Answer :
Final answer:
The calculated dosage range for the child's weight is 118-236 mg per dose. The ordered dose of 100 mg is lower than this, indicating potential underdosing, and hence is unsafe.
Explanation:
The question involves calculating the appropriate dosage of cloxacillin according to a child's weight in kilos. Given the weight of the child is 39lb, that translates to 17.7 kg. The recommended dosage range for Cloxacillin is 20-40 mg/kg/day, divided every 8 hours.
To calculate minimum and maximum dosage limit:
- Minimum daily dosage: 20 mg/kg/day x 17.7 kg = 354 mg/day
- Minimum single dosage (divided into 3 doses every 8hrs): 354 mg /3 = 118 mg/dose
- Maximum daily dosage: 40 mg/kg/day x 17.7 kg = 708 mg/day
- Maximum single dosage (divided into 3 doses every 8hrs): 708 mg /3 = 236 mg/dose
The ordered dose of 100 mg is below the calculated minimum dosage of 118 mg/dose, making the ordered dose unsafe due to potential underdosing. Therefore, no dosage calculation should proceed since it it's not within the safe dosage range.
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