Healthcare Scenario

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mschumacher_healthcarescenario1part21819.docx

Health Care Scenario Part 1 1

MiKayla Schumacher

Professor Yarger

Intro to Critical Thinking

18 February 2019

Healthcare Scenario Part 1

While I agree with the view in this scenario that the nurse is overdosing the patient, and should have considered the weight and timing, I believe the solution still needs to be reassessed. The solution does not provide which basis to use when calculating the dosage. I think that it needs to be investigated further. I would suggest using the formula of multiplying weight in kilograms by the dosage in kilograms.

Let’s just say for instance the doctor prescribes the same 100mg dosage daily and specifies that the range falls between 50mg/kg and 100mg/kg. The weight of the child is for example 7kg and when the weight is multiplied by the two ranges, it will provide a range of between 350mg per kg and 700mg per kg. Suppose the drug is to be administered every six hours, then it should be done four times in a day after dividing the 24 hours by six hours. Thus after multiplying the 100mg dosage by 4, it will indicate 400mg per kg, which falls within the expected range.

This solution is almost accurate as the nurse will be aware of what the pediatricians desired range of dosage is. Thus, the patient will get the right treatment based on the age, time for administering and the illness being treated. On the other hand, the solution is weak as it is not standard to all drugs and weights of the patients. Drugs are varied in form and how they are taken. It therefore requires more attention to be paid depending on the type of drug and the type of patient. There best way to handle this is to have guided dosage alterations to cater to the weight and the desired dosage range especially regarding the patients who are children.

References

Cella, Massimo. (2010, May). What is the right dose for children? Retrieved from https://www.semanticscholar.org/paper/What-is-the-right-dose-for-children-Cella-Knibbe/fada9a1279741492c2a323071d71ab81c6710e23

Medscape. (1998-2011) Weight dosage calculator. Retrieved from https://reference.medscape.com/calculator/weight-dosing

Knibbe, Catherijne. (2010, October 7). What is the right dose for children? Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2950994/