A client is prescribed fentanyl citrate IV for moderate pain. The recommended dose is 2-20 mcg/kg/dose. What is the maximum dose for this client that weighs 110 pounds?
a. 1110 mcg c. 1000 mcg/kg
b. 1 mg d. 1 mcg
ANS: B
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A Incorrect: This dose exceeds the recommended dose.
B Correct: Divide 110 pounds by 2.2 = 50 kg X 20 mcg = 1000 mcg or 1 mg.
C Incorrect: The dose should be in mcg or mg not mcg/kg; you can develop a new recommended dose.
D Incorrect: This dose is too small.
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