Assignment Instructions/ Description
An 8-year-old child is admitted to the pediatric hospital with seizures secondary to a head injury following a fall on the playground. The child's weight is 60 lb. The orders from the physician include: Admit to pediatric intensive care Bed rest in a quiet, darkened environment Complete blood count, chemistry panel, urinalysis, EEG, skull and neck x-ray and CT scan Vitals every 2 hours Monitor intake and output Seizure precautions IV D5W/0.45% NS at 500 mL/8 hr Dilantin (phenytoin) 2 mg/kg/min IV Valium (diazepam) 0.3 mg/kg IV push given over 3 minutes every 15 to 30 minutes to a total dose of 10 mg, repeat every 2 to 4 hours for seizure activity following Dilantin administration Tylenol (acetaminophen) 320 mg PO every 4 hours alternating with ibuprofen 7.5 mg/kg PO every 6 hours Identify the orders that require calculations. Set up and solve each problem using dimensional analysis. Calculate how many mL/hr to set the IV pump. Supply: D5W/0.45% NS 500 mL. Calculate how many mL/hr to set the IV pump to administer Dilantin. Supply: Dilantin 100 mg/50 mL to be administered over 15 minutes. Calculate how many mL of diazepam will be given IV push over 3 minutes. Supply: