A client with human immunodeficiency virus (HIV) begins active labor at 38 weeks gestation and receives a prescription for zidovudine 2 mg/kg IV, to be administered over 1 hour. The client weighs 185 lbs. Based on the client's weight, how many mg should the nurse prepare to administer?

Question

31-12-2024
Health

High School

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A client with human immunodeficiency virus (HIV) begins active labor at 38 weeks gestation and receives a prescription for zidovudine 2 mg/kg IV, to be administered over 1 hour. The client weighs 185 lbs. Based on the client's weight, how many mg should the nurse prepare to administer?

Answer :

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patevra patevra · Answer 1 · 2024-03-17T08:49:01-04:00

Final answer:

To calculate the appropriate dosage of zidovudine for a client weighing 185 lbs, the weight is first converted to kilograms (84.09 kg), and then the dosage is calculated to be 168.18 mg, which is then rounded to 168 mg to be prepared for administration.

Explanation:

The question involves calculating the dosage of zidovudine for a client with human immunodeficiency virus (HIV) who is in labor. The prescription calls for zidovudine 2 mg/kg IV, to be administered over 1 hour. The client weighs 185 lbs. First, convert the client's weight from pounds to kilograms, knowing that 1 kg equals approximately 2.2 lbs. Therefore, 185 lbs is equivalent to 185 ÷ 2.2 = 84.09 kg. Next, calculate the dosage in milligrams: 2 mg/kg × 84.09 kg = 168.18 mg.

Based on this calculation, the nurse should prepare to administer 168 mg of zidovudine. This precise calculation helps in ensuring the client receives the correct dose, crucial for minimizing the risk of mother-to-child transmission of HIV during childbirth, which can be reduced significantly with the proper administration of antiretroviral medications.