Question

28 week old pre-term infant, weight: 1.98 lbs (pounds)

Rx: Caffeine citrate 20mg/kg PO x 1 then 10mg/kg/day PO QD starting 24 hours after dose

Recipe for compounding caffeine as an oral suspension:

A 10mg/ml solution of caffeine citrate may be prepared from 10g citrated caffeine powder combined with 10g citric acid USP and dissolved in 1000ml distilled water. The preparation is stable for three months at room temperature.

i) How much in mls of the above suspension would you inform the nurse to administer to the patient during the first three days? (2 marks)

ii) You are asked to make a 60 day supply for the patient. How much of each ingredient would you need to ensure sufficient amount but minimal excess? (3 marks)

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