Calculate the amount to administer_________.

Ordered: Filgrastim 120 mcg subcut daily

See label for available medication

Rationale:

• Check the time condition: The last dose was given at 8 a.m., and the order is for "q4h" (every 4 hours). At noon, exactly 4 hours have passed, so the time condition is met.
• Check the temperature condition: The patient's temperature is 39.2°C, but the order specifies a temperature in Fahrenheit (> 101°F).

Convert to determine if the condition is met.

Conversion: F= (C×1.8) + 32

= (39.2×1.8)+32

= 70.56+32

= 102.56°F

• Evaluate the order: The patient's temperature of 102.56°F is greater than the ordered condition of 101°F. Both the time and temperature conditions for administering the Tylenol have been met.
• The order is for "Tylenol 325 mg tab ii," which means two tablets of 325 mg each.

A. Dispense either a chewable tablet or liquid form of the medication: Even though alternatives exist, dispensing a different form without prescriber authorization may lead to dosing inconsistencies or legal concerns. Proper protocol requires confirmation.

B. Dispense the medication as written, breaking the tablets prior to dispensing them: Splitting a 500 mg tablet into quarters may not ensure accurate dosing, especially in a child. Tablets may not split evenly, and not all are scored or safe to divide.

C. Dispense the medication as written, instructing the parent to break the tablets into four pieces: This puts responsibility on the caregiver to split tablets into exact quarters, which can lead to dosing errors. It is unsafe and inappropriate for pediatric medication.

D. Consult with the pharmacist or authorized prescriber before changing the form of the medication: The safest and most appropriate action is to confirm any modifications to a prescription. For pediatric patients, ensuring accurate dosage form and administration requires provider consultation.