A nurse is preparing to administer digoxin 8 mg/kg/day PC divided equally every 12 hr for a preschooler who weighs 33 b. Available is digoxin elixir 0.05 mg/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 ["1.2"]
Step-by-step solution:
1. Convert pounds to kilograms:
1 lb = 0.453592 kg
33 lb x 0.453592 kg/lb = 14.97 kg
2. Calculate the total daily dose of digoxin:
Total daily dose = dose per kg/day x weight in kg = 8 mcg/kg/day x 14.97 kg = 119.76 mcg/day
3. Calculate the dose per administration:
Since the medication is divided into 2 doses per day,
Dose per administration = Total daily dose / number of doses = 119.76 mcg/day / 2 doses = 59.88 mcg/dose
4. Convert mcg to mg:
1 mg = 1000 mcg
59.88 mcg = 0.05988 mg
5. Calculate the volume to administer:
The medication concentration is 0.05 mg/mL.
Volume = Dose per administration / Concentration = 0.05988 mg / 0.05 mg/mL = 1.1976 mL
6. Round to the nearest tenth:
Volume = 1.2 mL
Therefore, the nurse should administer 1.2 mL of digoxin per dose.
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Related Questions
Correct Answer is ["1"]
Explanation
Calculations:
Convert mcg to mg: 250 mcg = 0.25 mg
Desired dose = 0.25 mg
Tablet strength = 0.25 mg/tablet
Number of tablets = Desired dose / Tablet strength = 0.25 mg / 0.25 mg/tablet = 1 tablet
The nurse should administer 1 tablet of digoxin.
Correct Answer is ["1.2"]
Explanation
Step-by-step solution:
1. Convert pounds to kilograms:
1 lb = 0.453592 kg
33 lb x 0.453592 kg/lb = 14.97 kg
2. Calculate the total daily dose of digoxin:
Total daily dose = dose per kg/day x weight in kg = 8 mcg/kg/day x 14.97 kg = 119.76 mcg/day
3. Calculate the dose per administration:
Since the medication is divided into 2 doses per day,
Dose per administration = Total daily dose / number of doses = 119.76 mcg/day / 2 doses = 59.88 mcg/dose
4. Convert mcg to mg:
1 mg = 1000 mcg
59.88 mcg = 0.05988 mg
5. Calculate the volume to administer:
The medication concentration is 0.05 mg/mL.
Volume = Dose per administration / Concentration = 0.05988 mg / 0.05 mg/mL = 1.1976 mL
6. Round to the nearest tenth:
Volume = 1.2 mL
Therefore, the nurse should administer 1.2 mL of digoxin per dose.
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