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Allied Health & Nursing — Pediatric Weight-Based Dosing & Safe-Range Verification
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Pediatric Weight-Based Dosing & Safe-Range Verification

Pediatric Pharmacy Tech at work
Meet the worker
Pharm Tech Ana Pediatric Pharmacy Tech
outpatient clinic

A 33-lb child needs amoxicillin 45 mg/kg/day in 2 divided doses. Suspension is 400 mg / 5 mL.

What they'll need
  • Scale (kg)
  • Suspension bottle
  • Oral dosing syringe
  • Label printer
How it's done — step by step
  1. 1

    Convert weight

    Pounds ÷ 2.2 = kg. 33 / 2.2 = 15 kg.

  2. 2

    Daily dose

    45 mg/kg × 15 kg = 675 mg/day.

  3. 3

    Per-dose amount

    675 / 2 doses = 337.5 mg per dose.

  4. 4

    Convert to mL

    (337.5 / 400) × 5 mL = 4.2 mL twice daily. Label & dispense.

Amoxicillin 25 mg/kg/day divided q8h for a 44 lb child. Safe range: 20–40 mg/kg/day. Convert lb → kg, compute daily and per-dose, verify within safe range, and check the dispensed volume against the suspension strength (250 mg/5 mL).

Weight
20.0 kg
Daily total
500 mg
Per dose
166.7 mg
(44 lb / 2.2) × 25 mg/kg/day ÷ 3 = 166.67 mg/dose

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Worked Example

Amoxicillin for a 44 lb child

Given: 25 mg/kg/day in 3 divided doses

  1. 1

    lb → kg

    44 ÷ 2.2 = 20 kg

Worked Example

Tylenol for a 33 lb child

Given: 10 mg/kg/dose, suspension 160 mg/5 mL

  1. 1

    lb → kg

    33 ÷ 2.2 = 15 kg