Drug Therapy for Pediatric Patients Chapter 5

Drug Therapy for Pediatric Patients
 Goal:

– safe and effective pediatric drug therapy

Classification of Pediatric Patients:

Age

Classification

    

< 38 weeks AOG Premature or preterm < 1 month Neonate or newborn infant 1 month-< years Infant 2 years - < 12 years Child 12 years - < 18 years Adolescent

Pharmacokinetic Differences in the Pediatric Patients
 Absorption  Distribution  Metabolism  Elimination

Pediatric drug Sensitivity
 barbiturates  morphine  salicylates  acetaminophen

Pediatric dosage calculations
 age

or weight  nomogram (height & weight) ( liver and kidney)

BSA
  

– body surface area in square meters - Height and weight - kg and cm or lb. and inches
Child’s dose =
adult dose Child’s body surface area in m2 X

1.73 m2 (BSA of ave. adult)

BSA
 

Steps: 1. Determine the height and weight of the patient. 2. Place the straightedge on the nomogram connecting the two points on the height and weight of the patients 3. Where the straightedge crosses the center column (BSA) a reading is taken 4. Substitute the BSA value in the formula to calculate the dosage for the child

Administration of Medication to Children
 Assessment  Planning

and Implementation  Evaluation

Administration of Medication to Children
         

Oral Medications Parenteral Medications Intramuscular Subcutaneous Intravenous IV push Soluset method Retrograde Syringe pump – greatest control - rectal

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