A child is receiving a maintenance dose of azathioprine following his bone marrow transplant. The recommended maintenance dose is 1-3 mg/kg/day. What is the maximum this child weighing 44 pounds should receive?
a. 30 mg to 90 mg/day c. 10mg to 30 mg/day
b. 20-60 mg/kg/day d. 20 mg to 60 mg/day
ANS: D
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A Incorrect: This exceeds the recommended dose.
B Incorrect: This changes the recommended dose.
C Incorrect: This is insufficient dosing.
D Correct: 44 pounds divided by 2.2 = 20 kg X 1 = 20 mg; 20 kg X 3 = 60 mg.
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