Hesi rn dosage calculation d441 proctored exam
Calculation
The healthcare provider prescribes filgrastim 5 mcg/kg subcutaneous (SubQ) for a client who weighs 176 pounds. The available vial is labeled, "Filgrastim 300 mcg/mL. Based on the client's weight, how many milliliters should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
mL
Explanation & Rationale
Given Information: Prescribed dose: 5 mcg/kg Patient weight: 176 pounds Vial concentration: 300 mcg/mL Convert weight to kilograms 1 pound is approximately 0.453592 kilograms 176 pounds x 0.453592 = 79.8 kilograms (approximately 80 kilograms) Calculate the total dose Total dose = Prescribed dose x Weight Total dose = 5 mcg/kg x 80 kg = 400 mcg Calculate the volume to be administered Volume to be administered = Total dose / Concentration Volume to be administered = 400 mcg / 300 mcg/mL = 1.33 mL Round to the nearest tenth (as instructed) Volume to be administered = 1.3 mL
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