If the dose requires that a total of 40 mg be given, then you take the ratio of the stock bottle (mg/mL) and solve for the total amount of mL that are needed by multiplying the amount of mL required (x):
[tex] \frac{22}{5} *x=40[/tex]
Multiply by 5 on both sides to give:
[tex]22x=200[/tex]
Then solve for x:
[tex] \frac{200}{22}=9.091mL [/tex]
Another, possibly quicker, way to solve would be to set up a proportion - one side the stock bottle ratio, and the other side the dosage requirements:
[tex] \frac{22}{5} = \frac{40}{x} [/tex]
Cross multiply and you get:
[tex]22x=200[/tex]
And you would solve this the same way as above.
So the patient should receive 9.091 mL of secobarbitol.