Case Study: M.S. is a 6-month old male that was born at 26 weeks. The infant was discharged 2 weeks ago after a 14 week stay in the neonatal intensive care unit (NICU). He currently weighs 6 pounds and is 19 inches long. His current vital signs are HR 145, RR 26, B/P 90/60, T 101.6 F His parents brought the infant to the emergency department because he has not been eating and is continuously fussy. The healthcare provider assessed a bulging left tympanic membrane and diagnosed the infant with an ear infection. Orders include: Amoxicillin 113 mg PO q12h. Safe dosing for amoxicillin is 80-90 mg/kg/day divided every 12 hours for 5-7 days. 1) Highlight the information that is needed for the nurse to administer the ordered medication safely. 2) The nurse is preparing to discharge M.S. Which nursing action is required to ensure the amoxicillin dose is safe for M.S.? (Select all that apply) Calculate the infant’ s weight as 2.7 Kg Calculate the infant’s weight as 13.2 Kg Calculate the safe dosage range for amoxicillin as: 216-243 mg/day or 108-121.5 mg/dose every 12 hours Calculate the safe dosage range for amoxicillin as 480-540 mg/day or 240-270 mg/dose every 12 hours 3) Choose the most likely options for the information missing from the statement below by selecting from the lists of options provided. . The amoxicillin dose of 113 is ________1________ and _______2_________. The nurse would _____3_________. 1 2 3 Too high Safe Call the physician Too low Unsafe Call the pharmacy Within range Lethal Give the parents the medication M.S. is brought back to the emergency department by his parents because he appears to have difficulty breathing, 12 hours after being discharged. The parents report this happened after M.S. received his second dose of amoxicillin. The healthcare provider believes M.S. is having an allergic reaction to the amoxicillin. The healthcare provider orders epinephrine 0.01 mg/kg IM now and a normal saline intravenous fluid bolus of 20 mL/kg. The infant weighs 6 pounds.
Case Study:
M.S. is a 6-month old male that was born at 26 weeks. The infant was discharged 2 weeks ago after a 14 week stay in the neonatal intensive care unit (NICU). He currently weighs 6 pounds and is 19 inches long. His current vital signs are HR 145, RR 26, B/P 90/60, T 101.6 F His parents brought the infant to the emergency department because he has not been eating and is continuously fussy. The healthcare provider assessed a bulging left tympanic membrane and diagnosed the infant with an ear infection. Orders include: Amoxicillin 113 mg PO q12h. Safe dosing for amoxicillin is 80-90 mg/kg/day divided every 12 hours for 5-7 days.
1) Highlight the information that is needed for the nurse to administer the ordered medication safely.
2) The nurse is preparing to discharge M.S. Which nursing action is required to ensure the amoxicillin dose is safe for M.S.? (Select all that apply)
- Calculate the infant’ s weight as 2.7 Kg
- Calculate the infant’s weight as 13.2 Kg
- Calculate the safe dosage range for amoxicillin as: 216-243 mg/day or 108-121.5 mg/dose every 12 hours
- Calculate the safe dosage range for amoxicillin as 480-540 mg/day or 240-270 mg/dose every 12 hours
3) Choose the most likely options for the information missing from the statement below by selecting from the lists of options provided.
.
The amoxicillin dose of 113 is ________1________ and _______2_________. The nurse would _____3_________.
|
1 |
2 |
3 |
|
Too high |
Safe |
Call the physician |
|
Too low |
Unsafe |
Call the pharmacy |
|
Within range |
Lethal |
Give the parents the medication |
M.S. is brought back to the emergency department by his parents because he appears to have difficulty breathing, 12 hours after being discharged. The parents report this happened after M.S. received his second dose of amoxicillin. The healthcare provider believes M.S. is having an allergic reaction to the amoxicillin. The healthcare provider orders epinephrine 0.01 mg/kg IM now and a normal saline intravenous fluid bolus of 20 mL/kg. The infant weighs 6 pounds.
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