https://file.aiquickdraw.com/mathbot/file/1726174279060eq3245sn.jpg

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1. **Patient's Weight**: 20 lb.
2. **Child's Actual Weight in kg**: 9.09 kg (conversion from pounds to kilograms is given in the image).
3. **Safe Dose Range (SDR)**: 
   - Low SDR: \(1 \, \text{mg/kg}\)
   - High SDR: \(3 \, \text{mg/kg}\)
4. **Ordered Dose**: 35 mg of Drug B, IM (intramuscular) stat for a toddler.

### Step 1: Safe Dose Range Calculation
- **Low SDR**: \(1 \, \text{mg} \times 9.09 \, \text{kg} = 9.09 \, \text{mg}\)
- **High SDR**: \(3 \, \text{mg} \times 9.09 \, \text{kg} = 27.27 \, \text{mg}\)

So, the safe dose range for the child is between **9.09 mg** and **27.27 mg**.

### Step 2: Ordered Dose vs Safe Dose Range
- The ordered dose is **35 mg**.
- The safe range is between **9.09 mg** and **27.27 mg**.

Since **35 mg** exceeds the **high safe dose range** of 27.27 mg, **this dose is NOT safe**.

Would you like more details or have any further questions?

### Follow-up Questions:
1. How is weight typically converted from pounds to kilograms?
2. What factors should be considered when determining safe dosage for children?
3. What are the consequences of administering a dose outside the safe dose range?
4. What would be a safe alternative dose of Drug B in this case?
5. How do different routes of drug administration (e.g., oral vs. IM) affect drug dosing?

#### Tip: Always double-check drug doses against safe dose ranges, especially in pediatric cases, as children's bodies process drugs differently from adults.

Ordered Drug B, 35 mg IM stat for a toddler weighing 20 lb. Is this dose safe?

This solution analyzes the safe dosage range for a toddler weighing 20 lb (9.09 kg) receiving 35 mg of Drug B intramuscularly. The safe dose range is calculated to be 9.09 mg to 27.27 mg, showing that the prescribed dose exceeds the safe range.

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