Children are not small adults, and paediatric dosing is not adult dosing scaled by eye. Every dose is per kilogram of actual measured weight — and then checked against the maximum adult dose, which becomes the ceiling. Work a dose and watch the cap engage, run maintenance fluids by the 4-2-1 rule, read a CCHD pulse-oximetry screen, match every prophylaxis to its deadline, and correct twelve pieces of discharge teaching.
Work the numbers
Acetaminophen is dosed at 10 to 15 mg/kg/dose orally every 4 to 6 hours, to a daily maximum of 75 mg/kg/day, and the maximum single adult dose is 1000 mg.
Try these
The 4-2-1 rule: 4 mL/kg/h for the first 10 kg, plus 2 mL/kg/h for the second 10 kg, plus 1 mL/kg/h for every kilogram above 20. The daily equivalent, the 100-50-20 rule, is used as a cross-check.
Try these
Try these
Item 1 of 9
When must this happen?
Timed correctly0 of 0
Statement 1 of 12
A parent says this back to you at discharge.
Sorted correctly0 of 0
Three checks on every calculationPer kilogram · below the adult maximum · does the volume make sense
Waiting
Enter a weight.
Maintenance fluids4-2-1 by the hour, 100-50-20 by the day
Waiting
Enter a weight.
CCHD pulse-oximetry screenAt 24 hours of age or later
Waiting
Enter both saturations.
The newborn clockEvery routine intervention has a deadline
Choose the deadline on the left. Every answer is explained.
Discharge teachingParents copy what they saw the nurse do
Sort each statement on the left. Every answer is explained.