RN HESI Paediatrics Proctored Exam 2
Calculation
A child who weighs 30 kg is experiencing a grand mal seizure. The healthcare provider prescribes diazepam 0.3 mg/kg/dose intravenous (IV) STAT. The medication is available in 5 mg/mL vials. How many mL should the nurse administer? (Enter numeric value only in mL. If rounding is required, round to the nearest tenth).
mL
Explanation & Rationale
To calculate the amount of diazepam (Valium) to administer, use the formula: Dose (in mg) = Weight (in kg) x Dose (in mg/kg) Dose (in mg) = 30 kg x 0.3 mg/kg = 9 mg Now, you need to calculate how many mL of the 5 mg/mL diazepam solution to administer to deliver 9 mg of diazepam: Volume (in mL) = Dose (in mg) / Concentration (in mg/mL) Volume (in mL) = 9 mg / 5 mg/mL = 1.8 mL So, the nurse should administer 1.8 mL of diazepam.
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