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 C
Explanation
The patient is ordered to receive 0.15 mg/kg of Zofran over 15 minutes. The patient weighs 176 lb, which is equivalent to 80 kg. To calculate the total amount of Zofran the patient should receive, multiply the weight by the dosage:
80 kg x 0.15 mg/kg = 12 mg
The Zofran arrives from the pharmacy mixed in 50 mL of normal saline, which means there is 12 mg of Zofran in 50 mL of solution. To calculate how many milliliters per hour the nurse should set the IV pump, we can use the following formula:
50 mL / 0.25 hour = X mL per hour X = 200 mL per hour
Therefore, the nurse should set the IV pump to deliver 200 mL of Zofran per hour to the patient.
Correct Answer is C
Explanation
The ordered dose is 400 mcg, which is equal to 0.4 mg..
The medication is provided as 0.1 mg/mL, so to administer 0.4 mg, the nurse needs to give:.
0.4 mg ÷ 0.1 mg/mL = 4 mL.
Therefore, the nurse should administer 4 mL of atropine sulfate.
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