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Order: Amoxicillin 150 mg PO TID for a child who weighs 41 lb.

The recommended dosage is 20-40 mg/kg/day q8h. Amoxicillin is available in 125 mg/5 mL.

a) Child's weight: 18.6 kg

b) Recommended minimum daily dose: 20 mg/kg/day x 18.6 kg = 372 mg/day

c) Recommended minimum single dose: 372 mg / 3 = 124 mg/dose

d) Recommended maximum daily dosage: 40 mg/kg/day x 18.6 kg = 744 mg/day

e) Recommended maximum single dosage: 744 mg / 3 = 248 mg/dose

f) Is the dosage ordered safe? Yes, order 150 mg; range 124 mg-248 mg

g) If the dosage ordered is safe, calculate the dose:
\[ \text{Dose} = \frac{150 \, \text{mg}}{125 \, \text{mg}} \times 5 \, \text{mL} = 6 \, \text{mL} \]

Answer :

Final answer:

The ordered dose of 150 mg Amoxicillin for the child who weighs 41 lb (18.6 kg) is considered safe as it falls within the recommended range of 124 mg to 248 mg per dose. The dosage will be administered as 6 mL.

Explanation:

The calculation involves first converting the child's weight from pounds to kilograms, which equals 18.6 kg. Next, we calculate the minimum and maximum daily dose by multiplying the child's weight by the per kg recommendation, which gives 372 mg/day and 744 mg/day respectively. Those values are then divided by 3 (since it's a thrice daily dosage) to get the minimum and maximum single dose: 124 mg/dose and 248 mg/dose. As the ordered dose, 150 mg, falls within that range, it can be stated that the dosage ordered is safe. Lastly, the ordered dose is converted into milliliters using the information given about the concentration of Amoxicillin, resulting in 6 mL.

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