A physician orders Platinol (cisplatin) 20 mg/m²/day x 5 days IV for a patient weighing 94.5 kg and having a height of 185 cm.
Using the body surface area (BSA) formula, what would this patient's dose be in milligrams?
22 mg
486 mg
44 mg
47 mg
The Correct Answer is C
We need to calculate the patient's BSA using one of the available formulas. The most widely used formula is the Du Bois formula, which is:.
BSA = 0.007184 × W^0.425 × H^0.725.
where W is weight in kg and H is height in cm.. Plugging in the patient's weight and height, we get:. BSA = 0.007184 × 94.5^0.425 × 185^0.725
BSA = 2.15 m².
Now, we can use the physician's order to find the daily dose and the total dose of Platinol for this patient. The daily dose is:.
Daily dose = 20 mg/m²/day × BSA Daily dose = 20 mg/m²/day × 2.15 m² Daily dose = 43 mg/day.
The total dose for 5 days is:.
Total dose = Daily dose × Number of days Total dose = 43 mg/day × 5 days
Total dose = 215 mg.
Therefore, the patient's dose of Platinol would be 215 mg in total, or 43 mg per day for 5 days.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The Joint Commission has a list of approved medical abbreviations that should be used to prevent miscommunication and errors in healthcare settings.
Out of the abbreviations listed in the
Question , only "IV" (for intravenous) is on the Joint Commission's list of approved abbreviations.
"IU" (for international unit) is not on the list because it can be misinterpreted as "IV" (intravenous) or "10" (the Roman numeral for 10).
"QD" (for once daily) is also not on the list because it can be misinterpreted as "QID" (four times daily) or "QOD" (every other day).
"QOD" (for every other day) is also not on the list because it can be misinterpreted as "QD" (once daily) or "QID" (four times daily).
Therefore, the correct answer is A. IV.
Correct Answer is C
Explanation
We can use the following formula to calculate the infusion rate:
Infusion rate (mL/hr) = (Dose ordered in mcg/min x Volume to be infused in mL) / Dose available in mg
First, we need to convert the dose ordered from mg/min to mcg/min: 125 mg = 125,000 mcg
125,000 mcg/500 mL = 250 mcg/mL
Now we can plug in the values we have into the formula:
Infusion rate (mL/hr) = (42 mcg/min x 60 min x 24 hours) / (250 mcg/mL) Infusion rate (mL/hr) = 10.08 mL/hr
Rounding to the nearest tenth, the answer is C. 10.1 mL/hr.
Therefore, the nurse should program the IV pump to deliver the nitroglycerin at a rate of 10.1 mL/hr to achieve the ordered dose of 42 mcg/minute.
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