Question

Difficulty: MediumPharmacological Therapies

A practical nurse is preparing to administer ibuprofen oral suspension to a toddler who weighs 28.628.6 lb. The health care provider prescribes 1010 mg/kg/dose every 66 hours PRN for fever. The pharmacy provides ibuprofen oral suspension with a concentration of 100100 mg / 55 mL. How many milliliters should the nurse administer for one dose? (Record answer to the nearest tenth. Do not include units in answer.)

Answer: 6.5 mL

Answer

6.5
To determine the correct volume to administer, the nurse must first convert the child's weight to kilograms (28.6 lb÷2.2=13 kg28.6 \text{ lb} \div 2.2 = 13 \text{ kg}). Next, calculate the required dose by multiplying the weight by the prescribed weight-based amount (13 kg×10 mg/kg=130 mg13 \text{ kg} \times 10 \text{ mg/kg} = 130 \text{ mg}). Finally, calculate the volume using the medication concentration provided by the pharmacy (130 mg÷100 mg×5 mL=6.5 mL130 \text{ mg} \div 100 \text{ mg} \times 5 \text{ mL} = 6.5 \text{ mL}).

Step-by-Step Solution

1
Convert weight from pounds to kilograms.
28.6÷2.2=1328.6 \div 2.2 = 13 kg
The prescribed dosage is ordered in mg/kg, requiring the client's weight to be in kilograms.
2
Determine the total milligrams required for one dose.
13×10=13013 \times 10 = 130 mg
Multiply the client's weight in kg by the prescribed dose of 1010 mg/kg.
3
Calculate the volume (mL) to administer.
130100×5=6.5\frac{130}{100} \times 5 = 6.5 mL
Use the formula (Desired / Have) x Quantity to find the required volume.

Key Concept

Weight-based pediatric dosage calculation
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