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A nurse is planning to administer medications to a client who weighs 198 lb. The prescription reads: "filgrastim 5 mcg/kg, subcutaneous, daily." Available is filgrastim 300 mcg/mL. How many mL should the nurse plan to give with each dose?

Answer :

Final answer:

The nurse should administer 1.5 mL of filgrastim per dose.

Explanation:

The question involves the calculation of medication dosage based on a client's weight. Given the client weighs 198 pounds and the prescription of filgrastim is for 5mcg/kg to be administered subcutaneously daily.

To compute the dosage in milliliters, several steps are required: converting the client's weight from pounds to kilograms, calculating the total daily dose in micrograms, and then converting this dose into milliliters based on the medication concentration.

First, convert the client's weight from pounds to kilograms by dividing by 2.2 (since 1 kilogram equals 2.2 pounds).
198 lb ÷ 2.2 = 90 kg approximately.

Next, calculate the total daily dose in micrograms:
90 kg × 5 mcg/kg = 450 mcg/day.

Finally, convert the total dose into milliliters based on the available filgrastim concentration:
450 mcg ÷ 300 mcg/mL = 1.5 mL.

Therefore, the nurse should plan to administer 1.5 mL of filgrastim with each dose.

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