Question

patient 1 -mrs. grant
mrs. grant had a successful inpatient stay and is about to be discharged. the provider ordered a dose of ciprofloxacin prior to discharge and called a prescription in to mrs. grants pharmacy.
the order reads: give ciprofloxacin 400mg/kg by mouth x 1 dose now and provide education to mrs. grant so she understand the medication.
mrs. grant is 175 lbs. you have ciprofloxacin 250mg per 5ml available in the pyxis. how many mls of ciprofloxacin are you going to give mrs. grant?
what education are you going to provide?

Explanation:

Step1: Convert weight to kg

1 lb = 0.453592 kg, so 175 lbs = 175×0.453592 = 79.3786 kg.

Step2: Calculate total mg dose

The dose is 400mg/kg, so total mg = 400×79.3786 = 31751.44 mg.

Step3: Calculate mL of medication

There is 250mg per 5mL. Let $x$ be the volume in mL. Then $\frac{250}{5}=\frac{31751.44}{x}$, so $x=\frac{31751.44×5}{250}=635.0288$ mL.

for the second - part:
Educate Mrs. Grant about potential side - effects (nausea, diarrhea, dizziness), to take the medication with a full glass of water, not to take antacids or dairy products close to the time of taking the medication as they can interfere with absorption, and to complete the full course of the antibiotic even if she starts feeling better.

Answer:

for the first - part:
635.03 mL