A nurse is administering an intravenous (IV) infusion of 2 g cefotaxime dissolved in 100 mL of isotonic glucose solution to a client. The drop factor of the IV tubing is 15 drops/mL.
If the infusion time is 1 hr, what is the gt/min?

To find the amount of solution to draw for one dose, you need to calculate the following:

- The body surface area (BSA) of the client in square meters (m²) using the formula: BSA (m²) = √(Height (cm) x Weight (kg) / 3600)
- The dose of allopurinol in milligrams (mg) using the formula: Dose (mg) = BSA (m²) x Prescribed dose
(mg/m²)
- The volume of solution in milliliters (mL) using the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL)

First, use the formula for BSA to find the client's body surface area in square meters:

BSA (m²) = √(Height (cm) x Weight (kg) / 3600)

Since the client's height is 148 cm and weight is 55 kg, plug in these values into the formula:

BSA (m²) = √(148 cm x 55 kg / 3600)

Simplify and solve for the BSA:

BSA (m²) = 1.41 m²

Next, use the formula for dose to find the amount of allopurinol in milligrams:

Dose (mg) = BSA (m²) x Prescribed dose (mg/m²)

Since the client's BSA is 1.41 m² and the prescribed dose is 115 mg/m², plug in these values into the formula:

Dose (mg) = 1.41 m² x 115 mg/m²

Simplify and solve for the dose:

Dose (mg) = 162.15 mg

Then, use the formula for volume to find the amount of solution in milliliters:

Volume (mL) = Dose (mg) / Concentration (mg/mL)

Since the dose is 162.15 mg and the concentration is 25 mg/mL, plug in these values into the formula:

Volume (mL) = 162.15 mg / 25 mg/mL

Simplify and solve for the volume:

Volume (mL) = 6.486 mL

Therefore, the nurse should draw **6.486 mL** of solution for one dose of allopurinol.

To answer this question, the nurse needs to perform the following steps:

1) Convert the patient's weight from pounds and ounces to kilograms, using the conversion factor of 1 pound = 0.45359237 kilograms¹². To do this, first convert the ounces to a fraction of a pound by dividing by 16, then add this fraction to the pounds, and then multiply by the conversion factor. For example:

7 lb, 11.2 oz = 7 + (11.2 / 16) lb
= 7.7 lb
= 7.7 × 0.45359237 kg
= 3.492 kg

2) Calculate the dose of Garamycin in milligrams, using the prescribed dose of 4 mg/kg and the patient's weight in kilograms. To do this, simply multiply the dose per kilogram by the weight in kilograms. For example:

4 mg/kg × 3.492 kg = 13.968 mg

3) Calculate the volume of Garamycin in milliliters, using the reconstituted dosage of 20 mg/10 mL and the dose in milligrams. To do this, use a proportion to find the unknown volume that corresponds to the known dose. For example:

20 mg / 10 mL = 13.968 mg / x mL Cross-multiply and solve for x: 20x = 139.68

x = 6.984 mL
x =7 mL