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    Rn Hesi Dosage Calculations III Proctored Exam
    Calculation

    The healthcare provider prescribes epinephrine 0.01 mg/kg IM for an adolescent with an acute asthma episode who weighs 110 pounds. The available medication is labeled, 1 mg/mL. Based on the client's weight, how many mL should the nurse administer to this client? (Enter numerical value only, rounded to the nearest tenth.)

    mL

    Explanation & Rationale

    here's how to calculate the volume (mL) of epinephrine the nurse should administer: 1. Client weight conversion: Client weight: 110 pounds Since medication dosage is based on weight per kilogram (kg), we need to convert the weight to kg for accurate calculation. Conversion factor: 1 kg = 2.205 lbs Client weight (kg) = 110 pounds / 2.205 lbs/kg Client weight (kg) = 50 kg (round to nearest whole number) 2. Epinephrine dosage: Prescribed dose: 0.01 mg/kg (given) 3. Epinephrine concentration: The medication is labeled 1 mg/mL. This indicates there are 1 mg of epinephrine per 1 mL of solution. 4. We need to find the volume (mL) containing the prescribed dose (based on weight) of epinephrine (0.01 mg/kg) considering the concentration (1 mg/mL) in the vial. Total epinephrine dose (mg): Dose (mg/kg) x Client weight (kg) Total epinephrine dose (mg): 0.01 mg/kg * 50 kg Total epinephrine dose (mg): 0.5 mg (round to nearest tenth) Volume to administer (mL): Total dose (mg) / Concentration (mg/mL) Volume to administer (mL): 0.5 mg / 1 mg/mL Volume to administer (mL): 0.5 mL (round to nearest tenth) Therefore, the nurse should administer approximately 0.5 mL of epinephrine intramuscularly.

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