Question

‼️Show all steps and explain in "dummies terms" to learn it.

A)

℞​ Acetaminophen​250 mg

Phenylephrine hydrochloride​15 mg

Clophedianol HCl​25 mg

​Thonzylamine HCl​40 mg

1.How many milligrams each of chlopedianol HCl and thonzylamine HCl are required to dispense this prescription? Round each answer to the nearest ten milligrams. (0.5)

2.The pharmacist decides to use acetaminophen tablets to compound this prescription. How many 325-mg acetaminophen tablets would be needed from the stock container? (0.5)

B)

DJ is an 8-year-old child who is admitted with newly-diagnosed Crohn’s disease and an intra-abdominal infection. Her medical history is otherwise unremarkable.

Past medical History: Abdominal pain, loose stools, underweight for age. Crohn’s disease confirmed by endoscopy. Increased abdominal tenderness and fever x 3 days before admission

Physical Exam/vitals:

Height: 4’2”​Weight: 46.2 lb​BP: 90/60 mmHg

HR: 110 BPM​RR: 22 BPM​Temp: 101.4°F

Labs:

Results (normal range)

WBC (cells/mm3)

12.6 (4-11 x 103)

Hgb (g/dL)

10 (males:13.5-18, females:12-16)

Hct (%)

32 (males:38-50, females:36-46)

Platelets (cells/mm3)

175 (150-450 x 103)

Plan (starting today):

Bowel rest; place NG tube; place central line and start TPN

Schedule for PICC line or port

Abdominal CT w/contrast – r/o abcess; r/o fistula

Infliximab infusion today 5 mg/kg IV; repeat at 2 and 6 weeks.

Imipenem/cilastatin 60 mg/kg/day div q6h, IVPB in 100 mL NS

Acetaminophen 12.5 mg/kg IV q4h prn temp ≥38°C

Morphine sulfate 0.1 mg/kg IV q2h prn pain

1.How many milligrams of imipenem/cilastatin will the patient receive per dose? Round yourfinal answer to the nearest whole number. (0.5)

2.How many milligrams of infliximab should the patient receive today? Round your final answer to the nearest whole number. (0.5)

Answer 1

B) ans:-1) how many milligrames of cilastatin to be given per dose for a child, lets see the above given that   

Child weight in Ib =46.2Ib

Lets change this in kg, 1Ib=0.45kgs then

​​​​​​46.2Ib=0.45*46.2=20.9748kgs we can take 21kgs (approx) so, the child recieved 60mg/kg/day in above mention,then how many mg recieved by the child in one day=60*21=1260mg per day and the child recieved it 6th hourly in a day so, in one dose the child should recieved=1260%4=315mg(24hrs in a day dat divided by 6 then 4times a dayso we divided by 4 into 1260)

The child recieved the cilastatin 315mg per dose.

2) the bove statement shows that, 5mg/kg in a day, so the child weight 21kg then

21*5=105mg is the amount of Infliximab recieved by the child today.