Prescribing for a 2-Year-Old with Fever and Pain
Write a prescription for acute otitis media and have every line marked: drug choice, dose, route, frequency and duration, checked against the patient's allergies, current medicines, renal function and the interaction database, with each error explained.
easy8 scoring rules
- Patient
- 2 years, male, 12 kg
- Diagnosis
- Acute otitis media
- Renal function
- eGFR 120 mL/min/1.73m²
- Allergies
- None known
The scenario
Patient B-217 is a 2-year-old boy weighing 12 kg, brought to the emergency department with a 1-day history of fever (39.2°C), earache and irritability. On examination, the right tympanic membrane is red and bulging, with no other focal features. He is taking fluids well, and urine output is normal. There is no known drug allergy, and he is on no regular medications. His past medical history is unremarkable, with no asthma or gastrointestinal disease. Renal function is normal: serum creatinine 0.4 mg/dL, eGFR 120 mL/min/1.73m². Please prescribe appropriate therapy for fever and pain, including doses, dosing intervals, and maximum daily doses. Also, outline any circumstances in which one of the routinely used children's analgesics/antipyretics is contraindicated.
What gets marked
- Whether you chose an indicated drug, and whether you avoided the contraindicated ones.
- Dose, route, frequency and duration against the range for this patient.
- Renal and hepatic dose adjustment where this patient's numbers demand it.
- Allergy cross-reactivity and interactions with the medicines already on the chart.
- The instructions and monitoring you write, not only the drug you pick.
8 scoring rules apply to this scenario. A single critical error fails the attempt whatever the score.
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A free account opens the prescription pad: search the formulary, write the chart, and have it marked line by line by the safety engine.
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Educational content for students and clinicians in training. It does not replace professional judgement, local protocols or current prescribing information.