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NABP NAPLEX Exam - Topic 1 Question 31 Discussion

Posted by Ligia on May 06, 2022 at 04:23 AM

You receive an order for 40mg/kg/dose of Amoxicillin every 12 hours. Pt's weight is 18 lbs. You have 250mg/5ml of amoxicillin suspension.

Calculate the total amount in milliliters needed for 10-day supply. Round up your answer to the nearest 1.

Suggested Answer: B

If 40mg of amoxicillin are needed per kg of body weight, then the dose of amoxicillin is 40mg multiplied by the

patient's body weight. This patient weighs 18 lbs, based on the conversion of 2.2 lbs = 1 kg, the patient weighs

8.2 kg. 40 mg multiplied by 8.2 kg is equal to 328 mg, this is one dose of amoxicillin. If the amoxicillin comes in 250 mg/5 mL, then it needs to be determined how many mLs it will take to get 328 mg of amoxicillin. In order to do this 328 mg needs to be divided by 250 mg to get a ratio. This comes out to be 1.312. This ratio can be multiplied by the number of mLs it takes to make up 250 mg, which is 5 mLs. 1.312 multiplied by 5 mLs is 6.56 mL, this is how many mLs it will take to have 328 mg. This volume is for 1 single dose of amoxicillin. The patient is receiving 2 doses per day and for a total of 10 days, this means the patient will be receiving 20

doses. 20 doses multiplied by 6.56 mL doses equals the total volume the patient will be receiving, which is

131.2 mL.


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11 comments · newest first
MI
Mickie 11 months ago
I got 96 mls, but I might've messed up somewhere.
DE
Deandrea 12 months ago
Wait, are we sure about the calculations? Seems off.
AN
An 12 months ago
Totally agree, 132 mls sounds right!
RE
Remedios 12 months ago
I think it’s around 132 mls for 10 days.
MA
Marshall 1 year ago
The dose is 40mg/kg, so that's 327mg for 18 lbs.
KR
Kris 1 year ago
I’m pretty sure I need to find the dose per administration and then multiply by the number of doses over 10 days. But I’m not confident about the final volume calculation.
CH
Chana 1 year ago
I feel like I’ve seen a question like this before, but I’m a bit confused about how to round the final answer. Is it always up to the nearest whole number?
AL
Alishia 1 year ago
I think I need to calculate the total daily dose first, then figure out how much that is for 10 days. I hope I remember the right steps!
HA
Hailey 1 year ago
I remember we practiced a similar question about dosing based on weight, but I’m not sure how to convert pounds to kilograms correctly.
VE
Verona 1 year ago
This seems like a straightforward question about the administration functions required for SAS Data Integration Studio. I'll need to think through the different options carefully, but I'm confident I can figure this out.
LE
Lea 1 year ago
Ah, job evaluation - I remember learning about this in class. I think the key is to identify the main purpose, which seems to be assessing the relative value or importance of different jobs within an organization. I'll try to match that to the answer choices.
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