Paramedic Pediatric Medical Math Test

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1 Paramedic Pediatric Medical Math Test Name: Date: Problem 1 Your 4 year old pediatric patient weighs 40 pounds. She is febrile. You need to administer acetaminophen (Tylenol) 15mg/kg. How many mg will you administer? Problem 2 The acetaminophen packages come in liquid form 160mg/5mL. How many ml will you administer to your 40 pound patient? Problem 3 Your pediatric patient needs epinephrine for a sever allergic reaction; you need to give 0.25 mg IM. You have a pre filled syringe with 1 mg/ml. How much will you waste in order to give the correct dose? Problem 4 The ECG of your adolescent patient shows SVTs, you decide the right drug to use for the rhythm is Amiodarone. It is give 5mg/kg. Your patient weighs 100 lbs. Problem 5 An 8 year old child who has been recently ill has symptomatic bradycardia. You decide to give Atropine Sulfate. The max dose for a child is: (please circle one) 1mg 1.5mg 0.5mg.75mg Problem 6 A neonate weighing 1830 grams is to a receive 0.1 mg/kg dose of Narcan. The medication is available in 0.4 mg/ml ampules. How many ml should the neonate receive?

2 Problem 7 You need to give your patient 5 units of vasopressin (Pitressin). You have on hand a 0.5 ml vial labeled 20 units/ml. How many ml will you administer? Problem 8 Order: Acetaminophen elixir 10 mg/kg po. Child weight is 10 pounds. Available: Acetaminophen elixir 160 mg/ 5ml. How much Acetaminophen will you administer? Problem 9 You are called on a possible over dose. When you arrive, you find that a child consumed an entire bottle of his grandmas blood pressure medication. You confirm that the bottle of amiodipine is what the child swallowed. You know that this is a calcium channel blocker, so you decide to give Calcium Chloride 10% at 20mg/kg, 0.2ml/kg. The child weighs 30 lbs. How many mg will you give? How many ml s will you need? Problem 10 You arrive on scene to find an infant in pulseless arrest. You need to give 0.01mg/kg, (0.1ml/kg of 1:1000 q 3 5 minutes) of epinephrine. The baby weighs 15lbs. How many ml will you give? How many mg will you give? Problem 11 Order: Digoxin 18 mcg po bid. Child weighs 7 lbs. The safe range is mcg/kg/24 hrs. b. Is the ordered dose safe for a 24-hr period? c. If the medication is supplied 50 mcg/ml, how many ml will you administer per dose? Problem 12 Order: Phenobarbital 40 mg po q 8 hr. Child weighs 27 lb. The safe range is 8-10 mg/kg/24 hr. b. Is the dose safe for a 24-hr period? c. If the medication is supplied 125 mg/5 ml, how many ml will you administer per dose?

3 Problem 13 Order: Prednisone 150 mg po bid. Child weighs 21 lb. The safe range is mg/kg/24hr b. Is the dose safe for a 24-hr period? c. If the medication is supplied 5 mg/ml, how many ml will be required for a 24 hour period? Problem 14 You are called to a home of a 15lb infant who has had fever, vomiting and diarrhea for 3 days. The child is dehydrated and severely hypoglycemic. How much would you give of the following: Dextrose 0.75g/kg D25W 4ml/kg D10W 10ml/kg Problem 15 You arrive at a scene of an apartment fire and find a small child weighing approximately 50 lbs with second and third degree burns. You decide t give fluid resuscitation and use albumin to help manage the fluid shifts. Albumin is given at 0.5/10ml/kg. Problem 16 You need to treat anaphylaxis with Methylprednisolone 2 mg/kg/day IV. On hand you have 50 mg/ml. The child weighs 25 kg. a. How many ml per dose will you give? b. How many mg per dose will the child receive? c. How many mg per day will the child receive? Problem 17 For congestive heart failure you need to give 15mcg/kg/min of Dobutamine the patient is 75 lbs and you have 15mg available.

4 Problem 18 You have an 80lb patient with wide complex ventricular tachycardia (with a pulse) you need to administer lidocaine 1mg/kg bolus, then 20 mcg/kg/min. You want it to run over 1 hour with 10gtts/min. What will be the flow rate? Problem 19 You need to give 50mg/kg/IV for Torsades de Pointes. You have magnesium sulfate 25mg/5mL. The child's weight is 1180 g. a. How many mg will the child receive? b. How many ml per dose will you draw from the vial? Problem 20 You need to give Demerol 1 mg/kg PO for main pain. The child weighs 20 pounds. Demerol comes in 5Omg/mL. How many ml would you give? Problem 21 You need to 1.5 mg/kg IV of furosemide for pulmonary edema. The infant weighs 24lbs. Furosemide comes in 5mg/5mL. a. How many mg per dose will the child receive? b. How many ml per dose will the child receive? Problem 22 Morphine 0.15 mg/kg/dose IV q2-4h pm is ordered for a child weighing 40 kg. Morphine sulfate is supplied in 2 mg/ml. a. How many mg per dose will the child receive? b. How many mg per day will the child receive? c. How many ml per dose will the child receive?

5 Problem 23 You have a toddler in a state of status asthmaticus. He weighs 46lbs. Your standing order is to give 10mcg.kg SQ q 15 minutes with a max of.4mg. He has had 4 doses. Can he have more? If so, how much more can he have?. Problem 24 A child who weighs 18kg is to receive Motrin (ibuprofen) 8 mg/kg po q 4h prn for pain. The label reads 100 mg/5 ml. How many ml will you adminster?.7 ml.9 ml 7.3 ml 2 ml Problem 25 Order: Phenobarbital 16 mg/kg IV. Childs weight is 44 pounds. How many mg will you administer the child? 106 mg 302 mg 320 mg 704 mg

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