Child Dose Formula:
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The Body Surface Area (BSA) method is one of the most accurate ways to calculate medication doses for children. It accounts for differences in metabolism and drug distribution between children and adults based on their relative body sizes.
The calculator uses the BSA-based formula:
Where:
Explanation: The equation adjusts the adult dose proportionally based on the child's body size relative to an average adult.
Details: BSA-based dosing is particularly important for medications with narrow therapeutic windows, chemotherapy drugs, and medications where pediatric dosing isn't well established.
Tips: Enter the adult dose in mg and the child's BSA in m². Both values must be positive numbers. The BSA can be calculated using Mosteller's formula or other BSA calculators.
Q1: When should BSA-based dosing be used?
A: It's most commonly used for chemotherapy, some antibiotics, and other drugs where weight-based dosing might be less accurate.
Q2: How do I calculate a child's BSA?
A: BSA can be calculated using formulas like Mosteller's: √(height in cm × weight in kg / 3600).
Q3: Are there limitations to BSA dosing?
A: It may not account for differences in drug metabolism between children and adults, and may not be appropriate for all medications.
Q4: Should this method be used for all pediatric medications?
A: No, only when specifically recommended. Many medications have established pediatric dosing guidelines.
Q5: What's the advantage over weight-based dosing?
A: BSA correlates better with metabolic rate and organ size than weight alone, especially for drugs distributed in body water or metabolized by organs.