* always round kg to

tenth &
nearest

Pediatric Medication Math Practice Worksheet

2.21b kg =

Complete the problems. Show all work using dimensional analysis. Label the answer.

Round gtts to the nearest whole number; round everything else to the nearest tenth (one
decimal point).

1. Calculate the maintenance fluid requirements per day for Laura whose weight is 21.78 lbs.

1-=9.9k 100m2x9.9kg 990m/24hrs

181, 2.2 IX
=

a. If Laura was NPO and needed to receive all these maintenance fluids IV, what
would you expect the order to read for her IV rate?

n 41.3
=

Mc/hr

2. Calculate the maintenance fluid requirements per hour for Monica whose weight is 6.6
-

kg.

6.6kgx100m2 440m2/24 hrs =

=27. Smuhhr
3. Xavier is 32 kg. Calculate his daily fluid requirement.
100 mL x 10 1000 mL =

50 m2x10 500mL
=

20M2 x12 1740 mc

240mL
= =

a. What would Xavier’s IV rate be ordered at if he were NPO?

1740mL
- 72.5m2/hr
24hrs

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4. Calculate the maintenance fluid requirements per day for Travis whose weight is 39.6 lbs.
100mL x10kg 1000 mL

01bx=18k9
=

Somx8kg NML
=

1400m2124hr
a. If Travis was NPO and needed to receive all these maintenance fluids IV, what
would you expect the order to read for his IV rate?

om=58.3 m er

b. The IV set delivers 10 gtts/mL. How many drops/min should be administered?

me xin t 10gtts/min 9.7

=

5. Calculate the maintenance fluid requirements per hour for Gina whose weight is 55 kg.

55k9 x.s
20mix35kg
om
e 91.7 mc/hr
=

a. The power goes out and your IV set delivers 60 gtts/mL. How many drops/min
should be administered?

Myin=
9tsmine 92 gtts/min
6. The doctor orders a normal saline bolus STAT at 150 mL over 30 minutes. Your IV
pump is on order but has not yet arrived. You have a 60 gtts/mL IV infusion set to begin
the IV fluid administration now.

a. How many gtts/min will you set the IV rate?

=
300gtts/min © 2023. Grand Canyon University. All Rights Reserved.

-
 b. The IV pump arrives. How many mL/hr will you now set the IV pump for in mc/hr
order to administer the correct amount of fluid over the correct amount of time?

min X
300m r
=

7. Cefapime 600 mg IV is in 150 mL of solution and ordered to be infused over 15 minutes.

- -
-

a. At what rate in mL/hr will you set your IV pump?

Sam miner
b. The pump breaks down and you have an IV set that delivers 10 gtts/mL. How
- -

many gtts/min should be administered?

⑳my sx in=100 gtts/min

8. Jacob is to receive Ampicillin 200 mg IV q6h. He weighs 35.2 lbs. The safe dose for
-

Ampicillin is 25-100 mg/kg/day.

a. How much Ampicillin is Jacob receiving per day?

mers=800 mg/day in

Yes! 400-1600 mg/day

b. Is this a safe dose for Jacob? Why or why not?
-
xb*g
2x*glday © 2023. Grand Canyon University. All Rights Reserved.

1600 mg/day
 c. The medication is provided in a concentration of 500 mg/5 mL. How many mL
-

would you draw up in order to administer the dose of 200 mg?

omg e i

9. Maggie has Rocephin 750 mg IV q12h ordered. The instructions state to mix 1 gm
powder to 9.6 ml NS for a concentration of 100 mg/mL. How much Rocephin would you
draw up for Maggie?

gxm=7.Sm/dose
10. Javier has meningitis. He has Ampicillin 820 mg IV q8h ordered. He weighs 25 kg. The
safe dose for Ampicillin is 100-200 mg/kg/day (meningitis dose).
-

a. How much Ampicillin is Javier receiving per day?

omg, n=2460 mg are

b. Is this a safe dose for Javier? Why or why not?

-my= 2500mg/day 9om=Sosomal

day

Yes safe, buttoo low of a

dose
mg-boomg
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 ,mgx org
~8.2 m

c. The medication is provided in a concentration of 1 gm powder to be mixed with

10 mL NS. How many mL would you draw up in order to administer the ordered
dose?

11. Mariano is receiving Cefazolin 60 mg/kg/day. It is ordered to be given BID. He weighs 5

=> -

- -

-
kg.

a. How much Cefazolin is Mariano receiving per dose?

day
ray* 9xI -=

2 dose
150mg/dose

b. The reference states to dilute 1 g Cefazolin vial with 10 mL NS. How much
e
-

medication would you draw up for Mariano’s 0600 dose?

M,mg, 1000mg 1-1.5 Mc/ dose

12. Phillip is 40 lbs. He is to receive 10 mg/kg/dose Tylenol q4h prn for pain/fever. Available
- - en

concentration is 80 mg/0.8 mL.

-

a. How many mg of Tylenol will Phillip receive per dose?

1
mg,
19/dose
4x 2.2
181.8 mg
=

/ dose

b. How many mL will you draw up to give Phillip?

xmg:me/des
13. The safe dose of Morphine Sulfate is 0.05-0.1 mg/kg/dose. Kelly weighs 3.6 kg. What is
the safe range of Morphine for Kelly?

3m 9x 3K9=0.18mg m K9: x 0.3 e

@ *AllX
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safe dose:0.2mg-0.4 mg
14. Paul is getting Ativan 1 mg q 4h for anxiety. Paul is 10 kg. Safe dose for Ativan is 0.05
- - -

-
mg/kg/dose.

a. Is Paul receiving a safe dose? Why or why not? NOT

safe!
0.5 <ing
Osm = 9x 0.5 mg ld e

b. What should you do next?

Call the provider, do not

give dose!

15. Tanya is on a Morphine PCA for acute Sickle Cell Crisis. Tanya gets itchy so you have
an order for Naloxone (Narcan) at 1-3 mL/hr IV continuous. The available concentration
-

for Narcan is 0.4 mcg/mL.

-

a. How much Narcan will Tanya receive if you set the pump at 2 mL/hr?

mcgx 0.8
=

might t

b. The power goes out and you have 60 gtts/mL IV tubing set. How many gtts/min

in et
will your Narcan be set at?

Its my 2 gitslmi

16. Jude has cellulitis. He is recieving Gentamicin 31.5 mg IV q6hr. He weighs 46 lbs. The
- - -

safe dose of Gentamicin is 6-7.5 mg/kg/day in 3-4 divided doses.

a. How much Gentamicin is Jude receiving per day?

=
b. What is the safe range for Jude? Is this a safe dose for Jude? Why or why not?
klmg/day
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 Yes, safe dose!
125.5-156.8 mg/day
e

omgx x=125.5
kg/day
Sm9xx19= 166
2. IID

c. The medication is provided in a concentration of 10 mg/mL. How many mL

-

would you draw up in order to administer the ordered amount?

5mg m 3. e 3.2mL
=

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