Test Bank Clinical Calculations 9th Edition Kee.Marshall Test Bank Clinical Calculations 9th Edition Kee.Marshall Clinical Calculations 9th Edition Kee.Marshall Chapter 07: Methods of Calculation for Individualized Drug Dosing Kee: Clinical Calculations: With Applications to General and Specialty Areas, 9th Edition OTHER Body Surface Area by Square Root 1. Order: cyclophosphamide 500 mg/m2 in 500 mL of normal saline solution (NSS) over 90 minutes Patient height and weight: 5 ft 10 in, 142 lb Drug available: cyclophosphamide 100 mg dilute with 5 mL of sterile water; yields 20 mg/mL a. What is the patient’s body surface area (BSA) (m2 )? b. What is the total dose? c. How many milliliters should you prepare? ANS: a. b. 500 mg/m2 1.78 m2 = 890 mg c. FE: 890 mg/100 mg 5 mL = 44.5 mL OR 2. Order: cisplatin 50 mg/m2 in 500 mL of NSS intravenously over 90 minutes Patient height and weight: 5 ft 6 in, 160 lb Drug available: cisplatin 100 mg/100 mL a. What is the patient’s BSA (m2 )? b. What is the total dose? c. How many milliliters should you prepare? ANS: a. b. 50 mg 1.84 m2 = 92 mg c. FE: 92 mg/100 mg 100 mL = 92 mL OR 3. For the following questions, use the square root method and/or nomogram. Note discrepancies between methods. TEST BANK FOR CLINICAL CALCULATIONS 9TH EDITION BY KEE.MARSHALL NURSINGTB.COMN U R S I N G T B . C O M Give dacarbazine 250 mg/m2 /day 5 days. Patient height: 5 ft 10 in Patient weight: 173 lb What is the daily dose with a. square root method? b. nomogram? ANS: a. 250 mg/m2 /day 1.97 m2 = 493 mg/day b. Height 70 in, weight 173 lb, intersects 2.02 m2 250 mg/m2 /day 2.02 m2 = 505 500 mg/day 4. For the following questions, use the square root method and/or nomogram. Note discrepancies between methods. TEST BANK FOR CLINICAL CALCULATIONS 9TH EDITION BY KEE.MARSHALL NURSINGTB.COMN U R S I N G T B . C O M Give 5-fluorouracil 450 mg/m2 /wk. Patient height: 5 ft 6 in Patient weight: 210 lb What is the weekly dose with a. square root method? b. nomogram? ANS: a. 450 mg/m2 /wk 2.10 m2 = 945 mg/wk b. Height 66 in, weight 210 lb, intersects 2.04
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