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    Ati lpn pharmacology proctored exam

    A nurse is preparing to administer amoxicillin 30 mg/kg/day divided doses every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer every 12 hr? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

    Explanation & Rationale

    Given: Ordered dose of amoxicillin: 30 mg/kg/day divided every 12 hours Toddler's weight: 33 lbs Concentration of amoxicillin suspension: 200 mg/5 mL Step 1: Convert the toddler's weight from pounds to kilograms: 1 pound (lb) = 0.453592 kilograms (kg) Weight in kg = 33 lbs x 0.453592 kg/lb = 14.968 kg Step 2: Calculate the total daily dose of amoxicillin: Total daily dose (mg) = Ordered dose (mg/kg/day) x Weight (kg) Total daily dose (mg) = 30 mg/kg/day x 14.968 kg Total daily dose (mg) = 449.04 mg/day Step 3: Calculate the dose per administration: Since the medication is given every 12 hours, there are 2 administrations per day. Dose per administration (mg) = Total daily dose (mg) / Number of administrations per day Dose per administration (mg) = 449.04 mg/day / 2 administrations/day Dose per administration (mg) = 224.52 mg Step 4: Calculate the volume to be administered: Volume (mL) = Dose per administration (mg) / Concentration (mg/mL) Volume (mL) = 224.52 mg / (200 mg/5 mL) Volume (mL) = 224.52 mg x (5 mL / 200 mg) Volume (mL) = 5.613 mL Step 5: Round to the nearest tenth: Volume (mL) ≈ 5.6 mL

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