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Answer :
The adjusted dose of Garamycin is 70 mg.
The ideal weight range for Mrs. Sanderson is 122 to 157 lb. Her actual weight is 180 lb, which is higher than her ideal weight. Therefore, we need to adjust the ordered dose of 70 mg by multiplying it by her actual weight divided by her ideal weight.
This gives us an adjusted dose of 70 * 180 / 122 = 70 mg.
The package insert recommends a dose of 1 mg/kg q8h for patients with serious infections and normal renal function. Mrs. Sanderson's weight is 180 lb, which is equivalent to 81.6 kg. The recommended dose for her would be 1 * 81.6 = 81.6 mg. The ordered dose of 70 mg is lower than the recommended dose, so it is safe to give her the ordered dose. The adjusted dose of Garamycin for Mrs. Sanderson is 70 mg. This dose is safe because it is lower than the recommended dose for her weight.
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