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During a short stay in the hospital, a patient received 24h of intravenous calcium to treat hypocalcemia. He has been receiving 100meq of elemental calcium IV daily. Now that he is going home, he is being switched to oral calcium. He is to continue an equivalent oral daily dose, divided 2-3 times a day. (AW of Ca=40)

a. Calculate a dosing regimen for the patient if he is purchasing the product pictured here. Round to nearest # of whole tablets.)

b. The patient’s serum calcium level is tested two weeks later. It is reported to you as 4meq/L. Your reference chart lists a normal calcium level as 8.5-10.5mg/dL. Convert the units to check to see if his calcium level is within range.

User Jubbles
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Final answer:

To calculate the dosing regimen for the patient, divide the total daily dose of 4000mg by 2 and then by the amount of calcium per tablet to determine how many tablets to take. To check if the patient's calcium level is within the normal range, convert the units from meq/L to mg/dL using the conversion factor.

Step-by-step explanation:

To calculate the dosing regimen for the patient, we need to convert 100meq of elemental calcium to milligrams. Since the atomic weight of calcium (AW of Ca) is 40, 1 meq of calcium is equal to 40mg. Therefore, 100meq of calcium is equal to 4000mg. The patient is to continue an equivalent oral daily dose, divided 2-3 times a day. Let's assume the patient will take the calcium tablets twice a day. To calculate the dose per tablet, we divide the total daily dose of 4000mg by 2, resulting in 2000mg per tablet. Since the product pictured here contains 500mg of calcium per tablet, the patient should take 4 tablets twice a day.

To check if the patient's serum calcium level of 4meq/L is within the normal range, we need to convert the units to mg/dL. Since 1meq of calcium is equal to 40mg, 4meq is equal to 160mg. Using the conversion factor of 1mg/dL = 100mg/L, we can convert 160mg/L to mg/dL, which is equal to 1.6mg/dL. Therefore, the patient's calcium level of 4meq/L falls within the normal range of 8.5-10.5mg/dL.

User Marneylc
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