Ordered: A bronchodilator, Aminophylline, 8 mg per hr continuous infusion, for a child who received an appropriate loading dose, on a pump based upon frequent and current serum theo-phylline levels for a child with asthma
Obtain a serum theophylline concentration level 4 hours after infusion is started and call prescriber. SDR: 0.8 mg per kg per hr for continuous infusion after appropriate loading dose. Child's weight is 40 kg. Remove 20 mL from a 500 mL D5W IV and add the Aminophylline. Total mL will remain ap-proximately 500 mL. a. SDR for this child:
b. Evaluation: Safe to give or hold and clarify promptly with prescriber?
c. Flow rate if applicable:DA:
d. Evaluation:
a. SDR: 0.8 mg x 40 kg = 32 mg per hr
b. Evaluation: Hold and clarify promptly with the prescriber: Is an underdose.
c. N/A
d. N/A
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