97 of 160 A nurse is caring for a six-week-old infant weighing 5 kg. The healthcare provider prescribes intravenous vancomycin (Vancocin) 15 mg/kg q 8 hours to infuse over two hours. The medication label reads "Concentration: 5 mg/mL." What rate in mL/hour should the nurse program the infusion pump to deliver the medication to the client? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
In the realm of pediatric nursing, accurate dosage calculations are imperative to ensure optimal patient care and safety. In this essay, we delve into a practical case involving an infant requiring intravenous vancomycin (Vancocin) administration and explore the steps to calculate the appropriate infusion rate using the provided information.
A six-week-old infant with a weight of 5 kg requires intravenous vancomycin at a dose of 15 mg/kg every 8 hours. The medication concentration is 5 mg/mL, and the prescribed infusion duration is two hours.
The calculation to determine the infusion rate involves several steps. First, we calculate the total dosage of vancomycin required for each infusion:
Total dosage = Weight (kg) × Dose (mg/kg)
Total dosage = 5 kg × 15 mg/kg = 75 mg
Since the medication concentration is 5 mg/mL, the total volume (in mL) required for each dose can be calculated by:
Volume (mL) = Total dosage (mg) / Concentration (mg/mL)
Volume (mL) = 75 mg / 5 mg/mL = 15 mL
Since the medication is to be infused over two hours, we need to calculate the infusion rate in mL/hour:
Infusion rate (mL/hour) = Volume (mL) / Infusion duration (hours)
Infusion rate (mL/hour) = 15 mL / 2 hours = 7.5 mL/hour
For the six-week-old infant weighing 5 kg and requiring intravenous vancomycin at a dose of 15 mg/kg every 8 hours, the nurse should program the infusion pump to deliver the medication at a rate of 7.5 mL/hour. This calculated infusion rate ensures that the medication is administered accurately and safely, aligning with the principles of pediatric nursing and dosage precision.
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