A 6-year-old patient who weighs 22 kg is prescribed 250 mg of amoxicillin to be taken three times a day. The package labeling states that the recommended dose for children weighing less than 40 kg is 20 mg/kg/day in divided doses every 8 hours. Which action should the medical assistant take?
Calculate and give the patient 150 mg per dose without contacting the provider.
Notify the provider that the ordered dose exceeds the weight-based recommendation.
Dispense the medication exactly as written without consulting anyone.
Reassure the caregiver that taking the capsules with food will prevent any problems.
The label recommends a total of 20 mg/kg/day. For a 22-kg child, that equals 440 mg per day (22 kg × 20 mg/kg). Dividing 440 mg by three doses gives about 147 mg per dose. The order for 250 mg three times a day provides 750 mg daily-well above the recommended range-so the medical assistant must alert the provider before the medication is dispensed.
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