Question

You are caring for a 3 month old infant weighing 6.59 kg, tolerating oral intake. The doctor has ordered Tylenol 80 mg PO q6hr PRN. We find that Tylenol is available in: a liquid 160 mg/5 ml, chewable tabs 81 mg/tab, tablets 250 mg/tab, suppositories 80 mg, and 120 mg.

a) Which form of medication would you give?

b) How would you administer it?

c) How do you know that the dosage is safe? How do you calculate this?

A nurse is preparing to give acetaminophen to a 6 year old girl weighing 20 kg. The provider ordered acetaminophen 200 mg PO q6hr PRN pain.

a) Which form of medication would you give?

b) How would you administer it?

c) How do you know the dosage is safe? How do you calculate this?

Answer 1

a) In the age of 3 month infant who is unable to take tablet or syrup it is recommended to give 80 mg Tylenol suppository to treat fever. And in age above 6 moths 125 mg Tylenol suppository is recommended. Henceforth I will recommend suppository 80 mg.

b) It will be inserted from anal cavity.

c) This dose of 80 is safe as stated above. Ordered dose is 80 mg Po q6h prn

Means 80 mg orally every 6 hrs as required

Hence required suppository 1 of 80 mg every 6 hrs.

At the age of 6 years and ,20 kg the recommendation are 10-15 mg/kg/do here it will be 200 mg to 300 mg per dose

And ordered dose is 200 mg Po 66h prn

Means every 6 hrs orally as required.

a) we should give it as oral solution

b) by mouth orally

c) it is safe and calculate the mg of acetaminophen present in per ml of oral solution.