Questions: A nurse is reviewing the medication administration record for a toddler who weighs 30 kg (66.1 lb). The nurse should identify that which of the following prescriptions requires further clarification? Amoxidilin 250 mg PO q 8 h Budesonide .25 mg inhalation 2 times daily Albuterol 2.5 mg inhalation q 8 h Montelukast 4 mg PO daily

The prescription that requires further clarification is the first one: Amoxicillin 250 mg PO q 8 h.

Explanation for each option:

1. Amoxicillin 250 mg PO q 8 h:

   • Amoxicillin dosage for children is typically based on weight. For a toddler weighing 30 kg, the usual dosage is 20-40 mg/kg/day divided into doses every 8 hours. This would result in a total daily dose of 600-1200 mg. The prescription of 250 mg every 8 hours results in a total daily dose of 750 mg, which is within the typical range. However, further clarification might be needed to ensure it aligns with the specific condition being treated and the severity of the infection.

2. Budesonide 0.25 mg inhalation 2 times daily:

   • Budesonide is a corticosteroid used for asthma management. The prescribed dose of 0.25 mg twice daily is a common starting dose for young children and is generally considered safe and appropriate.

3. Albuterol 2.5 mg inhalation q 8 h:

   • Albuterol is a bronchodilator used for relief of bronchospasm. The dose of 2.5 mg every 8 hours is a standard dose for children and is appropriate for managing acute symptoms.

4. Montelukast 4 mg PO daily:

   • Montelukast is a leukotriene receptor antagonist used for asthma and allergic rhinitis. The 4 mg dose is the standard dose for children aged 2-5 years, which is appropriate for a toddler.

In summary, while the Amoxicillin dosage appears to be within the typical range, it is important to ensure it is appropriate for the specific condition and severity, which may require further clarification.