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. Body surface area is used to help calculate the most accurate medication dosage for a patient. Body Surface Area: DISCLAIMER: All calculations must be confirmed before use. October 317:1098. Simplified Calculation of 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]). The Mosteller formula is considered to be the most common body surface area equation today. Various Body Surface Area formulas have been developed over the years, originally by Dr.s Du Bois & Du Bois, followed by Gehan and George, Haycock, Boyd and Mosteller. New Eng J Med. The New England Journal of Medicine published it in the year 1987. 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. Their age ranged from 5 … The participants were 363 children who underwent cardiac surgery from 1991 to 2000. The Nomogram method is utilized to determine the correct pediatric medication dosage based specifically on the patient's size. 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 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). BSA is a measurement used in many medical tasks. 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. A formula to estimate the approximate surface area if height and weight be known. 1916; 17:863-871. Nomogram Method . 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. 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). Pediatric dosage explained. It is also used in some cases to determine fluid requirements administered intravenously. It is probably not worth the trouble to debate about which formula may or may not be slightly better. Dubois D, Dubois EF. This review will discuss how to solve nursing dosage and calculation body surface area problems. 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