Ch.3 Flashcards
Fetus exposed to many substances as mother - including drugs take
Have classifications for risks to fetus
Drug therapy during pregnacy
Susceptible to drug interactions, toxicity, unusual drug responses
Require diff dosage calcs than do adults
Ensure correct weight reported
Dosage calcs for pediatric pats - Considerations for neonatal and pediatric pats
Decline in organ functioning
More likely result in AE and toxicity
Physiologic changes
Absorption
Distribution
Metabolism
Excretion
Considerations for older adult pats
Functioning sev organ sys slowly decline
Major effect on disposition and action of organs
Careful monitoring and dosage adj
Consider body weight and organ functioning
Physiologic changes
Reduced of both dietary nutrients and drugs
Gradual reduction in ability stomach produce hydrochloric acid
Reduction in blood flow to GI tract
Can get constipation
Absorption
Reduction in total body water content with aging
Hydrophilic drugs may be higher in older adults
Reduced protein concentrations
Distribution
Liver loses mass with age and slowly loses its ability to metabolize drugs effectively
Reduction in blood flow to liver
Metabolism
Renal func declines
Reduc in GFR
Excretion