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Pediatric Calculation

This document discusses several methods for calculating pediatric drug dosages based on factors like age, weight, and body surface area compared to adult dosages. Fried's rule calculates dosage for children under 1 year old based on an adult dose for a 12.5 year old child. Young's rule is used for children 1-12 years old using formulas based on age. Clark's rule uses weight in pounds compared to a 150 pound adult. Body surface area considers height and weight to determine dosage. Lastly, milligrams per kilogram of body weight dosing accounts for varying child weights.

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Marc Jamel ROdriguez
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21 views

Pediatric Calculation

This document discusses several methods for calculating pediatric drug dosages based on factors like age, weight, and body surface area compared to adult dosages. Fried's rule calculates dosage for children under 1 year old based on an adult dose for a 12.5 year old child. Young's rule is used for children 1-12 years old using formulas based on age. Clark's rule uses weight in pounds compared to a 150 pound adult. Body surface area considers height and weight to determine dosage. Lastly, milligrams per kilogram of body weight dosing accounts for varying child weights.

Uploaded by

Marc Jamel ROdriguez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PEDIATRIC

CALCULATIONS
LEARNING OBJECTIVES
 Discuss why children require
different dosages of drugs than
adults.
 Explain the calculations used to
determine a safe pediatric dose of
a drug.
PEDIATRIC CONSIDERATIONS
 An adult’s body handles drugs differently
and may respond to drugs differently than
a child.
A child’s body may handle a drug
differently in all areas of
pharmacokinetics—absorption,
distribution, metabolism, and excretion.
PEDIATRIC CONSIDERATIONS
 The responses of the child’s organs to
the effects of the drug may vary because
of the immaturity of the organs.
 Most of the time a child requires a
smaller dose of a drug to achieve the
comparable critical concentration as that
for an adult.
FRIED'S RULE
 A calculation method that applies
to a child younger than 1 year of
age.
 The rule assumes that an adult
dose would be appropriate for a
child who is 12.5 years (150 months)
old.
FRIED'S RULE
PROBLEM # 1
 If an adult dose of a
particular medication is 50 mg,
what is the dosage of a 10
months old infant?
SOLUTION
PROBLEM # 2
 Calculate the dose for a 1
year old baby, where the adult
dose of the medicine is 400
mg.
SOLUTION
YOUNG'S RULE
 A calculation method that applies
to children 1 to 12 years of age.
 The general formula is:
PROBLEM # 1
 If an adult dose of a
particular medication is 100
mg, what is the dose for a 10
year old child?
SOLUTION
PROBLEM # 2
 A 3-year-old child weighing 30
lb is to receive a therapeutic
dose of aspirin. The average
adult dose is 5 grams, and the
dose to be given is the unknown
.
SOLUTION
CLARK'S RULE
 It uses the child’s weight in pounds to
calculate the dose and assumes that the
adult dose is based on a 150-lb person.
 The general formula is:
PROBLEM # 1
 A child weighs 40 lbs and is
5 years old. The adult dose is
250 mg. Calculate the
correct dose for the child?
SOLUTION
PROBLEM # 2
 A 2 years old child weighs
11.4 kg. The adult dose is
125 mg. Calculate the
correct dose for the child.
SOLUTION
BODY SURFACE AREA RULE
 The child’s surface area is determined with
the use of a nomogram.
 The height and weight of the child are
taken into consideration in this chart.
 The general formula is:
NOMOGRAM
 Draw a straight line
connecting the child’s
height to the child’s
weight.
 The BSA value, which is
calculated in square
meters, is found at the
point where the line
intersects the SA column.
PROBLEM # 1
• Your patient weighs 163 lbs and is 5 feet 7 inches. What is the
patient’s BSA?
• First, pull from the scenario the most important information you
need to solve the problem.
• Weight: 163 lbs
• Height: 5 feet 7 inches
• Based on this information, you will be using the second formula
SOLUTION above.
SOLUTION
Your patient weighs 163 lbs and is 5 feet 7 inches. What is the patient’s
BSA?
PROBLEM # 2
SOLUTION
Problem 2:
Your patient weighs 27.2 kg and is 91 cm. What is the patient’s BSA?
First, pull from the scenario the most important information you need to solve the problem.
 Weight: 27.2 kg
 Height: 91 cm
PROBLEM # 3
First, pull from the scenario the most important information you
need to solve the problem.
 Weight: 46 lbs.
 Height: 3 feet 9 inches
o Based on this information, you will be using the second
formula above.
 Physician’s order: 10 mg/ m2/day
 Solve for: daily dose
 Physician’s order: 10 mg/ m2/day
 Solve for: daily dose
SOLUTION
SOLUTION
PROBLEM # 4
SOLUTION
SOLUTION
PROBLEM # 5
SOLUTION
SOLUTION
MILLIGRAMS/ KILOGRAMS
OF BODY WEIGHT RULE
 This method of prescribing takes
into consideration the varying
weights of children and the need
for a higher dose of the drug
when the weight increases.
PROBLEM # 1
 If a child with postoperative
nausea is to be treated with
Vistaril (hydroxyzine), the
recommended dose is 1.1 mg/kg
by intramuscular injection.
SOLUTION
 If the child weighs 22 kg:
 If the child weighs 6 kg:
SUMMARY

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