GOODMORNIN

G
7-LOVE
ICEBREAKER!
 LET'S MAKE
THIS!!!
You will be divided into four (4) groups. Each group will be
given a rambled picture and you are going the arranged the
picture according to definition that is written inside the
envelop and explain to us what have you get and what is the
used of the picture that your group has.
REVIEW • What was the last topic that we

have last meeting?

CALCULATING ORAL
DRUG DOSAGE
A GLANCE AT ORAL DRUGS
These substances which are administered orally can be in the
form of tablet, capsule, or liquid. Oral drugs are mostly
available in a limited number of strengths or concentrations. It
is, therefore, very important that you have the skill to calculate
prescribed dosages for different drug forms.
• Children are completely different
from adults. •Inaccurate dosage is
more likely to harm a child that of an
adult.
IN
• Children are more sensitive than
CALCULATIN
adults to medication because of their G DOSAGES
weight, height, physical condition, FOR
immature systems, and metabolism. PEDIATRIC
PATIENTS
KEEP THESE
IN MIND:
 •Infants and young children are
given oral drugs in the form of
liquid.
•In some cases wherein liquid
ADMINISTERI
medicines are not available, tablet
NG PEDIATRIC
may be crushed and mixed it with a
ORAL DRUGS
little amount of liquid.
•The child will not get the entire
dose if the medication is mixed in a
large amount of liquid.
 DEVICES
USED IN •Cup – It can be used by children.
GIVING •Dropper – It is usually used for infants.
OUT •Syringe – it is usually used for infants.
PEDIATRIC •Hollow-handle spoon – it is usually

ORAL used for toddlers

DRUGS
 METHODS TO
CALCULATE PEDIATRIC
DOSES
1.Body Surface Area (BSA)
- Also called as the dosage-per-kilogram?of-body
weight method.
- most accurate and safest method in calculating
pediatric dose.
- A Nomogram is a graphical calculating device, a
two-dimensional diagram designed to allow the
approximate graphical computation of a function to
determine the child’s BSA.
 FORMULA FOR
COMPUTING CHILD'S
DOSE
Child's dose in mg=average adult dose
(child's BSA in m2 divided by average adult
BSA)

Note: Average adult BSA is equal to 1.73 m2

EXAMPLE:
Compute the child’s dose who weighs 40 lbs.
and 36 inches tall. What is the safe drug dose if
the average adult dose is 500 mg? Using the
nomogram, the child’s BSA is 0.72 m2
SOLUTION:

Child's dose=500mg (0.72m2 divided by 1.73M2)

Child's dose = 500mg (.42)
Child's dose = 210mg
LET'S TRY TO
SOLVE THIS:
Compute the child’s dose who weighs 20 lbs. and 30
inches tall. What is the safe drug dose if the average
adult dose is 500 mg? Using the nomogram, the child’s
BSA is 0.47 m2

NOTE: Average adult BSA is equal to 1.73 m2

2. CLARK'S
RULE
- It uses child’s weight to calculate approximate
dosage.
- It uses weight in lbs., Never in kg.

Formula: Approximate child’s dose=average adult

dose
(Child’s weight divided by 150 lbs.)
 EXAMPLE:

Compute for a 2-year old child’s dose

who weighs 28 lbs. wherein the adult
dose is 500 mg.
 SOLUTION:

Approximate child's dose =

500mg(28lbs. divided by 150lbs.)
Approximate child's dose = 500mg (.19)
Approximate child's dose = 95mg
 LET'S TRY TO
SOLVE THIS:
Compute for a 3-year old child’s dose
who weighs 68 lbs. wherein the adult
dose is 500 mg.
 3. YOUNG'S RULE

-It normally applies to children who are two

years of age and above.
- the word “young” refers to the age.

Note: Approximate child's dose = adult dose

Child's age in the year divided by child's age in the year + 12
 EXAMPLE:

Compute for a 2-year old child’s dose who

weighs 28 lbs. wherein the adult dose is 500
mg. Note that the weight has no bearing using
Young’s Rule.
 SOLUTION:

Approximate child's dose =

500mg ( 2 divided by (2+12)
Approximate child's dose = 500mg (2 divided by
14)
Approximate child's dose = 500mg (.14)
Approximate child's dose = 70mg
 LET'S TRY TO
SOLVE THIS:
Compute for a 5-year old child’s dose
who weighs 68 lbs. wherein the adult
dose is 500 mg.
 4. FRED'S RULE

-IT CALCULATES DOSES FOR CHILDREN

WHO ARE TWO YEARS OF AGE AND LESS.
- IT USES AGE IN MONTHS.

Formula: Approximate child's dose = adult dose

Child's age x 12 months divided by 150
 EXAMPLE:

Compute for a 2-year old child’s

dose who weighs 28 lbs. wherein
the adult dose is 500 mg.
 SOLUTION:

Child's dose = 500mg [2x12 divided by

150]
Child's dose = 500mg [24 divided by 150]
Child's dose = 500mg x .16
Child's dose = 80 mg
 LET'S TRY TO
SOLVE THIS:
Compute for a 1 1/2-year old child’s dose
who weighs 68 lbs. wherein the adult dose
is 500 mg.
RECAP
What are the 4 Methods to calculate
pediatric doses?
 ASSESSMENT TASK

Answer it on 1/2 sheet of pad paper and submit.

• Child's dose = 0.45m2 3. C = 22 lbs.

Adult dose = 1.73 m2 A = 150 5. C = 41 lbs.
lbs. A = 150 lbs.
Dosage = 500mg D = 500mg D = 500mg
2. Child's dose = 0.45m2 4. C = 36 lbs.
Adult dose = 1.73 m2 A = 150
lbs.
Dosage = 500mg D = 500mg
 Research the following:
ASSIGNMENT 1. Occupational Health and Safety
Procedures in Caregiving.
2. What are Hazards and Risks
3. Types of Hazards
 Thank you
for Listening!