Rn Hesi Dosage Calculations Proctored Exam
Calculation
The healthcare provider prescribes filgrastim 5 mcg/kg/day subcutaneously (SubQ) for a client who weighs 190 pounds. The medication is available in 480 mcg/1.5 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
To calculate the volume of filgrastim solution, we need to use the formula: Volume (mL) = Dose (mcg) / Concentration (mcg/mL) First, we need to calculate the dose by multiplying the prescribed rate by the weight in kilograms. To convert the weight from pounds to kilograms, we multiply by 0.454. In this case, 190 pounds is equivalent to 86.26 kg. Plugging in the given values, we get: Volume (mL) = 5 mcg/kg/day x 86.26 kg / 480 mcg/mL Simplifying, we get: Volume (mL) = 0.897 mL Rounding to the nearest tenth, we get: Volume (mL) = 0.9 mL
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