Pediatric calculations

Purpose of this sheet: essential dose and rate calculations landmarks a nurse or licensed practical nurse in Quebec should keep in mind for clinical practice and for succeeding on the OIIQ or OIIAQ entry exam. Exam relevance: Dose and rate calculations are staples of the OIIQ exam: an error costs one question, sometimes several. — Clinical landmarks — Dose = mg/kg/dose × current measured weight, then multiply by the number of doses per day to check the daily maximum Maintenance fluids (4-2-1 rule), per hour: 4 mL/kg for the first 10 kg 2 mL/kg for the next 10 kg 1 mL/kg for each kg above 20 Percentage of dehydration = (previous weight − current weight) ÷ previous weight × 100 Always use a measured weight in kilograms, never a reported one. — Remember — Use this sheet in spaced repetition, pair it with a matching clinical scenario on NursEduc, and always compare values to the person's baseline before drawing conclusions. Keywords: dose calculation, rate calculation, infusion, units, conversion, OIIQ exam, OIIQ exam prep, OIIAQ exam prep, nurse in Quebec, NursEduc.

Clinical content reviewed by Ducamelle Louis, Registered Nurse