs 11 kg receiving dextrose 5% in water (D5W) 7 mL/kg IV over 6 hr?
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What is the mL/hr rate for a toddler who weighs 14 kg receiving lactated Ringer's solution 25 mL/kg over 12 hr?
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Study Notes
Maintenance Fluid Requirements
- Daily fluid requirements for children vary based on weight:
- A school-age child weighing 35 kg needs 1,800 mL/day.
- A preschool-age child weighing 18 kg requires 1,400 mL/day.
- A toddler weighing 13.5 kg has a requirement of 1,175 mL/day.
- An infant weighing 6 kg needs 600 mL/day.
- A school-age child weighing 22 kg requires 1,540 mL/day.
- An adolescent weighing 57 kg has a daily maintenance of 2,240 mL/day.
Medication Administration
- Clindamycin: Administer 3 mL for a toddler weighing 30 lb, with a dosage of 10 mg/kg PO.
- Furosemide: For an infant weighing 12 lb, provide 1.1 mL using a solution of 10 mg/mL.
- Morphine: Administer 0.3 mL for a newborn weighing 3 kg, with a dosage of 0.05 mg/kg IV.
- Dexamethasone: A school-age child weighing 50 lb should receive 34 mL based on a 0.3 mg/kg/day dosage.
- Famotidine: For a child weighing 41 lb, administer 1.2 mL based on 1 mg/kg/day dosage.
IV Infusions
- Dextrose 5% in water (D5W) infusion for a 57 kg adolescent should be set at 285 mL/hr over 4 hours.
- For a weight of 8 kg, 0.9% NaCl should be infused at 24 mL/hr over 2 hours.
- 0.9% NaCl infusion for a 22 kg school-age child is set at 41 mL/hr over 8 hours.
- Dextrose 5% in water infusion for an 11 kg toddler is 13 mL/hr over 6 hours.
- Lactated Ringer's solution for a 14 kg toddler infuses at 29 mL/hr over 12 hours.
Weight Conversion
- Convert 13 lb 8 oz infant weight to 6.1 kg.
- An infant weighing 9 lb 4 oz equals 4.2 kg.
- A preschool-age child weighing 44 lb converts to 20 kg.
- An adolescent weighing 120 lb converts to 54.5 kg.
Safe Administration Practices
- Always confirm chemotherapy dosages using a body surface area nomogram.
- For IM injections in infants, do not exceed 1 mL.
- During administration of immunizations to preschoolers, engaging activities like blowing bubbles can help ease the process.
- After giving medication to a 6-month-old infant, offering a feeding may enhance comfort.
Guidelines for Injection Techniques
- Use a 25-gauge needle for IM injections in a 2-month-old infant.
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Description
Test your knowledge on pediatric dosage calculations with this flashcard set. Each card presents a scenario involving a child's weight and their daily maintenance fluid requirements. Perfect for nursing students and healthcare professionals focusing on pediatric care.
