Author Question: A child weighing 44 lbs. is prescribed to receive vancomycin hydrochloride (Vancocin) 30 mg/kg/day ... (Read 95 times)

kfurse · **on:** Jul 3, 2018

A child weighing 44 lbs. is prescribed to receive vancomycin hydrochloride (Vancocin) 30 mg/kg/day in divided doses every 6 hours.

The nurse is using a volume controlled chamber to administer the medication and the medication available is 1 g/20 mL. How many mL of fluid will the nurse need to add to the volume controlled chamber to equal 100 mL? 1. 88 mL
2. 97 mL
3. 112 mL
4. 131 mL

Question 2

A child with bone cancer is prescribed interferon gamma-1b (Actimmune) 50 mcg/m2 subcutaneous injection. The child weighs 96 lbs. and is 50 inches tall and the medication available is 100 mcg/0.5 mL.

How many ml of the medication will the child receive? 1. 0.31 mL
2. 0.44 mL
3. 0.62 mL
4. 0.88 mL

chevyboi1976 · **Reply #1 on:** Jul 3, 2018

Answer to Question 1

2

Rationale 1: mL/dose = 20 mL/1 g x 1 g/1000 mg x 30 mg/1 kg x 1 kg/2.2 lb x 44 lb/day x 1 day/4 doses. Multiply the numerators and the divide by the denominators. The client will receive 3 mL of medication at each dose; therefore, the nurse will need to add 97 mL of fluid to the volume controlled chamber.

Answer to Question 2

1

Rationale 1: First determine the child's body surface area by using the equation, BSA = 96 lbs. x 50 in/3131 = 4800/3131 = 1.15330565 = 1.24 m2. mL/dose = 0.5 mL/100 mcg x 50 mcg/m2 x 1.24/1 dose. Multiply the numerators and then divide by the denominators. The client will receive 0.31 mL of medication.