A nurse is preparing to administer cephalexin 50 mg/kg/day PO divided in equal doses every 6 hr to a preschooler who weighs 37 Ib. Available is cephalexin suspension 250 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["4.2"]
Step 1: Convert the preschooler’s weight from pounds to kilograms. 37 lbs ÷ 2.2 = 16.8181 kg (rounded to four decimal places)
Step 2: Calculate the total daily dose of cephalexin in mg. 50 mg/kg/day × 16.8181 kg = 840.905 mg/day (rounded to three decimal places)
Step 3: Determine the number of doses per day. 24 hours ÷ 6 hours = 4 doses/day
Step 4: Calculate the dose per administration. 840.905 mg/day ÷ 4 doses/day = 210.22625 mg/dose (rounded to five decimal places)
Step 5: Convert the dose from mg to mL using the available suspension concentration. 250 mg ÷ 5 mL = 50 mg/mL
Step 6: Calculate the volume to be administered per dose. 210.22625 mg ÷ 50 mg/mL = 4.204525 mL (rounded to six decimal places)
Step 7: Round the final answer to the nearest tenth. 4.204525 mL rounded to the nearest tenth = 4.2 mL
Therefore, the nurse should administer 4.2 mL per dose.
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Related Questions
Correct Answer is ["133"]
Explanation
To calculate this, divide the volume of the infusion by the infusion time to find the rate: 800 mL / 6 hr =
133.33 mL/hr, which rounds to 133 mL/hr when rounded to the nearest whole number.
Correct Answer is ["3.5"]
Explanation
First, we need to convert the child's weight from pounds to kilograms.
Since there are approximately 2.20462 pounds in 1 kilogram, 52 pounds is equivalent to 52/2.20462 =
23.587 kilograms.
The prescribed dose of digoxin is 7.5 mcg/kg/day, so for a child who weighs 23.587 kg, the total daily dose is 7.5 * 23.587 = 176.9 mcg/day.
Since the medication is available as a 50 mcg/mL elixir, the nurse should administer 176.9/50 = 3.538 mL/day.
Since the medication is to be administered once daily, the nurse should administer 3.5mL per dose. The answer is rounded to the nearest tenth as instructed.
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