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The physician orders Orapred 45 mg BID PO for an asthmatic child weighing 94 lb. You have Orapred 15 mg/5 mL. The recommended oral dosage is 0.5 mg to 2 mg/kg/day in 2 divided doses. Maximum dosage not to exceed 80 mg/24 h.

a. Child's weight in kg:

b. The minimum safe single dose for this child is ____ mg/dose.

c. The maximum safe single dose for this child is ____ mg/dose.

d. Would you administer this medication as prescribed? (Include why or why not.)

Answer :

Given the physician's order of 45 mg BID PO, which is within the safe range of 10.66 mg to 21.32 mg per dose for this child, the medication can be administered as prescribed.

Calculate the child's weight in kg, find the minimum and maximum safe single doses based on the weight, and verify if the prescribed dosage falls within the safe range

The child's weight in kg:

94 lb is approximately 42.64 kg (1 lb = 0.453592 kg)

The minimum safe single dose:

Minimum safe dose = 0.5 mg/kg/day x 42.64 kg ÷ 2 doses = 10.66 mg/dose

The maximum safe single dose:

Maximum safe dose = 2 mg/kg/day x 42.64 kg ÷ 2 doses = 21.32 mg/dose

Would you administer this medication as prescribed?

Given the physician's order of 45 mg BID PO, which is within the safe range of 10.66 mg to 21.32 mg per dose for this child, the medication can be administered as prescribed.

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