Ordered: A diuretic, furosemide 15 mg IV initial dose, for a child with edema The child's weight is 14 kg

Question

SDR: 1-2 mg per kg per dose every 6 to 12 hr The nurse plans to deliver the medication in a volume control device, filling the container up to 20 mL with Ringer's lactate Sol from an existing infusion, gently mixing it. It will be infused at the rate of 1 minute per mL. a. SDR for this child's weight (mental math):
b. Evaluation: Safe to give or hold and clarify promptly?
c. Dose to be prepared if safe: Estimate; more or less than drug concentration?DA:
d. Flow rate if applicable (mental math):
e. Evaluation:

Answer 1

a. SDR: 14-29 mg per dose
b. Evaluation: Safe to give. The order of 15 mg is within SDR for this child.
c. Dose: 0.75 mL
Estimate: Will give less than drug concentration—about of drug concentration

Estimate of mL supports answer.
d. Flow rate:
Estimate: To deliver 20 mL total volume over 20 minutes would be 20 x 3 or 60 mL per hr for 20 minutes (60 min)
DA:
e. Estimate supports answer. Equation is balanced.