USP/DI, Facts and Comparison and Package Inserts). Amoxicillin Susp. Find the patient's height in inches or centimeters on the left hand side of the nomogram. I, 17th ed. The product insert states that each Albuterol canister contains 200 inhalations. 8. What is an acceptable dose of Captopril for Tom? Rockville, MD, The United States Pharmacopeial Convention, Inc. 1997, p. 172. "Usual adult and adolescent dose Antihypertensive: Oral, 12.5 mg two or three times a day, the dosage being increases if necessary. Calcs that help predict probability of a disease, Subcategory of 'Diagnosis' designed to be very sensitive, Disease is diagnosed: prognosticate to guide treatment. The patient weighs 200 lbs. Oral, 300 mcg (0.3 mg) per kg of body weight three times a day, the dosage being increased if necessary."2. What is an acceptable dose? Dosing for an infant based on the normal adult doses and "Fred's Rule" for pediatric dosing is used when we have no standard of reference. The number of days supply can be calculated by dividing the number of capsules dispensed by the number of capsules used per day. Amount of drug per square meter of body surface (BSA), e.g. Calculate the weight in kg for Tom: Calculating Weight in kg ( 02080040 ), Calculate the dose of Captopril based on Tom's weight: Calculating Dose Based on Weight ( 02080050 ), What is the dose of Captopril for Tom based on the normal adult dose and Tom's age? This is not always the case. Let's assume that your child weighs 35 kg. Body Surface Area (BSA) is based on Jill's weight and height and is read from a nomogram (nomograms for adults and children are included). This is an unprecedented time. Why? The volume to dispense would be: Calculate the number of day's supply from the dosage regimen and the number of units dispensed - This is often required for third - party insurance claims. In the example, If the child requires a liquid product, Cefaclor is available in a reconstitutable suspension which has a concentration of 250 mg/5 ml. Jill weighs 42 pounds and is 43 inches tall. I, 17th ed. The order states to infuse the lidocaine at 2 mg/min. The regularly prescribed dosage of ibuprofen for kids is 10 mg per 1 kg of body weight, and can be administered every 6 to 8 hours. As a reference point, we will first calculate Tom's dose based on the usual pediatric mg/kg dose given in the USP/DI. Initial: Oral, 300 mcg (0.3 mg) per kg of body weight three times a day, the dosage being increased if necessary."2. If your child is in severe pain, you can use this ibuprofen calculator to calculate the one-time dose for your child. Doctor orders 12 mg/kg of Acyclovir. Amount of drug per kilogram of body weight, e.g. These general rules are not drug - specific and should only be used in the absence of more complete information. Draw a straight line connecting these two points and red the BSA in m2 at the point the line intersects with the middle line. As a reference point, we will first calculate Tom's dose based on the usual pediatric mg/kg dose given in the USP/DI. Use table below for ibuprofen infant drops or infant oral suspension (liquid). A dose is the quantity of drug taken or given. 20 mL per kg; Weight based. Rockville, MD, The United States Pharmacopeial Convention, Inc. 1997, p. 172. Then we will calculate doses for Tom based on the age and weight rules for pediatric dosing. This dosage regimen is very close to that found in part a which is based on the drug - specific dosage regimen found in the USP/DI, however, the dose of Captopril for Milli based on normal adult dose and weight as given by Clark's Rule is not so successful. Name and quantity of drug with frequency of administration, Example: Diazepam 2 mg three times a day or. The Local Anesthetic Dosing Calculator doses local anesthetics to help avoid toxic doses. Cefaclor is to be given in two divided doses, If the child can take capsules, this would be twenty 250 mg capsules. 2. If necessary, consider switching some doses to paracetamol. 9. Weight 100 mg/5 mL 200 mg/5 mL Total mL per Treatment Course Total mg per Treatment Course; Kg Day 1 Days 2–5 Day 1 Days 2–5 * Effectiveness of the 3-day or 1-day regimen in pediatric patients with community-acquired pneumonia has not been established. For patients who have an incomplete response, consideration may be given to adjusting the dosage up to 10 mg/kg IV every 8 weeks or treating as often as every 4 weeks, bearing in mind that risk of serious infections is increased at higher doses per infusion or more frequent dosing. Calculations, Doses and Dosage Regimens 5mg/kg. Give 40 milligrams (mg) of Lasix® (furosemide) IVP.The vial of Lasix® contains 100 mg per 10 mL. The doctor orders N.S. The nurse needs to calculate the mL/h for the infusion pump. Name and quantity of drug per square meter (m2) of body surface area with frequency of administration. Name and concentration of drug with frequency of administration, Example: Hydrocortisone cream 2.5% apply BID, Name of drug and quantity of drug per kilogram of body weight with frequency of administration, Example: Haloperidol 10 mcg per kg three times a day or, Haloperidol 30 mcg per kg per day in 3 divided doses, NOTE: Again, use great CAUTION with this equivalent expression as it has been misread. It gives a dose that is nearly 20 times the correct dose for an infant. Please consult your pediatrician before administering more drugs to your child. (Two rules may be used.). It may have something to do with the development of the kidneys or liver in the first weeks of life. USP DI Vol. Notice the difference in the mg/kg dose for newborns versus children: 10 mcg/kg versus 300 mcg/kg. What is the dose of Captopril for Milli based on the mg/kg dose given in the USP/DI? Geriatric patients often require special consideration when designing dosage regimen, Pediatric patients are not just little adults but need pediatric doses, In both geriatric and pediatric doses, the technician should use references such as USP/DI, Drug Facts and Comparison and product package inserts, There are also general rules for calculating an infant's or child's dose of medication when given the age or weight of the patient and the normal adult dose.