Clinical Case Study B, Chapter 8, Dosage Problems for Infants and ChildrenEbonee Parker, age 9, is admitted to the oncology unit for chemotherapy for acute

Clinical Case Study B, Chapter 8, Dosage Problems for Infants and Children

Ebonee Parker, age 9, is admitted to the oncology unit for chemotherapy for acute lymphocytic leukemia. Weight is 60 pounds, height is 60 inches, BSA 1.05. (Topics covered: converting pounds to kilograms, determining a safe dose, mg/kg calculations, body surface area calculations)

Medication orders:

· asparaginase 27,000 international units in 50 mL D5W, IVPB. Infuse over 30 minutes

· prednisone 15 mg po q 8 hours

· vincristine 2 mg in 50 mL D5W, IVPB. Infuse in 15 minutes

· morphine 1.5 mg IVP q 6 hours prn pain

· dexamethasone 4 mg IVP bid

· ondansetron 4 mg IVP 30 minutes prior to chemotherapy, repeated 4 and 8 hours later

· Primary IV: D5W 50 mL/hour × 24 hours

Calculate the safe dose, determine if the ordered dose is safe, and calculate the amount needed for the correct dose (round the weight conversion to a whole number; do not round answers unless directed):

1. asparaginase. Safe dose: 25,000 international units/m2 3 times a week. Supply: 10,000 units/mL. What is the infusion rate?

2. prednisone. Safe dose: 40 mg/m2 po in divided doses, q 8 hours. Supply: oral solution 5 mg/5 mL

3. vincristine. Safe dose: 1.5–2 mg/m2 single dose. Supply: 1 mg/mL

4. morphine. Safe dose: 0.05 mg/kg/dose. Supply: 2 mg/mL

5. dexamethasone. Safe dose: 0.08 to 0.3 mg/kg/day divided q 12 hours. Available: 4 mg/mL injection

6. ondansetron. Safe dose: 0.15 mg/kg IVP. Supply: 2 mg/mL

7. What is the total amount of the primary infusion in 24 hours?

Critical Error:

The nurse does not calculate the safe dose (range) and accepts the medication orders as written. What error could happen?

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Reflections should be approximately 500 words and scholarly, using APA 7 formatting for citations.*  Please reflect upon your simulation experience addressing

Reflections should be approximately 500 words and scholarly, using APA 7 formatting for citations.*  Please reflect upon your simulation experience addressing all of the following:  · What overall thoughts do you have about your simulation experience?  -great opportunity to practice patient interactions. New experience working with pediatric patients Patient was

NURS-6003N ACADEMIC SUCCESS AND PROFESSIONAL DEVELOPMENT PLAN PART 2: STRATEGIES TO PROMOTE ACADEMIC INTEGRITY AND PROFESSIONAL ETHICS Nurse-scholars have a

NURS-6003N ACADEMIC SUCCESS AND PROFESSIONAL DEVELOPMENT PLAN PART 2: STRATEGIES TO PROMOTE ACADEMIC INTEGRITY AND PROFESSIONAL ETHICS Nurse-scholars have a significant obligation to their community as well. Their work must have academic and professional integrity. Their efforts are designed to add to the body of knowledge, advance the profession, and

NURS 3620 Health History RubricCriteria

NURS 3620 Health History Rubric Criteria Possible Points Points Obtained Feedback Selects client from appropriate clinical setting 5 Identifies key health issues 10 Identifies allergies 5 Identifies potential mobility issues 10 Identifies nutritional issues or special diets 5 Identifies ability to complete activities of daily living 10 Identifies social determinants

*WCHT=Women’s Center for Healing and Transformation2023-07-15 2023-09-03 2023-10-23 2023-12-12 2024-01-31 2024-03-21 2024-05-10 2024-06-29 2024-08-18

*WCHT=Women’s Center for Healing and Transformation 2023-07-15 2023-09-03 2023-10-23 2023-12-12 2024-01-31 2024-03-21 2024-05-10 2024-06-29 2024-08-18 2024-10-07 2024-11-26 Approval of WCHT* of the project Implementation plan development Development of community connections IRB approval Develop and distribute marketing materials Hold community meeting to plan details Coordinate with WCHT* to lead group walks

Cardiovascular disease is a leading cause of morbidity and mortality in the United States. Renal and genitourinary systems closely interact with the

Cardiovascular disease is a leading cause of morbidity and mortality in the United States. Renal and genitourinary systems closely interact with the cardiovascular system and contribute to disease. As  an advanced practice nurse, being able to synthesize the etiology and  physiologic processes of these disorders will enhance your ability to educate

1Assessment 04 –Informatics and Nursing-Sensitive Quality Indicators For this assessment, you will prepare an 8–10 minute audio training tutorial

1 Assessment 04 – Informatics and Nursing-Sensitive Quality Indicators For this assessment, you will prepare an 8–10 minute audio training tutorial (video is optional) for new nurses on the importance of nursing-sensitive quality indicators. Before you complete the detailed instructions in the courseroom, first review the Nursing- Sensitive Quality Indicators