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Question
The nurse is caring for a girl weighing 33 pounds with a VP shunt infection. Susceptibility tests reveal IV Vancomycin to be an effective treatment for this particular strain of bacteria. The recommended dose of Vancomycin is 40 mg/kg/day in equally divided doses every 8 hours. The formulary states the final concentration for Vancomycin should not exceed 5 mg/mL. Hint: To be considered correct answers must be labeled, there can be no naked decimals and there can be no trailing zeros. You must show your work using dimensional analysis for credit.
1. What is the mg dose of Vancomycin to be given every 8 hours?
2. The concentration from the pharmacy is 100mg/mL. What volume of solution do you expect to receive from the pharmacy?
3. What is the total volume in mL to be infused per dose?
4. Dilution is required for the administration. How much dilutent in mL is required?
5. What rate will the pump need to be set at to infuse the total volume over 2 hours?
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