Drug Order Child 585086
1. **Problem:** Which of the following is an appropriate drug order for a 14-year-old child?
2. **Understanding the problem:** We need to identify the correct dosage and frequency for Disprin (aspirin) suitable for a 14-year-old child.
3. **Important rules:** Pediatric dosages often differ from adult dosages and are usually lower or adjusted based on age or weight. The abbreviation meanings are:
- p.o.: by mouth
- q.6.h.: every 6 hours
- stat.: immediately
- p.r.n.: as needed
4. **Analyzing options:**
- A) Disprin 300-600 mg p.o. q.6.h.: This means 300-600 mg every 6 hours regularly.
- B) Disprin 300-600 mg p.o. q.6.h. stat.: same as A but with "stat" meaning immediately, which is unusual for scheduled dosing.
- C) Disprin 300-900 mg p.o. q.4.h-q.6.h. p.r.n.: 300-900 mg every 4 to 6 hours as needed, which is a wider range and more frequent dosing.
- D) Disprin 300-600 mg p.o. q.6.h. p.r.n.: 300-600 mg every 6 hours as needed.
- E) NOTA (None of the above)
5. **Pediatric dosing for aspirin:** Typically, aspirin dosing for children is cautious due to risk of Reye's syndrome; doses are often lower and given as needed rather than scheduled.
6. **Conclusion:** Option D is appropriate as it provides a moderate dose (300-600 mg) every 6 hours as needed, which aligns with cautious pediatric use.
**Final answer:** D