The health-care provider prescribes diltiazem (Cardizem) 0.87 mg PO four times daily for an infant who weighs 22 pounds. The recommended maximum dose is 3.5 mg/kg/day. What action should the nurse take?
Give the prescribed dosages.
Assess the child's heart rate before administration.
Clarify the calculations with the pharmacist.
Notify the health-care provider.
The Correct Answer is B
Step 1: Calculate the infant's weight in kilograms:
22 pounds x (1 kg / 2.20462 pounds) ≈ 10 kg
Step 2: Calculate the recommended maximum daily dose:
Recommended Maximum Dose = 3.5 mg/kg/day x 10 kg
Recommended Maximum Dose = 35 mg/day
Step 3: Calculate the prescribed daily dose:
Prescribed Daily Dose = 0.87 mg/dose x 4 doses/day
Prescribed Daily Dose = 3.48 mg/day
Step 4: Compare the prescribed dose to the recommended maximum dose:
The prescribed daily dose (3.48 mg/day) is slightly above the recommended maximum daily dose (35 mg/day).
Therefore, the nurse should:
B. Assess the child's heart rate before administration.
While the prescribed dose is slightly above the recommended maximum, it's important to monitor the child's heart rate to ensure there are no adverse effects. If the heart rate is within the normal range, the medication can be administered. However, if there are any concerns, the nurse should consult with the health-care provider.
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Related Questions
Correct Answer is ["2"]
Explanation
To calculate the number of tablets needed, we can set up a proportion:
x tablets / 500 mg = 1 tablet / 250 mg
Cross-multiplying:
250x = 500
Solving for x:
x = 500 / 250
x = 2
Therefore, the nurse should administer 2 tablets of azithromycin per dose.
Correct Answer is ["2000"]
Explanation
To calculate the infusion rate of magnesium sulfate, we'll follow these steps:
1. Calculate the concentration of magnesium sulfate in the IV solution:
Magnesium Sulfate Concentration = Magnesium Sulfate (g) / Solution Volume (mL)
Magnesium Sulfate Concentration = 4 grams / 250 mL
Magnesium Sulfate Concentration = 16 mg/mL
2. Calculate the magnesium sulfate infusion rate in mg/hour:
Magnesium Sulfate Infusion Rate = Infusion Rate (mL/hour) x Magnesium Sulfate Concentration (mg/mL)
Magnesium Sulfate Infusion Rate = 125 mL/hour x 16 mg/mL
Magnesium Sulfate Infusion Rate = 2000 mg/hour
Therefore, the nurse should administer 2000 mg/hour of magnesium sulfate.
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