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Body Weight

nutrition
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0% found this document useful (0 votes)
21 views3 pages

Body Weight

nutrition
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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CALCULATION BY WEIGHT

Body Weight (BW)

Drug dosing by actual Body Weight (BW) is the primary way medication is individualized for
adults and children. Manufacturers supply dosing information in the package insert. The insert
data provide the dosage based on the patient’s weight in kilograms (kg). The first step is to
convert pounds to kilograms (if necessary). The second step is to determine the drug dose per
BW by multiplying drug dose × body weight (BW) × frequency (day or per day in divided doses).
The third step is to choose one of the four methods of drug calculation for the amount of drug
to be given.

EXAMPLES

PROBLEM 1: Order: fluorouracil (5-FU), 12 mg/kg/day IV, not to exceed 800 mg/day. The adult
weighs 140 pounds.

a. Convert pounds to kilograms. Divide number of pounds by 2.2.Remember: 1 kg = 2.2 lb

140 lb ÷ 2.2 lb/kg = 64 kg

b. Dosage/BW: mg × kg × 1 day =

12 × 64 × 1 = 768 mg IV per day

ANSWER: fluorouracil (5-FU), 12 mg/kg/day = 768 mg or 770 mg


PROBLEM 2: Give cefaclor (Ceclor), 20 mg/kg/day in three divided doses. The child weighs 20
pounds.

Drug available:

a. Convert pounds to kilograms

20 lbs ÷ 2.2 lb/kg = 9 kg

b. Dosage/BW: 20 mg × 9 kg × 1 day = 180 mg per day.

180 mg ÷ 3 divided doses = 60 mg


ANSWER: cefaclor (Ceclor) 20 mg/kg/day = 2.4 mL per dose three times per day

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