Question

A neonate born at 32 weeks’ gestation (weight 2005 GMs) is admitted to the Neonatal Intensive Care Unit (NICU) with a diagnosis of sepsis. The orders read:

Aminophylline 5 mg/kg IV q 6 hrs

Cefotaxime (Claforam) 50 mg/kg IV Q 12 hrs

How many mg of aminophylline (available as 50 mg/10 ml), will the baby receive Q 6 hrs? What rate, mls/hr, will you set the IV pump to deliver the dose in 5 minutes?

How many mg of cefotaxime (available as 40 mg/ml), will the baby receive Q 12 hrs? What rate, mls/hr, will you set the IV pump at to deliver the dose in 30 minutes?

Answer 1

* Aminophylline 5 mg/kg / iv q 6 Hourly Available dose = 50 mg / 10 ml Desired dose = 5mg / kg = 5 mg x C2kg. - 10 mg vial is having 50 mg 110 ml 10 mg /2 ml so pt. is given 10 mg = amel every 6 hourly 1 Hour is 6 Hours B = Go minutes = 360 minutes. 2 ml /360 minutes. In 5 minutes= 3 ml . - - 5 x2 36 = 10 350 = 0.027 ml 15min. set to the IV pume to delivery O. 027 ml deliver desired dose in 5 min

& refotaxime - 50 mg/kg / N a 12 Hourly | Available= 40 mg/ml Desired dose = 50 mg / kg -- 50 mg X 2 kg . 1000 mg vial is Haxing 40 mg 100 mg = in Ime 7 So, patient is given 2 Hours : 12 x 60 = R. 5 ml /every 12 Hourly 720 minutes 720 minuta Bo nint es = = 2-5 me (2) 30x2 5 = 0 . 10 ml 130min. set to the deliver IV pump to deliver O. 10ml desired dose in 30 min