A nurse is preparing to administer filgrastim 10 mcg/kg subcutaneous to a child who weighs 71 lb. Available is filgrastim injection 300 mcg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["1.1"]
To calculate the dosage of filgrastim, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 71 pounds, which is approximately 32.27 kilograms (71 lb / 2.2 kg/lb). Next, multiply the child's weight in kilograms by the dosage prescribed, which is 10 mcg/kg. This results in a total dosage of 322.7 mcg (32.27 kg * 10 mcg/kg). Finally, divide the total dosage needed by the concentration of the available medication to find out how many mL to administer. The filgrastim injection available is 300 mcg/mL, so you would administer approximately 1.08 mL (322.7 mcg / 300 mcg/mL), which rounds to 1.1 mL when rounded to the nearest tenth.
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Related Questions
Correct Answer is ["30"]
Explanation
To calculate the dosage of dexamethasone in milliliters for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 66 pounds, which is approximately 30 kilograms (66 / 2.2). According to the prescription, the child requires 0.2 mg of dexamethasone per kilogram per day. So, for a 30 kg child, the total daily dosage is 6 mg (30 kg * 0.2 mg/kg). This total daily dose should be divided into two doses, which means each dose will be 3 mg (6 mg / 2). Given that the available elixir concentration is 0.5 mg per 5 mL, to administer a 3 mg dose, the nurse would need 30 mL of the elixir (3 mg / 0.5 mg * 5 mL). Therefore, the nurse should administer 30 mL per dose.
Correct Answer is ["1.2"]
Explanation
To calculate the dosage of prochlorperazine for the adolescent, first convert the weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The adolescent weighs 103 lb, which is approximately 46.82 kg (103 ÷ 2.2). Next, multiply the weight in kilograms by the dosage prescribed, which is 0.13 mg/kg. This results in a total dosage of 6.09 mg (46.82 kg × 0.13 mg/kg). Finally, divide the total dosage by the concentration of the available medication to find out how many mL to administer. The available prochlorperazine injection has a concentration of 5 mg/mL, so you would administer 1.22 mL (6.09 mg ÷ 5 mg/mL). Rounded to the nearest tenth, the nurse should administer 1.2 mL per dose.
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