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    Hesi rn dosage calculations proctored exam
    Calculation

    A client who weighs 176 pounds receives a prescription for filgrastim 5 mcg/kg/daily subcutaneously for 14 days. The medication is available in 300 mcg/mL vial. How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)

    mL

    Explanation & Rationale

    Given: Ordered dose of Filgrastim: 5 mcg/kg/daily Patient weight: 176 pounds Concentration of Filgrastim: 300 mcg/mL Step 1: Convert patient weight from pounds to kilograms: 1 pound (lb) = 0.453592 kilograms (kg) Patient weight in kg = 176 lbs x 0.453592 kg/lb = 79.832 kg Step 2: Calculate the total daily dose of Filgrastim: Total daily dose (mcg) = Ordered dose (mcg/kg/daily) x Patient weight (kg) Total daily dose (mcg) = 5 mcg/kg/daily x 79.832 kg Total daily dose (mcg) = 399.16 mcg Step 3: Calculate the volume to be administered: Volume (mL) = Total daily dose (mcg) / Concentration (mcg/mL) Volume (mL) = 399.16 mcg / 300 mcg/mL Volume (mL) = 1.3305 mL Step 4: Round to the nearest tenth: Volume (mL) ≈ 1.3 mL

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