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A nurse is preparing to administer verapamil 0.1 mg/kg via intermittent IV bolus over 2 minutes. Available is verapamil 2.5 mg/mL. The client weighs 165 lb. How many mL should the nurse administer?

Answer :

Final answer:

To administer the correct dosage of verapamil to a 165 lb client, first convert the weight to kg (74.25 kg) given the doctor's order is in mg/kg. Multiply this weight by the doctor's order (0.1 mg/kg) giving us a dose of 7.425 mg. Lastly, divide this dosage by the available concentration (2.5 mg/mL) to determine a volume of approximately 2.97 mL to administer.

Explanation:

The first step to determine the correct dosage for the IV bolus of verapamil is to convert the weight of the client from pounds to kilograms since the doctor's order is in mg/kg. From this conversion, we know 1 pound is approximately 0.45 kg, so for a client that weighs 165 pounds, the weight in kilograms is 74.25 kg.

Next, you calculate the dosage based on the patient's weight in kilograms and the doctor's order in mg/kg which is verapamil 0.1 mg/kg. This gives us a dosage of 7.425 mg.

To determine the volume to administer, you take the calculated dosage and divide by the concentration available, which is 2.5 mg/mL. This calculation gives us a total of approximately 2.97 mL to be administered to the patient.

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