Read the dosage information or label given for the following problems. Express
body weight conversion to the nearest tenth where indicated and dosages to the
nearest tenth.
A child weighing 46 lb has an order for ranitidine (Zantac) \(20 \mathrm{mg}\)
IV \(\mathrm{q} 8 \mathrm{~h}\). Is the dosage ordered safe? (Prove
mathematically.)
Available:
Pediatric Use:
While limited data exist on the administration of IV ranitidine to children,
the recommended dose in pediatric patients is for a total daily dose of 2 to
\(4 \mathrm{mg} / \mathrm{kg},\) to be divided and administered every 6 to 8
hours, up to a maximum of 50 mg given every 6 to 8 hours. This recommendation
is derived from adult clinical studies and pharmacokinetic data in pediatric
patients. Limited data in neonatal patients (less than one month of age)
receiving ECMO have shown that a dose of \(2 \mathrm{mg} / \mathrm{kg}\) is
usually sufficient to increase gastric \(\mathrm{pH}\) to \(>4\) for at least 15
hours. Therefore, doses of \(2 \mathrm{mg} / \mathrm{kg}\) given every 12 to 24
hours or as a continuous infusion should be considered.