Formula
Dose (mg) = dose (mg/kg) × weight (kg); if a maximum is given, dose = min(calculated, maximum). Volume (mL) = dose ÷ concentration (mg/mL).
Clinical pearls
- Confirm which weight the drug label uses (actual, ideal or adjusted body weight); obese patients often should not be dosed on actual weight.
- Check whether the mg/kg figure is per dose or per day before calculating.
- Weigh children in kilograms: lb/kg confusion is a leading cause of pediatric dosing errors.
Examples
15 mg/kg for a 20 kg child, concentration 32 mg/mLweight based dose 10 mg/kg 80 kg max 600 mgdose for 44 lb child at 10 mg/kg
FAQ
How do you calculate a mg/kg dose?
Multiply the dose in mg/kg by the weight in kg. For 15 mg/kg in a 20 kg child, the dose is 300 mg. Cap it at the maximum dose if one applies.
How do I convert the dose to mL?
Divide the dose in mg by the concentration in mg/mL. 300 mg of a 160 mg/5 mL (32 mg/mL) suspension is 9.4 mL.