A child who weighs 42 kg receives a prescription for methylprednisolone succinate 1.5 mg/kg/day intravenously in divided doses every 6 hours. The medication is available in 40 mg/mL vials. How many mL should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
Explanation & Rationale
To calculate the amount of methylprednisolone succinate that the child needs, we first need to multiply the child's weight by the prescribed dose. This gives us: 42 kg x 1.5 mg/kg/day = 63 mg/day Since the medication is given in divided doses every 6 hours, we need to divide the daily dose by 4 to get the dose per administration. This gives us: 63 mg/day / 4 = 15.75 mg/dose To convert the dose from mg to mL, we need to use the concentration of the medication, which is 40 mg/mL. This means that for every 1 mL of solution, there are 40 mg of methylprednisolone succinate. To find out how many mL are equivalent to 15.75 mg, we need to divide the dose by the concentration. This gives us: 15.75 mg / 40 mg/mL = 0.39375 mL Since we need to round to the nearest tenth, the final answer is: 0.4 mL