A nurse is preparing to administer amoxicillin 30 mg/kg/day divided doses every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer every 12 hr? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
5 mL
5.6 mL
0.5 mL
6 mL
The Correct Answer is B
Given:
Ordered dose of amoxicillin: 30 mg/kg/day divided every 12 hours
Toddler's weight: 33 lbs
Concentration of amoxicillin suspension: 200 mg/5 mL
Step 1: Convert the toddler's weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Weight in kg = 33 lbs x 0.453592 kg/lb = 14.968 kg
Step 2: Calculate the total daily dose of amoxicillin:
Total daily dose (mg) = Ordered dose (mg/kg/day) x Weight (kg)
Total daily dose (mg) = 30 mg/kg/day x 14.968 kg
Total daily dose (mg) = 449.04 mg/day
Step 3: Calculate the dose per administration:
Since the medication is given every 12 hours, there are 2 administrations per day.
Dose per administration (mg) = Total daily dose (mg) / Number of administrations per day
Dose per administration (mg) = 449.04 mg/day / 2 administrations/day
Dose per administration (mg) = 224.52 mg
Step 4: Calculate the volume to be administered:
Volume (mL) = Dose per administration (mg) / Concentration (mg/mL)
Volume (mL) = 224.52 mg / (200 mg/5 mL)
Volume (mL) = 224.52 mg x (5 mL / 200 mg)
Volume (mL) = 5.613 mL
Step 5: Round to the nearest tenth:
Volume (mL) ≈ 5.6 mL
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Related Questions
Correct Answer is B
Explanation
A) Drug Enforcement Administration (DEA)
The DEA is primarily responsible for enforcing the controlled substances laws and regulations, including monitoring the manufacturing and distribution of drugs that are classified as controlled substances. While the DEA plays an important role in regulating drugs, particularly those that have a high potential for abuse, it is not the primary authority on drug standards or approval processes.
B) Food and Drug Administration (FDA)
The FDA is the primary authority responsible for drug standards in the United States. The FDA regulates the safety, efficacy, and quality of pharmaceutical drugs, vaccines, biologics, and medical devices. It is responsible for approving new medications, ensuring they meet rigorous standards for safety and effectiveness before they are made available to the public. The FDA also monitors drugs after they are approved, requiring post-market surveillance and, if necessary, issuing recalls or safety warnings.
C) Centers for Disease Control and Prevention (CDC)
The CDC is focused on public health and disease prevention rather than the regulation of drugs. The CDC plays an important role in providing guidelines for the treatment and prevention of diseases, offering recommendations for vaccination schedules, and conducting epidemiological research.
D) National Institutes of Health (NIH)
The NIH is a leading medical research organization that conducts and funds biomedical research. While the NIH plays a crucial role in advancing scientific knowledge and supporting the development of new treatments, it does not have the authority to regulate or set standards for drugs.
Correct Answer is A
Explanation
A) The two main purposes for diuretics are to decrease fluid and decrease hypertension (lower blood pressure):
Diuretics primarily work by promoting the excretion of excess sodium and water from the body, which decreases fluid volume. This reduction in fluid volume helps to lower blood pressure, especially in conditions like hypertension and heart failure, where fluid buildup can exacerbate symptoms.
B) The two main purposes are to decrease fluid volume in the tissues and circulation, increasing blood pressure:
The primary purpose of diuretics is to decrease fluid volume, which helps lower blood pressure, not increase it. Diuretics are used to reduce the workload on the heart and the risk of complications like stroke and heart failure by lowering blood pressure and removing excess fluid from the body.
C) The two main purposes of diuretics are to increase fluid in the body and blood pressure:
Diuretics do not increase fluid in the body. In fact, they decrease fluid in the body to help reduce blood pressure. This option contradicts the fundamental mechanism of action of diuretics.
D) The two main purposes of diuretics are to increase circulating fluid and lower blood pressure:
Diuretics do not increase circulating fluid; they decrease it. By promoting the excretion of sodium and water, diuretics decrease the volume of circulating fluid, which is a key factor in lowering blood pressure.
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