1. Math and Dosage Calculations for Health Care Third Edition Booth & Whaley McGraw-Hill 11- Chapter 11: Special Populations Edited by B. Holmes MSN/Ed, RN

28. Dosages Based on Body Weight (cont.) McGraw-Hill 11-

29. Pediatric Injections McGraw-Hill 11- Stage of Development Maximum Volumes for IM Injections Infant 0.5 – 1 mL Toddler, walking for at least 1 year 1 mL Preschooler/elementary school age 1 – 1.5 mL

30. Ensuring Safe Dosages McGraw-Hill 11-

32. Error Alert ! McGraw-Hill 11-

35. Daily Maintenance Fluid Needs (DMFN) McGraw-Hill 11-

36. Daily Maintenance Fluid Needs (DMFN) (cont.) McGraw-Hill 11-

37. Daily Maintenance Fluid Needs (DMFN) (cont.) McGraw-Hill 11-

45. Creatinine Clearance McGraw-Hill 11-

46. Creatinine Clearance (cont.) McGraw-Hill 11-

48. Creatinine Clearance (cont.) McGraw-Hill 11-

49. Creatinine Clearance (cont.) McGraw-Hill 11-

56. Polypharmacy McGraw-Hill 11-

57. Drug Interactions McGraw-Hill 11-

61. Drug Interactions (cont.) McGraw-Hill 11- Drugs to Avoid in Specific Diseases Severe Risk Drugs Benign prostatic hypertrophy Antihistamines, anti-Parkinson’s drugs, GI antispasmodics, antidepressants Cardiac dysrhythmia Tricyclic antidepressants Clotting disorders Antiplatelet drugs, aspirin COPD Hypnotics, sedatives, beta blockers GI diseases NSAIDs, aspirin Seizures Metoclopramide (Reglan)

62. Drug Interactions (cont.) McGraw-Hill 11- Drugs to Avoid in Specific Diseases Less Severe Risk Drugs Benign prostatic hypertrophy Narcotics Constipation Antihistamines, anti-Parkinson’s drugs, GI antispasmodics, antidepressants Diabetes mellitus Steroids, beta blockers GI diseases Aspirin, potassium supplements Insomnia Decongestants, bronchodilators, some antidepressants Seizures Antipsychotics

66. Apply Your Knowledge McGraw-Hill 11- Answer Daily maintenance fluid needs (DMFN) What is the amount of fluid the patient needs over a 24-hour period called?

71. End of Chapter 11 McGraw-Hill 11- Perfection consists not in doing extraordinary things, but in doing ordinary things extraordinarily well. ~Angelique Arnauld