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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The infusion was started at 06:57 and completed at 15:45, which is a total time of: 15 hours and 45 minutes - 6 hours and 57 minutes = 8 hours and 48 minutes
To calculate the flow rate, we need to know the total amount of fluid infused and divide it by the total time of infusion:
1 L = 1000 mL
Total time of infusion = 8 hours and 48 minutes = 528 minutes Flow rate = Total amount of fluid infused / Total time of infusion Flow rate = 1000 mL / 528 minutes
Flow rate = 1.89394 mL/min
To convert mL/min to mL/hr, we multiply by 60:
Flow rate = 1.89394 mL/min x 60 min/hr Flow rate = 113.6364 mL/hr
Therefore, the flow rate of infusion in this situation is approximately 114 mL/hr, which corresponds to option A.
Correct Answer is B
Explanation
The correct answer is choice B. 2 bottles. To find the number of bottles required, use the formula: (dose x duration) / (bottle size x tablet strength). In this case, (600 mg/day x 7 days) / (7 tablets/bottle x 300 mg/tablet) = 2 bottles.
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