Clinical Calculations With Applications to
General And Specialty Areas 7th Edition by
Joyce – Sally M. – Test Bank
Description
INSTANT DOWNLOAD COMPLETE TEST BANK WITH ANSWERS
Clinical Calculations With Applications to General And Specialty Areas
7th Edition by Joyce – Sally M. – Test Bank
Sample Questions
Chapter 7: Methods of Calculation for Individualized Drug Dosing
OTHER
Body Surface Area by Square Root
, 2
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
1. What is the patient’s body surface area (BSA) (m2)?
2. What is the total dose?
3. How many milliliters should you prepare?
ANS:
1.
1. 500 mg/m2 ´ 1.78 m2 = 890 mg
1. FE: 890 mg/100 mg ´ 5 mL = 44.5 mL
OR
1. 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
1. What is the patient’s BSA (m2)?
2. What is the total dose?
3. How many milliliters should you prepare?
ANS:
, 3
1.
b.50 mg ´ 1.83 m2 = 91.5 mg
1. FE: 91.5 mg/100 mg ´ 100 mL = 91.5 mL or 92 mL
OR
For Questions 3 through 18, use the square root method and/or
nomogram. Note discrepancies between methods.
1. Give dacarbazine 250 mg/m2/day ´ 5 days.
Patient height: 5 ft 10 in
Patient weight: 173 lb
What is the daily dose with:
1. square root method?
2. nomogram?
ANS:
1.
250 mg/m2/day ´ 1.96 m2 = 490 mg/day
1. Height 70 in, weight 173 lb, intersects 2.02 m2
250 mg/m2/day ´ 2.02 m2 = 505 500 mg/day
, 4
1. Give 5-fluorouracil 450 mg/m2/wk.
Patient height: 5 ft 6 in
Patient weight: 210 lb
What is the weekly dose with:
1. square root method?
2. nomogram?
ANS:
1.
450 mg/m2/wk ´ 2.10 m2 = 945 mg/wk
1. Height 66 in, weight 210 lb, intersects 2.04 m2
450 mg/m2/wk ´ 2.04 m2 = 918 920 mg/wk
1. Give leucovorin 200 mg/m2/wk.
Patient height: 5 ft 6 in
Patient weight: 210 lb
What is the weekly dose with:
1. square root method?
2. nomogram?
ANS:
80 kg x 2.2 = 176 lb