Question

Difficulty: MediumPharmacological Therapies

A practical nurse is preparing to administer cefdinir to a pediatric client who weighs 35.2 lb35.2\text{ lb} and has acute otitis media. The healthcare provider has prescribed 7 mg/kg7\text{ mg/kg} orally every 1212 hours. The medication available is cefdinir oral suspension labeled 125 mg/5 mL125\text{ mg}/5\text{ mL}. How many mL\text{mL} should the nurse administer per dose? (Record answer to the nearest tenth. Do not include units in answer.)

Answer: 4.5 mL

Answer

4.5
To determine the correct dose, first convert the weight from pounds to kilograms (35.2÷2.2=16 kg35.2 \div 2.2 = 16\text{ kg}). Next, calculate the required dose by multiplying the weight by the prescribed amount (16 kg×7 mg/kg=112 mg16\text{ kg} \times 7\text{ mg/kg} = 112\text{ mg}). Then, calculate the liquid volume needed by dividing the desired dose by the available dose and multiplying by the available volume: (112 mg÷125 mg)×5 mL=4.48 mL(112\text{ mg} \div 125\text{ mg}) \times 5\text{ mL} = 4.48\text{ mL}. Finally, round to the nearest tenth as instructed, which results in 4.5 mL4.5\text{ mL}.

Step-by-Step Solution

1
Convert the client's weight from pounds to kilograms.
35.2 lb÷2.2 lb/kg=16 kg35.2\text{ lb} \div 2.2\text{ lb/kg} = 16\text{ kg}
The medication dosage is prescribed based on the client's weight in kilograms, so the weight must be converted first.
2
Calculate the prescribed dose in milligrams.
16 kg×7 mg/kg=112 mg16\text{ kg} \times 7\text{ mg/kg} = 112\text{ mg}
This determines the exact amount of medication the client should receive for one dose.
3
Calculate the required volume in milliliters.
(112 mg÷125 mg)×5 mL=4.48 mL(112\text{ mg} \div 125\text{ mg}) \times 5\text{ mL} = 4.48\text{ mL}
Using the standard formula determines how much of the available liquid suspension is needed to deliver the prescribed dose.
4
Round the calculated volume to the nearest tenth.
4.5 mL4.5\text{ mL}
The question specifies recording the answer to the nearest tenth to ensure accurate measurement.

Key Concept

Weight-based pediatric dosage calculation and liquid medication volume conversion.
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