Calculate doses for the drugs indicated below based on the patient’s BSA. Calculate the BSA to the nearest hundredth and medication dosages to the nearest tenth. Show complete solutions.
1. An adult is ordered vinblastine 25mg IVP weekly. The recommended dose is 3.7-18.5mg/m2. The patient weighs 195 lb and stands 5 feet 11 inches tall. Is the ordered dose appropriate for the client?
Answer
Firsly, we have to calculate BSA,
weight=195lbs=88.45 kg
Height=5 feet 11 inhes=180.34
Body surface area(BSA)=Height(cms)xweight (kg)
3600
After applying formula 180.34 x 88.45 3600
= square root of 4.430
=2.104 nearest 100=2.10
Drug ordered is 25mg
recommended dose is 3.7-18.5 mg/m2
we need to calculate the right dosage by multiplying BOdy surface area and recommended dose
2.10 x3.7=7.77 mg(nearest 10) =7.8
2.10 x 18.5=38.85 mg(nearest 10)=38.9
The ordered dose is 25 mg is in between the range of 7.7 mg and 38.85 mg
Hence, the Ordered dose is appropriate for the client
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