Remark
This question requires a proportion. We will set the body weight on top and the medicine on the bottom. That way the body weight (x) is in the numerator of one of the ratios.
Givens
Body weight1 = BW1 = 104
Medicine 1 = med1 = 130
Body Weight 1 = x
Medicine 2 = 278.74
Formula
BW2 / Med2 = BW1/ Med1
Sub and Solve
x / 278.75 = 104/130 Calculate the right side
x / 278.75 = 0.8 Multiply both sides by 278.75
x = 278.75 * 0.8 = 223
Conclusion
The Patient must have weighed 223 pounds.