A nurse is preparing to administer cefotaxime 100 mg/kg/day IM divided in equal doses every 6 hr to a school-age child who weighs 50 lb. Available is cefotaxime injection 300 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["1.9"]
To calculate the dosage of cefotaxime, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds. The child weighs 50 lb, which is approximately 22.7 kg (50 / 2.2). The prescribed dose is 100 mg/kg/day, so the total daily dose is 2,270 mg (100 mg/kg * 22.7 kg). This total daily dose should be divided into equal doses administered every 6 hours, which means 4 doses per day. Therefore, each dose will be 567.5 mg (2,270 mg / 4). With the medication available at a concentration of 300 mg/mL, divide the single dose by the concentration to find the volume per dose: 567.5 mg / 300 mg/mL = 1.89 mL. Rounded to the nearest tenth, the nurse should administer 1.9 mL per dose.
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Related Questions
Correct Answer is ["50"]
Explanation
To calculate the IV pump setting, you would use the formula: Volume (mL) over Time (hr) = Rate (mL/hr). In this case, the total volume of the cefoxitin solution is 50 mL, and it needs to be administered over 1 hour. Therefore, the nurse should set the IV pump to deliver 50 mL/hr. When rounding to the nearest whole number, the rate remains 50 mL/hr.
Correct Answer is ["0.042"]
Explanation
To convert milligrams (mg) to grams (g), one must remember that 1 gram is equivalent to 1000 milligrams. Therefore, to find the equivalent in grams for 42 mg, the amount in milligrams should be divided by 1000. Doing the math, 42 mg divided by 1000 gives 0.042 grams. When rounding this to the nearest thousandth, it remains 0.042, as the fourth decimal place is not significant enough to round up the third decimal place. Hence, 42 mg is equivalent to 0.042 g.
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