Cindy is an 11-year-old, 79 lb child who sliced her forearm open on a sharp piece of metal while helping her father clean out the garage. At the emergency room, the wound was cleaned up and the physician determined that she would need several sutures. Cindy is very upset, and the physician orders Midazolam for injection to sedate her and help decrease her anxiety. However, when Cindy sees the needle, she becomes very agitated, so the physician changes the order to Midazolam HCl syrup 18 mg PO. On hand, the emergency room has a 118 mL bottle of Midazolam HCl syrup 
. According to the package insert, the usual oral dose is 0.25 to 1 mg/kg. Determine if the
ordered dose is safe. If it is safe, determine the amount to administer: ________. If the dose is not safe, write: not safe.
Fill in the blank(s) with the appropriate word(s).
9 mL
Convert weight to kg:
79 lb × 
= 35.9 kg
Determine whether the dose is safe:
Maximum dose = 
× 35.9 kg = 35.9 mg; the ordered dose is less than this, so the dose is safe.
Calculate the amount to administer:
H = 2 mg; Q = 1 mL; D = 18 mg 
A = 9 mL
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