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how to solve nursing dosage and calculation body surface area problems. For example, some medications ordered for a pediatric patient may be based on body surface area (BSA) and strong medications such as chemo agents (anticancer medications). October 317:1098. The authors make no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgement. New Eng J Med. Pediatric Dosage Calculations Pediatric Dosage Calculations Most drugs in children are dosed according to body weight (mg/kg) or body surface area (BSA) (mg/m2). Nomogram Method . There were many formulas developed in the past years for calculating the Body Surface Area. We retrospectively compared body surface area (BSA) using the Mosteller formula square root(H x (w/360)) and a simple weight-based BSA formula ([4Wkg+7]/ [90+Wkg]). Body Surface Area: DISCLAIMER: All calculations must be confirmed before use. Used Formula (Mosteller): Cato Software Solutions does not take any responsibility about … There are several methods available for estimating pediatric dosages, the most commonly used being dosing according to body weight or body surface area (BSA).. Doses are often expressed as mg/kg/day (similar to mg/kg) or mg/kg/dose and accompanied by a frequency of administration that can vary from once daily to every hour. CATO - Quality Management for Oncology Therapy. Body surface area in square meters = the square root of " Wt(in Kg) x Ht(in meter) ÷ 3600" Mosteller RD. Estimating Percent Total Body Surface Area in Children Affected by Burns (A) Rule of "nines" (B) Lund-Browder diagram for estimating extent of burns (Adapted from The Treatment of Burns, edition 2, Artz CP and Moncrief JA, Philadelphia, WB Saunders Company, 1969) Author: changf It is probably not worth the trouble to debate about which formula may or may not be slightly better. BSA is a measurement used in many medical tasks. Body surface area is used to help calculate the most accurate medication dosage for a patient. Dubois D, Dubois EF. Simplified Calculation of Body Surface Area. This is the Mosteller formula, although it is not the best for infants and children but it the easiest to remember and execute at the bedside. A formula to estimate the approximate surface area if height and weight be known. Their age ranged from 5 … The Mosteller formula is considered to be the most common body surface area equation today. The New England Journal of Medicine published it in the year 1987. Care must be taken to properly convert body weig ht from pounds to kilograms (1 kg= 2.2 lb) before calculating doses based on body weight. Pediatric dosage explained. The participants were 363 children who underwent cardiac surgery from 1991 to 2000. It is also used in some cases to determine fluid requirements administered intravenously. 1916; 17:863-871. 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