Chapter 5-drug therapy pediatric Flashcards
what is true about pediatric clients
drug penetration through infant skin is more rapid than in older children
history of maternal drug use is most closely related to a neonates ability to
metabolize drugs in the liver
pediatric drug dosages are best based on
weight
administration of bitter medication what should you do
put ice in the mouth a few minutes before taking med
it may decrease taste sensation
what should you do when oral administration of medication to a 2month
administer before meals
ear drops to children under 3
pull the pinna back and down this opens the ear canal
intramuscular injection for an infant
vastus lateralis
the use of Ipecas in the event of accidental poisoning of a child
both poison control and american academy of pediatrics do not endorse the use of ipecec syrup
when comparing the plasma protein binding ability of a pediatric client to an adult the nurse understands this process occures in children to
a lesser degree due to the reduced production of protein in children
the CNS of a child does not fully mature until
8 months of age
administration of a rectal suppository to a 2 year old child
uses his or her little finger to administer medication
administration of liquid medication to 9 year old child
allow the child to choose between a syringe with out needle or medicine cup
a young child is to receive an IV antibiotic packaged in 50ml of 5% dextrose and water over 30 minutes what should be done
use volumetric IV pump for administration
which age can parenteral medication be permitted to handle a syringe with out needle
2.5 to 3.5 years of age
when choosing a site for an IM injection in a young child the nurse understands that the deltoid site is rarely used because
this muscle is not fully developed until adolesence
the proper needle length for subcutaneous injection in infants and thin children
3/8 to 1/2 inch
when preparing to give 3 yr old the first dose of a prescribed antibiotic what is best response by nurse
telling the children that medicine is candy is dangerous practice.
a 6 month old is going home from the hospital from pneumonia which statement indicates mother needs more training
I can put the medication in the formula to help ensure my baby takes it
preparing to administer oral to an 11 month old infant who drinks formula from a cup which method should nurse use to give medication
medicine cup
which route of medication administration demonstrates the least variability in drug response for pediatric clients of different ages
intravenous
administration of an injection to a child at the dorsogluteal site the nurse positions the child
on the abdomen with the toes pointing inward
this position promotes relaxation of the muscles int he buttocks
the method of choice for administration of parenteral analgesic to children is
IV push because it provides rapid response by administering it into the port closest to the child
the use of herbal therapy for children
parents should not assume that “natural” means safe
an unconscious child is broght into the ED as a victim of accidental poisoning what should the nurse plan to do
administer activated charcoal via nasogastric or orogastric tube
preparing to administer IM injection to a child
the first action is
apply a topical local anesthetic to the site 1-2 hours before
what is the best way for the nurse to evaluate the patients ability to administer medication
have the patient demonstrate the procedures to the nurse after the nurse has explained and demonstrated
the nurse is preparing to start an IV on a child for at least 4 days of IV therapy the nurse would most likely choose what for the infusion
a catheter
a child is prescribed to receive an IV antibiotic that is packaged in 100ml of IV fluids to infuse in 1 hour. the nurse programs the volumetric infusion pump for what reate
100ml/hr
a child who weighs 44 pounds is prescribed an IV medication with a recommend dosage of 7.5 mg/kg/24 hours in 3 divided doses. what is the safe individual dose this child can receive
50 mg
when obtaining baseline data on a child it is important for the nurse to do what
secure the childs medication history from a caregiver, determine the experience the child has had with taking medications, and obtain a personal and family history of allergy
the nurse is preparing an IV setup for a pediatric client and decides to use a volumetric infusion pump the decision is based on what
maintains constant intravascular pressure within the IV access, maintains the patency for the vascular access and provides accurate flow rates
when preparing to initiate a venipuncture for IV fluid and medication administration the nurse considers what
select a site that does not severely limit the child’s activity, select a site on the non-dominate side and select the smallest gauge possible that will allow administration of IV fluids
