An infant weighing 6 pounds 3 ounces has morphine 0.5 mg IV q 2 hours prn ordered for post op pain. The recommended dosage for a child is 0.1-0.2 mg/kg/dose q2-4 hours prn. Prove mathematically the ordered dose by the physician (mg/kg/dose) and is it safe to give.
The Correct Answer is ["0.1696"]
To calculate the ordered dose by the physician in mg/kg/dose, we need to convert the infant's weight from pounds and ounces to kilograms. One pound is equal to 0.4536 kg and one ounce is equal to 0.02835 kg. Therefore, the infant's weight in kilograms is:
6 x 0.4536 + 3 x 0.02835 = 2.948 kg
The ordered dose by the physician is 0.5 mg IV q 2 hours prn. To find the dose in mg/kg/dose, we divide the dose in mg by the weight in kg:
0.5 / 2.948 = 0.1696 mg/kg/dose
The recommended dosage for a child is 0.1-0.2 mg/kg/dose q2-4 hours prn. The ordered dose by the physician falls within this range, so it is a safe dosage for the infant.
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Correct Answer is A
Explanation
A. Rubella:
Rubella is a viral infection that, when contracted by a pregnant woman during the first trimester, can lead to congenital rubella syndrome (CRS) in the developing fetus. CRS can result in severe birth defects, including heart abnormalities, hearing impairments, and vision problems.
B. Varicella-zoster:
Varicella-zoster virus causes chickenpox. While chickenpox can cause complications in certain populations, it is not specifically associated with severe defects in the fetus when the mother is infected during pregnancy.
C. Rubeola:
Rubeola, commonly known as measles, can lead to complications, but it is not as strongly associated with severe defects in the fetus if the mother is infected during pregnancy compared to rubella.
D. Mumps:
Mumps is generally not associated with severe defects in the fetus when the mother is infected during pregnancy. However, mumps infection during pregnancy can pose risks to the mother's health.
Correct Answer is A
Explanation
A. Preventing spread of infection:
This is the highest priority goal because individuals with acquired immunodeficiency syndrome (AIDS) have a severely compromised immune system, making them more susceptible to infections. Preventing the spread of infection is crucial not only for the individual's well-being but also to reduce the risk of transmitting the virus to others.
B. Maintaining skin integrity:
Skin integrity is important, but it may not be the highest priority compared to preventing the spread of infection. Skin breakdown can occur in individuals with compromised immune systems, making them more susceptible to infections, but direct measures to prevent infection take precedence.
C. Improving nutrition:
Nutrition is vital for overall health, including immune function. However, in the context of AIDS, preventing the spread of infection is considered a higher priority. Nutritional support is important but may be addressed concurrently with other goals.
D. Promoting comfort:
Comfort is an important aspect of care, but it may not be the highest priority when compared to preventing the spread of infection. Comfort measures can be integrated into the overall care plan, but infection prevention takes precedence due to the immunocompromised state of the individual.
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