Peds Exam 1 pediatric Pharm

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Author:
emmylou
ID:
295323
Filename:
Peds Exam 1 pediatric Pharm
Updated:
2015-02-08 22:20:17
Tags:
pharm
Folders:
pharm
Description:
peds pharm
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  1. if parent gives med to child, must you be in the room to observe?
    yes
  2. how do you administer med to an infant?
    small amount in formula or cereal/fruit, give via spoon or syringe
  3. when do you administer med to an infant if their going to get fed?
    before feeding
  4. when must meds be administered within prescribed time?
    1/2 hour before or 1/2 after prescribed time
  5. what 3 things must be labeled on childs med?
    childs name, name of drug, and dose
  6. must all children have a wrist band?
    yes
  7. how many identification sources needed when giving meds?
    2
  8. what is BSA calculating method used in?
    • chemotherapy
    • neonates
    • ICU
  9. what is the most accurate way to calculate meds?
    BSA
  10. at what weight are adult dosages used in children?
    50 kg or more
  11. What are the six rights to medication?
    • right med
    • right dose
    • right patient
    • right route
    • right time
    • right approach
  12. when does renal function increase to adult level?
    1-2 years
  13. In relation to elimination, what is reduced at birth?
    glomerular filtration and tubular secretion
  14. Since newborn enzymatic microsomal system is less effective and liver maturation varies, what is affected?
    metabolism
  15. Why do drugs to treat neonatal sepsis penetrate the brain and drugs can accumulate in the brain tissue?
    immature blood-brain barrier
  16. why does neonates have a high potential for toxicity?
    fetal albumin has limited drug binding ability
  17. Protein concentration at birth is what percentage of adult values?
    80%
  18. Do drug books have different dosing for the neonates, infants, and children regarding Digoxin?
    Yes
  19. Do neonates have a higher or lower portion of body fat?
    lower-lower doses of lipophilic drugs
  20. Do neonates have a higher or lower proportion of total body water?
    higher-(related to solubility of drug)
  21. Give some examples of absorption of drugs?
    • rectal
    • intramuscular
    • topical/dermal - related to skin hydration
    • intraocular - thin membrane can cause systemic effects
  22. Is bile acid and biliary function diminished or increased in neonates?
    diminished
  23. What is decreased in neonates and increased in older infant and children?
    intestinal motility (transit time)
  24. Is the pH high or low in neonates?
    high
  25. what is how drug produces physiologic and biochemical changes?
    pharmacokinetics
  26. What does pharmacokinetics consist of?
    Absorption, distribution, metabolism, elimination

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