Paramedic Pediatric Medical Math Practice

Transcription

1 Paramedic Pediatric Medical Math Practice Name: Date: Problem 1 Your 4 year old patient weighs 40 pounds. She is febrile. You need to administer acetaminophen (Tylenol) 15mg/kg. How many mg will you administer? Problem 2 Based on your answer to #1, the acetaminophen packages come in liquid form 160mg/5mL. How many ml will you administer to your 40 pound patient? Problem 3 Your pediatric patient needs epinephrine for a severe allergic reaction. You need to give 0.25 mg IM. You have a pre filled syringe with 1 mg/ml. How much will you waste in order to give the correct dose? Problem 4 The ECG of your adolescent patient presents in V tach, you decide the right drug to use for the rhythm is amiodarone. Give 5mg/kg. Your patient weighs 100 lbs. How much will you give? Problem 5 An 8 year old child who has been recently ill has symptomatic bradycardia. You decide to give atropine sulfate. The max single dose for a child is: (please circle one) 1.5mg 1 mg 0.75mg 0.5mg Problem 6 A neonate weighing 1830 grams is to receive 0.1 mg/kg of Narcan. The medication is available in 0.4 mg/ml ampules. How many ml should the neonate receive? UCLA Center for Prehospital Care Wilshire Boulevard, Suite 1450 Los Angeles, CA Tel /

2 Problem 7 You need to give your patient 5 units of vasopressin (Pitressin). You have on hand a 0.5 ml vial labeled 20 units/ml. How many ml will you administer? Problem 8 Give acetaminophen elixir 10 mg/kg to a febrile infant weighing 10lbs Available: You have 160 mg/ 5ml. How much acetaminophen will you administer? Problem 9 You are called to a possible over dose. When you arrive, you find that a child consumed an entire bottle of his Grandma s blood pressure medication. You confirm that amlodipine is what the child swallowed. You know that this is a calcium channel blocker, so you decide to give Calcium Chloride 10% at 20mg/kg or 0.2ml/kg. The child weighs 30 lbs. How many mg will you give? How many ml s will you need? Problem 10 You arrive on scene to find an infant in pulseless arrest. You need to give 0.01mg/kg, (0.1ml/kg of 1:10,000 of epinephrine. The baby weighs 15lbs. How many mg will you give? How many ml s will you give? Problem 11 Give digoxin 18 mcg for a child that weighs 7 lbs. The safe range is mcg/kg/24 hrs. a. What is the safe 24-hr range? b. Is the ordered dose safe for a 24-hr period? c. If the medication is supplied 50 mcg/ml, how many ml will you administer per dose?

3 Problem 12 Give phenobarbital 40 mg po q 8 hr. Child weighs 27 lb. The safe range is 8-10 mg/kg/24 hr. a. What is the safe 24-hr range? b. Is the dose safe for a 24-hr period? c. If the medication is supplied 125 mg/5 ml, how many ml will you administer per dose? Problem 13 Give prednisone 150 mg. Child weighs 21 lb. The safe range is mg/kg/24hr Problem 14 a. What is the safe 24-hr range? b. Is the dose safe for a 24-hr period? c. If the medication is supplied 5 mg/ml, how many ml will be required for a 24 hour period? You are called to a home of a 15lb infant who has had fever, vomiting and diarrhea for 3 days. The child is dehydrated and with a blood sugar of 24mg/dL. How much would you give of the following: Dextrose 0.75g/kg D25W 4ml/kg D10W 10ml/kg Problem 15 You arrive at a scene of an apartment fire and find a small child weighing approximately 50 lbs with second and third degree burns. You decide to give fluid resuscitation and use albumin to help manage the fluid shifts. Albumin is given at 0.5/10ml/kg. How much will you give?

4 Problem 16 You need to treat anaphylaxis with methylprednisolone 2 mg/kg/day IV. On hand you have 50 mg/ml. The child weighs 25 kg. a. How many mg per dose will the child receive? b. How many ml per dose will you give? c. How many mg per day will the child receive? Problem 17 For congestive heart failure you need to give 15mcg/kg/min of dobutamine will you give to a 75lb patient and you have 15mg available if dobutamine available. How much will you give? Problem 18 You have an 80lb patient with wide complex tachycardia (with a pulse). You need to administer lidocaine 1mg/kg bolus, then 2 mg/min. Using 60 gtts/cc. How much will you give? Problem 19 You need to give 50mg/kg magnesium sulfate for Torsades de Pointes. You have magnesium sulfate 25mg/5mL. The child's weight is 1180 g. Problem 20 a. How many mg will the child receive? b. How many ml per dose will you draw from the vial? You need to give Demerol 1 mg/kg PO for. The child weighs 20 pounds. Demerol comes in 5Omg/mL. How many ml would you give? Problem 21 You need to give 1.5 mg/kg IV of furosemide for pulmonary edema. The infant weighs 24lbs. Furosemide comes in 5mg/5mL. a. How many mg per dose will the child receive? b. How many ml per dose will the child receive?

5 Problem 22 Morphine 0.15 mg/kg/dose IV q2-4h is ordered for a child weighing 40 kg. Morphine sulfate is supplied in 2 mg/ml. a. How many mg per dose will the child receive? b. How many ml per dose will the child receive? c. How many mg per day will the child receive? Problem 23 You have a toddler in a state of status asthmaticus. He weighs 46lbs. Your standing order is to give 10 mcg/kg of terbutaline q 15 minutes with a max of.4mg. He has had 4 doses so far. Can he have more? If so, how much more can he have before you reach the max dose?. Problem 24 A child who weighs 18kg is to receive Motrin (ibuprofen) 8 mg/kg po q 4h prn for pain. The label reads 100 mg/5 ml. How many ml will you administer? Problem 25 Order: Phenobarbital 16 mg/kg IV. Childs weight is 44 pounds. How many mg will you administer to the child?

6 Paramedic Pediatric Medical Math Answer Sheet Name: Date: