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.

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Related Questions
Correct Answer is B
Explanation
If one dose of medication is 25 mg and each vial contains 50 mg of medication, then each vial contains two doses..
To calculate the number of vials required for 5 days of treatment, we first need to calculate the total number of doses required. Since the client requires two injections per day, the total number of doses required for 5 days would be:.
Total number of doses = 2 doses/day x 5 days. Total number of doses = 10 doses.
Since each vial contains two doses, we need a total of 10/2 = 5 vials for 5 days of treatment..
Therefore, the nurse would need 5 vials of the medication for 5 days of treatment for the client.
Correct Answer is A
Explanation
Administer one half tablet. To find the amount of tablets to administer, use the formula: (ordered dose / available dose). In this case, (250 mg / 500 mg) = 0.5 tablet. Since the tablet is pre-scored, it can be easily split in half.
Metformin is a medication that belongs to a class of drugs called biguanides. It is used to treat type 2 diabetes by lowering blood sugar levels and improving insulin sensitivity. Metformin works by reducing the amount of glucose produced by the liver and increasing the uptake of glucose by the muscles and other tissues.
Metformin can also help prevent or delay the onset of diabetes complications, such as heart disease and kidney damage.
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