A nurse practitioner (NP) is preparing to prescribe a medication for a 5-year-old child. To determine the correct dose for this child, the NP should:
a. calculate the dose at one third of the recommended adult dose.
b. estimate the child's body surface area (BSA) to calculate the medication dose.
c. divide the recommended adult dose by the child's weight in kilograms (kg).
d. follow the drug manufacturer's recommendations for medication dosing.
D
The package insert provided by the manufacturer is the best source for pediatric dose recommendations. Approximated reduction in the adult dose is not a safe or effective way of calculating pediatric doses of medications, so using a third of the adult dose may not be safe. Errors inherent in determining BSA make this method less reliable than dose based on accurate weights. Dividing the adult dose by the child's weight is incorrect.
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