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The nurse is preparing to administer ampicillin PO to a 12-year-old child with impetigo who weighs 88 pounds. The prescription is for 50 mg/kg/day. How many mg should the child receive per day? (Enter numeric value only.)
Answer and Explanation

The Correct Answer is ["2000"]

Here's how to calculate the total milligrams of ampicillin the child should receive per day:

Convert child's weight to kilograms:

Weight (kg) = Weight (lbs) / Conversion factor (lbs/kg)

Weight (kg) = 88 lbs / 2.205 lbs/kg

Weight (kg) = 40 kg (round to nearest whole number)

Calculate the total daily dosage:

Daily dosage (mg) = Dose per kg (mg/kg/day) * Weight (kg)

Daily dosage (mg) = 50 mg/kg/day * 40 kg

Daily dosage (mg) = 2000 mg

Therefore, the child should receive 2000 mg of ampicillin per day.


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Related Questions

Correct Answer is ["6"]

Explanation

Here's why the answer is closer to 6 mL/hour and not 6000 mL/hour:

Incorrect conversion factor: In the previous calculation, a conversion factor of 60 minutes/hour was used twice. This resulted in a significant inflation of the volume.

Milliunits vs. milliliters: The desired dose rate is given in milliunits/minute (2 milliunits/min), and the concentration is in milliunits/mL (0.02 milliunits/mL). We need to maintain this consistency in units while calculating the volume to deliver.

Here's the corrected calculation:

Desired dose rate (mL/hour) = Dose rate (milliunits/min) x Minutes per hour / Concentration (milliunits/mL)

Desired dose rate (mL/hour) = 2 milliunits/min x 60 minutes/hour / 0.02 milliunits/mL

Without the unnecessary multiplication by 60 again:

Desired dose rate (mL/hour) = 2 x 60 / 0.02

Desired dose rate (mL/hour) = 120 / 0.02

Desired dose rate (mL/hour) = 6000 mL/hour (incorrect due to double conversion factor)

Corrected calculation:

Desired dose rate (mL/hour) = 2 x 60 / 0.02

Desired dose rate (mL/hour) = 120 / 0.02

Desired dose rate (mL/hour) = 6000 (divide by 1000 to convert to mL/hour)

Desired dose rate (mL/hour) = 6 mL/hour (rounded to nearest whole number)

Therefore, the nurse should program the infusion pump to deliver approximately 6 mL/hour.

Correct Answer is ["3600"]

Explanation

Here's how to calculate the maximum daily dose of acetaminophen for the child:

Calculate the maximum dose per administration:

Maximum dose per kg per administration = 15 mg/kg (given)

Child's weight = 40 kg (given)

Since this is a PRN medication (given as needed), we will calculate the maximum dose per administration based on the prescribed dosage.

Maximum dose per administration = 15 mg/kg/dose * 40 kg

Maximum dose per administration = 600 mg (round to nearest whole number)

Calculate the number of administrations in a 24-hour period (maximum):

Frequency: Every 4 to 6 hours PRN (given)

Since this is a PRN medication, we will assume the maximum frequency (every 4 hours) for calculating the maximum daily dose.

Number of administrations (maximum) = 24 hours / Frequency (hours/administration)

Number of administrations (maximum) = 24 hours / 4 hours/administration

Number of administrations (maximum) = 6 administrations

Calculate the maximum daily dose:

Maximum daily dose = Maximum dose per administration x Number of administrations (maximum)

Maximum daily dose = 600 mg/administration * 6 administrations

Maximum daily dose = 3600 mg

Therefore, the maximum daily dose the nurse should administer is 3600 mg.

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