Question

Difficulty: MediumPharmacological Therapies

A practical nurse is preparing to administer cephalexin oral suspension to a pediatric client who weighs 39.6 lb. The healthcare provider's prescription is for 15 mg/kg/dose to be administered every 12 hours. The pharmacy dispenses a cephalexin suspension concentration of 125 mg/5 mL. How many mL should the practical nurse administer per dose? (Record your answer to the nearest tenth. Do not include units in your answer.)

Answer: 10.8 mL

Answer

10.8
To determine the correct volume, first convert the weight to kilograms (39.6 ÷ 2.2 = 18 kg). Next, find the required dose in milligrams (18 kg × 15 mg/kg = 270 mg). Finally, use the formula (Desired / Have) × Volume to find the correct volume to administer ((270 mg / 125 mg) × 5 mL = 10.8 mL).

Step-by-Step Solution

1
Convert the client's weight from pounds to kilograms.
39.6 lb ÷ 2.2 lb/kg = 18 kg
The medication dosage is prescribed based on the client's weight in kilograms.
2
Calculate the desired dose in milligrams.
18 kg × 15 mg/kg = 270 mg/dose
This determines the exact amount of medication the client needs for one single administration.
3
Calculate the volume of medication to administer.
(270 mg / 125 mg) × 5 mL = 2.16 × 5 mL = 10.8 mL
Using the dose calculation formula determines the correct liquid amount to draw up.

Key Concept

Weight-based medication dosage calculation and liquid volume conversion
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